Patient-Centered Medical Home & Multi-Payer Demo Training Webinar # 5 Standards 3 and 4 David...
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Transcript of Patient-Centered Medical Home & Multi-Payer Demo Training Webinar # 5 Standards 3 and 4 David...
Patient-Centered Medical Home & Multi-Payer Demo
Training Webinar # 5Standards 3 and 4
David Halpern, MD, MPHJuly 20th, 2011
Let’s Review
• PPC 1B (Finished Standard 1)
• PPC 2A, 2B, 2C, & 2F (Finished Standard 2)
• Discussed “Record Review Workbook”
PPC 3B: Example of Factors 1, 2, & 3
Paper Reminder for Risk Assessments, Immunizations,
Screening Tests
PPC 3D: Example of Factors 3 & 5
Demonstrates medication review (Factor 5)
Demonstrates treatment goals (Factor 3)
PPC 3D: Example of Factors 4, 6, & 7
Demonstrates patient progress (Factor 4) and self-monitoring results (Factor 6)
Demonstrates barriers to patient’s ability to meet goals
(Factor 7)
PPC 3D: Important!
• “The physician may decide that patients already achieving good outcomes do not require care management; in those cases, a notation that the patient has good outcomes would suffice in place of a record of the care management processes.”
PPC 3D: Patient Met Treatment GoalsIf there is documentation in the medical record in the last three months that the patient is meeting treatment goals:—“patient stable”, “condition under control on current regimen”—Select “YES”If YES, then select “YES” for each box across the row for that patientIf good outcomes NOT documented in medical record, enter “NO” and review record for all other items; may look back 12 mo. for documentation in record
PPC 3E: Example of Factor 5
Information blocked out to protect sensitive personal information (HIPAA)
PPC 4A: Example of Factor 1
**This chart demonstrates that a practice identifies language preference of its patients, but does not adequately document that the practice displays the language preference in the chart.**
PPC 4B: Example of Factor 3
The practice provides patient with self-management tool (flowsheet) and then includes completed self-management tool in patient’s chart
PPC 4B: IMPORTANT!
• “The physician may decide that patients already achieving good outcomes do not require self-management support; in those cases, a notation that the patient has good outcomes would suffice in place of a record of the self-management items in this element.”
PPC 4B: “Patient Met Outcomes”If there is documentation in the medical record in the last three months that the patient is meeting outcomes:—“patient stable”, “condition under control on current regimen”—Select “YES”If YES, then select “YES” for each box across the row for that patientIf good outcomes NOT documented in medical record, enter “NO” and review record for all other items; may look back 12 mo. for documentation in record
Next Steps (Homework)
• Review Elements 3B, 3C, 3D, 3E, 4A, & 4B and decide which ones you’d like to tackle
• Begin work on those Elements
• Review the Record Review Workbook and begin to put in place the things you’ll need to complete the Workbook – **REMEMBER** you need 3 months of patient data
to review, so start soon!
• We’ve now covered all 4 Elements that use the Record Review Workbook for documentation
Community Care PCMH Team
• David Halpern, MD, MPHCommunity Care of North Carolina (CCNC)
• R.W. “Chip” Watkins, MD, MPH, FAAFPCommunity Care of North Carolina (CCNC)
• Brent Hazelett, MPANorth Carolina Academy of Family Physicians (NCAFP)
• Elizabeth Walker Kasper, MSPHNorth Carolina Healthcare Quality Alliance (NCHQA)