GRADED A+
✔✔Explain the Medical Home Model. - ✔✔Transformation of primary care practices into
healthcare that focuses on patient and their needs. They help patients become engaged
in their own health behaviors and health care. The practice works as a team to
coordinate care from other providers to community resources. Maximized efficiency by
staff indentifications and working to their license protentials. Medical homes are the
foundation for a health care system that achieves the "Triple Aim" of better quality,
experience and cost.
✔✔Explain what is covered in the PCMH Polies and Procedures. - ✔✔Commit/
Transform/Succeed
✔✔What is covered in Commit? - ✔✔Evaluation of how care is provided to all patients
in the practice based on the role of the entity as a medical home.
✔✔COMMIT: Define Practice - ✔✔One or more clinicians who practice together and
provide patient care at a single geographic location and must include all eligible primary
care clinicians at the site. Follow the same procedures and protocols. Have access to
and share medical records for patient treated at the practice site.
✔✔COMMIT: Define Multi-site group - ✔✔Three or more primary care practice sites
using the same systems and processes, including and electronic medical record
system.
✔✔COMMIT: Eligibility for Clinicians - ✔✔Current license.
Primary care provider.
A combination physician and APRN or PA who share a panel of patients.
✔✔COMMIT: Clinician who do not qualify - ✔✔Non-primary care clinicians
✔✔COMMIT: Fee Schedule - ✔✔1. Single-Site Pricing
2. Multi-Site Group Pricing
3. Special Circumstances
✔✔Explain fee schedule for single-site pricing. - ✔✔Applies to practices applying for the
first time and for annual recognition thereafter that do not qualify for multi-site pricing.
✔✔Explain fee schedule for multi-site group pricing - ✔✔Applies to practices applying
for the first time and for annual recognition thereafter that:
*Have three or more practice sites operating under the same legal entity
*Share an EHR system
*Have at least some of the same policies and procedures.