What is the acronym for Patient Centered Medical Home or Primary Care Medical Home (Joint Commission)?
100
Comprehensive (Team Based Care)
Patient Centered
Care Coordination
Access
Quality Safety
What are the 5 components of the PCMH?
100
Some differences between JACHO (Joint Commission) accreditation vs. NCQA recognition
What are levels (JACHO has none, NCQA has 3)
JACHO is organizational, NCQA can be site specific
JACHO requires a site visit, NCQA can be submitted online
100
JACHO accredited, NCQA lapsed (HP was 3 until 2016)
What is Erie's JACHO and NCQA status?
100
The code to Dr. Edberg's NAH office
What is 0710?
200
The American Academy of Pediatrics in 1967
What organization first used the term "medical home?"
200
Other than doctors, nurses, MA's and "mid level" providers, these are 3 other potential members of the PCMH health care team.
What is Nutritionists, behavioral medicine providers, social workers, case workers, pharmacists, health educators
200
A score of 75-100 on PCMH application with 10/10 "Must Pass" Items
What is the score needed to get level 3 NCQA certification?
(Either a score of of 25-49 or a higher score with 6/10 "Must Pass" Items is a Level 1)
200
Examples of Erie's Patient Centeredness
What is documentation of self management goals, literacy needs, interpreters, educational level, assignment of PCP?
200
Gracie
What is the name of Dr. Edberg's dog?
300
In 2002 the Family Medicine Organizations collaborated to produce a report recommending that the health system change to "include taking steps to ensure that every American has a personal medical home [... and] developing reimbursement models to sustain family medicine and primary care." The name of that project is...
What is The Future of Family Medicine?
300
Ensuring safe and accurate transitions of care between hospital, office, nursing home and/or community services falls into this category of PCMH.
What is care coordination?
300
The number of levels at Erie HP (not including the basement)
What is 2?
300
Examples of Erie's comprehensive care services
What is dental, behavioral health, diabetes education, nutrition, optometry, urgent care slots, chronic care management?
300
Examples of incentive payment programs operated by CMMS
What is the CPC initiative (Comprehensive Primary Care) or the FQHC Advanced Primary Care Practice Demonstration?
400
Based on a seminal paper by Dr. Barbara Starfield, several organizations including IBM and several Primary Care organizations form a group charged with pushing for national adoption of the Patient Centered Medical Home. HP FMR was recently featured in an article in this organization's publicatoin. The name of that group is
What is the Patient Centered Primary Care Collaborative?
400
24 hour phone call, evening and weekend hours, shorter wait times, telemedicine, patient portal and email communication all fall into this category of PCMH.
What is enhanced access?
400
1. Written standards for patient access and patient communication
2. Use of data to show meeting this standard
3. Use of paper or electronic-based charting tools to organize clinical information
4. Use of data to identify important diagnoses and conditions in practice
5. Adoption and implementation of evidence-based guidelines for three conditions
6. Active support of patient self-management
7. Tracking system for tests and to identify abnormal results
8. Tracking referrals with paper-based or electronic system
9. Measurement of clinical and/or service performance
10. Performance reporting by physician or across the practice
What are the "Must Pass" Items for NCQA recognition?
400
Lee Francis
Who is the CEO of Erie?
400
Examples of "High Impact Changes" for practice transformation
What is
Care Management (i.e. pt. education, medication management, coordination of care)
Risk Stratified Care Management (i.e.complexity care for identified high risk patients)
Population Care Management?
500
In 2008 The National Committee for Quality Assurance (NCQA), URAC, Joint Commission, and the Accreditation Association for Ambulatory Health Care (AAAHC) launch medical home accreditation programs. In 2010 funding is enhanced for these programs through this law.
What is the Affordable Care Act?
500
The individual placed at the center of the PCMH.
What is the patient?
500
A. Basic system for managing patient data (2 points)
B. Electronic system for clinical data (3 points)
C. Use of electronic clinical data (3 points)
D. Organizing clinical data** (6 points)
E. Identifying important conditions** (4 points)
F. Use of system for population management (3 points)
What is an example of scoring for the standard of maintaining a patient registry?
500
Residency led METRIC PDSA cycles
Erie produced dashboards
Incident Report Submission and Review
What is an example of Erie/the residency fulfilling the Patient Safety and Quality of Care PCMH requirements?
500
Some studies indicate this as a possible negative with the adoption of PCMH that requires more investigation.