Patient Centered Medical Home
Annual Wellness Visits
Gaps in Care
Systems and Processes
Standards of Conduct
100

required to discuss with patient at least annually

What is the PCMH medical home patient provider partnership

100

SDOH

What is an assessment of basic needs and  need for resources?

100

This term refers to a database typically used to manage population health specifically

 What is a registry

100

A signed understanding of invasive procedure, risks, benefits

What is informed consent

100

Use of this device during the workday is permissible for third party verification, otherwise only on lunch and breaks.

What is 

Cell phone

200

Registry of patients in the practice accessed when doing chart prep

What is i2i?  

200

every year + 1 day

What is how often to get an AWV

200

A urine microalbumin/creatinine ratio is performed on which population of patients and how often

 What is the  Diabetic population, every calendar year

200

What is the purpose of chart prep?

What is to be prepared, proactive, and identify care gaps to address with the patient.

200

Destructive conversation regarding other peoples business or behavior that is hearsay

What is gossip

300

This field in cerner rev cycle is verified at each visit to promote accurate provider panel lists

What is primary care provider field?

300

Visit includes preventative maintanence

What is an AWV/ WC visit?

300

What is the name of the patient registry we us at Baycare?

What is I2I

300

consent for routine treatment is collected how often

What is Each visit

300

Words that work

What is consideration in how you say things and the true message those words send


400

The standard for verifying patient information at check in or during registration

What is asking the patient to recite the information?

400

An annual visit that addresses other acute needs is billed in addition, subjecting the patient to copays and deductibles

What is true?

400

Diabetic foot exams are performed how often?

What is at each visit.

400

At Bay Care, the standard for vital sign collection includes what?

What is T, P, R, BP, O2

400

When you treat others well, have compassion and understanding, and are not judgemental

What is kindness

500

The current anticipated growth for Bay Care in Fiscal year 2024

What is 10.8%

500

Patient present for AWV but has complaints of URI, your next step is..

What is to offer to do the visit as an acute visit, and reschedule the annual to avoid coverage confusion for the patient

500

The process for a person with an assessed blood pressure of >140 or >90?

What is let the patient rest, repeat the blood pressure and document.  It is permissable to combine both blood pressures for an average and document this as well, using a note to document and explain the average, then documenting the average in the blood pressure field.

500

The process to talk about the day, assignments, important issues, and safety

What is a HUDDLE?

500

Doing the right thing ALL of TIME regardless of who is present

What is INTEGRITY!