CCM 101
This program was started in 2014 by the Center for Medicare and Medicaid Services.
What is Chronic Care Management?
This standard of care should happen after every patient interaction.
What is leaving detailed documentation?
This method of communication is what Phamily prioritizes when connecting with your patients.
What is text messaging?
To collaborate with other CCM team members on a patient's care, you would click this in the conversation thread and tag them with this.
What is "Add a Comment" and the @ symbol?
What are Medicare, 2+ Chronic Conditions, and a visit in the last 12 months with my provider?
This is used when a patient doesn't respond to the text request for enrollment and consent during a phone call.
What is the Sweeten Enrollment Script?
This is the number of patients you can successfully manage with Phamily's method of Connected Care.
What is 400-550?
To avoid typing out a similar message to multiple patients individually, Phamily recommends using these.
What are message templates?
This traditional method of communication is how many organizations managed a CCM program prior to using a system like Phamily.
What is an extension of the practice?
This feature allows you to create a personalized care plan for CCM patients in 5-10 minutes.
What is a Quick Plan?
This feature personalizes messages when used in a template or by searching with "{{".
What are variables?
These three criteria are how I qualify a patient for a billable event.
What is documented consent, a personalized Care Plan and 20+ minutes of care?
Sweeten Health supports approximately this many lives across 50+ specialty and general practice clinics.
What are 30,000?
This feature will automatically capture care time activity.
These digital post-it notes can be used to schedule follow-up reminders.
What are Tasks?
CCM focuses on care between visits to prevent these and improve these.
What are hospitalizations and health outcomes?
These times should be documented consistently, and treated as a priority, when working on patient charts.
What are Start and End times?
Care time activity is only captured when I am viewing this.
What is the patient profile in Phamily?
Phamily recommends sending these 1-2 times per week to proactively engage patients.
What are Check-ins?