Staff training on Community Resources occurs how often
What is Yearly
100
Referring office will make specialist appoints for the patient
What is True (unless requested other wise by specific office).
100
All offices should make sure that the PCP is documented in the EMR. PCP stands for.
What is Primary Care Provider
200
The laboratory is required to call the office with these types of labs with five minutes of obtaining the results.
What is Critical Test Results
200
Outside health encounters are documented in the EMR under which tab and how often?
What is Vital signs and every visit
200
Under which tab is community services documented for each patient
What is Vitals
200
Process and guidelines for referring a patient to a specialist.
What is Specialty Referral Process, policy 8840-043
200
Communicating and facilitating partnerships between patients and providers with in the health care system, leads to an informed and engaged patient that will produce
What is Improved Outcomes
300
Provider or nurse of a provider will contact the patient by phone with this type of result with in 24 hours
What is Abnormal Test Results
300
Assessed at every visit and tools and advice are offered to the patient to help them quit.
What is Tobacco screening
300
Community Resource directory is updated and sent to each clinic how any times a year
What is 2 (semi-annually)
300
Training on the specialty referral process takes place?
What is Yearly
300
Community, Health System, Self management Support, delivery system, decision support, and clinical information systems are all part of
What is the Chronic Care Model
400
Found on the MGH internet and list step by step instructions for normal, abnormal, and critical lab results.
What is Test Result Tracking Policy 8840-042
400
Chlamydia screening, Pap smear, Mammogram, FOB, and Colonoscopy can be ordered by the nurse when due, under this policy
What is Standing Orders 8840-037
400
Patient needs community resources, how will I proceed to help this patient
What is education materials, direct referral to the community resource or a referral to the clinic care manager.
400
Health Stream is a organization that provides what services for our clinics
What is Patient satisfaction surveys
400
A primary care model that is patient centered, comprehensive, team based, coordinated, accessible and focused on quality and safety.
What is Patient Centered Medical Home
500
Staff is trained on test tracking procedures, and this is documented in personal file or on training logs this occurs how often
What is Every Year
500
Standing orders also consist of the following
What is Diabetes Care Order set, CLIA lab tests, First OB Nurse visit, and some immunizations.
500
Patient is a high risk patient ( example: no heat-no formula for baby). Needs community referral, process for follow up with that patient
What is putting in a referral order so it will come up in the over due orders for follow up/ or a message is create to pop up on a set day for the nurse following up on that referral.
500
Appointments with specialty offices for referrals should be made in a timely manner
What is True
500
Expanding these concepts and capabilities to include specialty physicians to partner with primary care physicians to care for patients
What is Patient Centered Medical Home-Neighborhood