ALLIANCE FAQ PATIENT-CENTERED MEDICAL HOME

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Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYALLIANCE FAQ – PATIENT-CENTERED MEDICAL HOME (PCMH) 2018 CONTENTOverview: This FAQ is to inform you of new and revised Alliance Clinical Content for use in implementing PCMH 2017 Standards & Guidelines. The PCMHelements referenced in this FAQ are based on the National Committee for Quality Assurance (NCQA) PCMH model. Each clinical content item will be displayed,along with the related PCMH 2017 criteria and workflow recommendations for use.How can I access this clinical content?This content is already available in your Centricity EHR database. Please contact your EHR Team at your Health Center for help on embedding this content intoyour standard clinical workflows. This includes setting up your Favorites, Document Templates, and Encounter Types that contain this content.How do I suggest an improvement or change to this content?As with any Alliance Clinical Content item, there is always room for improvement. We fully anticipate that you will think of ways to improve and advance thiscontent further as you continue to use this in your PCMH workflows.Suggested Process for Content Change Requests Use the content first, consistently, in your PCMH workflows. Using the content with real, live patients, in partnership with your clinical care team, willbest inform you as a health center on what you want to improve in the content. Submit the request to your EHR Team per your standard content request process. The EHR Team should review this request with your Medical Director, to ensure that the request meets the needs of your organization as a whole. Once this is approved by your Medical Director, submit this request through the Alliance Help Desk.We look forward to your feedback!Thank you,The Alliance of Chicago Clinical Team

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYContentNamePhone Note2017 PCMHConceptAC: PatientCentered Access& ContinuityAC: PatientCentered Access& Continuity2017 PCMHCompetency2017 PCMH Criteria2014CrosswalkAAC 04: Timely Clinical Advice by Telephone: Providestimely clinical advice by telephone. (Core)AAC 05: Clinical Advice Documentation: Documentsclinical advice in patient records and confirms clinicaladvice and care provided after hours does not conflictwith patient medical records. (Core)1B4Workflow NotesDocument any clinical advice in the “Details” text box and check the“Clinical advice provided” box.1B2Document any clinical advice in the “Details” text box.If the call was after-hours, mark the “after hours” checkbox.AC04 & AC05AC04 & AC05

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYContent NameCentricity ReferralOrdersCC21C2017 PCMHConceptCC: CareCoordinationand CareTransitions2017 PCMHCompetencyC2017 PCMH CriteriaCC 21C: External Electronic Exchange ofInformation: Demonstrates electronicexchange of information with external entities,agencies, and registries:C. Summary of care record to anotherprovider or care facility for caretransitions (1 credit)2014Crosswalk5B7Workflow Notes This is used when Health Centers are managing their referrals. One way toget there:oChart Summary Orders Referrals ChangeHealth Centers set up their Transitions of Care Outbound in the Orderssection in the Administration Module.Select the checkbox “Create Transition of Care Document” and hit “Save &Create” button

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYContent Name2017 PCMHConceptAC: PatientCenteredAccess andContinuity2017 PCMHCompetencyB2017 PCMH CriteriaAC 10 Personal Clinician Selection: Helpspatients/families/ caregivers select or change apersonal clinician. (Core)CC 01A: Tracks lab tests until results are available,flagging and following up on overdue resultsPre-VisitPreparationCC: CareCoordination &Care Transitions2014Crosswalk2A15A1, 2, 35CC 01B: Tracks imaging tests until results areavailable, flagging and following up on overdueresultsACC 01C: Flagging abnormal lab results, bringingthem to the attention of the clinician(Core)BCCC 04C: Tracks referrals until the consultant orspecialist’s report is available, flagging andfollowing up on overdue reports. (Core)CC 14: Identifying Unplanned Hospital and EDVisits: Systematically identified patients withunplanned hospital admissions and ED visits. (Core)While the documentation of the clinician choice is in the Responsible Provider field, markthe “Choice of provider given.” checkbox in the Provider Choice section to indicate that yougave the patient a choice.CC 01A: Document any pertinent notes in the “Lab/Img/Tst Results” field in the Chart Reviewsection. Mark the “Lab, imaging, and test results reviewed.” checkbox in the Chart Reviewsection to indicate that you reviewed these tests.CC 01B: Document any pertinent notes in the “Lab/Img/Tst Results” field in the Chart Reviewsection. Mark the “Lab, imaging, and test results reviewed.” checkbox in the Chart Reviewsection to indicate that you reviewed these tests.CC 01D: Flagging abnormal imaging results,bringing them to the attention of the clinicianCC: CareCoordination &Care TransitionsCC: CareCoordination &Care TransitionsWorkflow Notes5B8CC 01C&D: Document any pertinent notes in the “Lab/Img/Tst Results” field in the Chart Reviewsection. Mark the “Lab, imaging, and test results reviewed.” checkbox in the Chart Reviewsection to indicate that you reviewed these tests. Document any pertinent notes in the “Referrals” field in the Chart Review section. Mark the “Referrals reviewed.” checkbox in the Chart Review section to indicate thatyou reviewed these tests.5C1Document any pre-visit processes using the “Healthcare History” section.

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYPre-Visit Preparation: any chart reviewperformed prior to the day of the office visit.Use the “Previous” and “Check All” buttonsfor efficient charting as appropriate.AC10CC01A-DCC14CC04C5B10

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYContent Name2017 PCMHConceptTC: TeamBased Care andPracticeOrganization2017 PCMHCompetencyB2017 PCMH Criteria2014Crosswalk2D3TC 06: Individualized Patient CareMeetings/Communication: Has regular patient careteam meetings or a structured communication processfocused on individual care plan. (Core)5A1, 2, 35CC 01A: Tracks lab tests until results are available,flagging and following up on overdue resultsCC 01B: Tracks imaging tests until results are available,flagging and following up on overdue resultsTeam HuddlesCC: CareCoordination &Care TransitionsACC 01C: Flagging abnormal lab results, bringing themto the attention of the clinician(Core)BCCC 04C: Tracks referrals until the consultant orspecialist’s report is available, flagging and followingup on overdue reports. (Core)CC 14: Identifying Unplanned Hospital and ED Visits:Systematically identified patients with unplannedhospital admissions and ED visits. (Core) If you want to use the EHRS to document this process, use this form. Please note thatthis requires you to conduct a “Team Huddle” visit for each patient’s electronic chart,since Centricity does not allow group documentation that can auto-save to multiplepatient charts with one charting of the document. If using the EHRS to document this process, set up the “Team Huddle” form in aseparate Document Template and Encounter Type titled with the same name, so thatyou can then report on how often these were conducted.CC 01A: Document any pertinent notes in the “Lab/Img/Tst Results” field in the Chart Reviewsection. Mark the “Lab, imaging, and test results reviewed.” checkbox in the Chart Reviewsection to indicate that you reviewed these tests.CC 01B: Document any pertinent notes in the “Lab/Img/Tst Results” field in the Chart Reviewsection. Mark the “Lab, imaging, and test results reviewed.” checkbox in the Chart Reviewsection to indicate that you reviewed these tests.CC 01D: Flagging abnormal imaging results, bringingthem to the attention of the clinicianCC: CareCoordination &Care TransitionsCC: CareCoordination &Care TransitionsWorkflow Notes5B8CC 01C&D: Document any pertinent notes in the “Lab/Img/Tst Results” field in the Chart Reviewsection. Mark the “Lab, imaging, and test results reviewed.” checkbox in the Chart Reviewsection to indicate that you reviewed these tests. Document any pertinent notes in the “Referrals” field in the Chart Review section. Mark the “Referrals reviewed.” checkbox in the Chart Review section to indicate thatyou reviewed these tests.5C1Document any pre-visit processes using the “Healthcare History” section.

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYTeam Huddle: any chart review performed themorning of the office visit.TC06CC01A-DCC04CCC14

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYContent Name2017 PCMHConcept2017 PCMHCompetencyKM: Knowingand ManagingYour PatientsAKM: Knowingand ManagingYour PatientsAKM: Knowingand ManagingYour Patients2017 PCMH Criteria2014Crosswalk3CKM 02C: Family/Social/CulturalCharacteristics. (Core)AKM: Knowingand ManagingYour PatientsAKM: Knowingand ManagingYour PatientsD KM 02D: Communication needs. (Core)Document in the Family Information section on the last tab of the Initial Intake: ReviewoExamples: family/household structure, support systems, patient/family concernsoBroad consideration should be given to a variety of characteristics (e.g. educationlevel, marital status, unemployment, social support assigned responsibilities)Free text any additional pertinent information in the “Family/Social/Cultural Characteristicssection under Family InformationDocument any pertinent information in the “Patient Learning & Communication Needs” section. KM 05 Oral Health Assessment and Services:Assesses oral health needs and providesnecessary services during the care visitbased on evidence-based guidelines orcoordinates with oral health partners. (1credit)KM 07 Social Determinants of Health:Understands social determinants of healthfor patients, monitors at the population leveland implements care interventions based onthese data. (1 credit)KM 08: Patient Materials: Evaluates patientpopulation demographic/communicationpreferences/health literacy to tailordevelopment and distribution of patientmaterials. (1 credit)DKM 14: Medication Reconciliation: Reviewsand reconciles medications for more than80% of patients received from caretransitions. (Core)CCC 14: Identifying Unplanned Hospital andED Visits: Systematically identified patientswith unplanned hospital admissions and EDvisits. (Core)Assess oral health by asking patient if patient has seen a dentist within the past year.Document any oral health needs or services provided in the free text boxNOTE: This is just ONE area in the content oral health assessment and services can bedocumented. Other recommendations to document:oWell Child Anticipatory Guidance Oral Health OR Pediatric Physical ExamoAssessment & Plan Problems AreaoCreate an Order for Flouride Varnish OR Add Flouride Varnish to the Med AdminFormoOral Health AssessmentsCapture food insecurity information in the initial intake to meet this SDOH criteria OR access thePRAPARE form directly if you wish to capture another area of SDOH.Choose from the drop down and free text any additional health literacy information on the patient inthe Comments section4C1&4C2CC: CareCoordination &Care Transitions 3C3Initial IntakeKM: Knowingand ManagingYour PatientsWorkflow Notes Mark a Transition of Care, Inbound in the Transitions of Care section.If checked, a reminder will appear in the form to “Perform Medication Reconciliation” witheasy access to the Centricity Medications functionality.Review the patient’s medication list and then document that it was complete by selecting thecheckbox, “Medication List reviewed today, including nt any pre-visit processes using the “Healthcare History” section.

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYInitial Intake: any documentation not considered a traditional“vital sign” but performed when the patient is roomed.KM04A-BKM07CC14KM05KM14KM02DKM08

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYKM02C

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYContent NameAdult CC/HPIPediatricCC/HPI2017 PCMHConceptKM: Knowingand ManagingYour Patients2017 PCMHCompetencyD2017 PCMH CriteriaKM 14: Medication Reconciliation:Reviews and reconciles medications formore than 80% of patients receivedfrom care transitions. (Core)2014Crosswalk4C1&4C2Workflow Notes Mark a Transition of Care, Inbound in the Transitions of Care section.If checked, a reminder will appear in the form to “Perform Medication Reconciliation” witheasy access to the Centricity Medications functionality.Review the patient’s medication list and then document that it was complete by selectingthe checkbox, “Medication List reviewed today, including over-thecounter/herbal/supplement meds”KM14KM14

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYContent Name2017 PCMHConceptCM: CareManagementand SupportCM: CareManagementand SupportCM: CareManagementand Support2017 PCMH CompetencyBBBKM: Knowingand ManagingYour PatientsKM: Knowingand ManagingYour PatientsDCM: CareManagementand SupportACM: CareManagementand SupportBCM: CareManagementand SupportCM04: Person-Centered Care Plans:Establishes a person-centered careplan for patients identified for caremanagement (Core)CM05: Written Care Plans: Provides awritten care plan to thepatient/family/caregiver for patientsidentified for care management (Core)CM07: Patient Barriers to Goals:Identifies and discusses potentialbarriers to meeting goals in individualcare plans (1 credit)2014Crosswalk4B24B5Any self-management goals charted from this form can be printed using the “Print CareManagement Plan” button.4B3Document barriers information in the “Comments/Progress” section of the selfmanagement goals.FKM16: New Prescription Education:Assesses understanding and provideseducation, as needed, on newprescriptions for more than 50% ofpatients/families/caregivers (1 credit)KM17: Medication Responses andBarriers: Assesses and addressespatient response to medications andbarriers to adherence for more than50% of patients and dates theassessment (1 credit)CM 03: Comprehensive RiskStratification Process: Applies acomprehensive risk-stratificationprocess for the entire patient panel inorder to identify and direct resourcesappropriately. (2 credits)CM08: Self-Management Plans:Includes a self-management plan inindividual care plans (1 credit)KM22: Access to EducationalResources: Provides access toeducational resources, such asmaterials, peer-support sessions, groupclasses, online self-management toolsor programs (1 credit)Workflow NotesUse the “Provider Care Plan” field to document the treatment goals for the patient.4C3DCareManagement Plan2017 PCMH Criteria 4C5 Document the providing of new prescription information by marking the“Information on new prescriptions provided to patient/family.” checkbox in theMedication Adherence & Education section.Document any pertinent notes in the “Understanding of meds” field in theMedication Adherence & Education section.Mark the “Assessed patient/family understanding of medications.” checkbox in theMedication Adherence & Education section.Document any pertinent notes in the “Barriers to taking meds” field in theMedication Adherence & Education section.Mark the “Assessed patient response to medications & potential barriers toadherence.” checkbox in the Medication Adherence & Education section.Mark the “Patient risk” checkbox and document additional pertinent information in thefree text section.Patient risk is subjective and is the practices discretion to determine how to determine apatient’s risk4B4Use this form to chart self-management plans/goals.4E3Mark the “Provided self-management tools to record self-care results” checkbox in theSelf-Care Assessment section when you provided tools.Mark the “Patient education offered for care management plan support” checkbox inthe Self-Care Assessment section when you provided education.

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYCM08CM 03KM17KM16CM07KM22CM05

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYContent Name2017 PCMHConceptCM: CareManagementand SupportAssessment &PlanCM: CareManagementand SupportKM: Knowingand ManagingYour Patients2017 PCMHCompetencyABD2017 PCMH Criteria2014CrosswalkCM 03: Comprehensive Risk-Stratification Process:Applies a comprehensive risk-stratification process forthe entire patient panel in order to identify and directresources appropriately. (2 credits)CM 05: Written Care Plans: Provides a written careplan to the patient/family/caregiver for patientsidentified for care management. (Core)KM 16: New Prescription Education: Assessesunderstanding and provides education, as needed, onnew prescriptions for more than 50% ofpatients/families/caregivers (1 credit)Workflow NotesMark the “Patient risk” checkbox and document additional pertinent information in thefree text section.4B54C3Patient risk is subjective and is the practices discretion to determine how to determine apatient’s riskClick the Print Visit Summary blue button if your practice’s workflow is to documentpertinent care management information the Assessment & Plan form or other areas in theclinical content outside of the Care Management Plan formDocument providing of new prescription information by marking the “Info. On new rxsprovided to pt” checklist

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYCM 03KM16CM05

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYContent Name2017 PCMHConceptKM: Knowingand ManagingYour Patients2017 PCMHCompetencyAPRAPAREKM: Knowingand ManagingYour PatientsA2017 PCMH CriteriaKM 02C: Family/Social/Cultural Characteristics:Evaluates social and cultural needs, preferences,strengths and limitations. Examples includefamily/household structure, support systems, andpatient/family concerns. Broad consideration shouldbe given to a variety of characteristics (e.g., educationlevel, marital status, unemployment, social support,assigned responsibilities). (Core)KM 02F: Social Functioning: Assesses a patient’s abilityto interact with other people in everyday social tasksand to maintain an adequate social life. May includeisolation, declining cognition, social anxiety,interpersonal relationships, activities of independentliving, social interactions, and so on. (Core)KM 07 Social Determinants of Health: Understandssocial determinants of health for patients, monitors atthe population level and implements careinterventions based on these data. (2 credits)2014Crosswalk3CWorkflow NotesKM 02C: Documentation in the Sociodemo/Socioecon tab- Family & Home section anddocumentation in the Money/Resources tab – Money & Resources section meet thiscriteria.KM 02F:Under the Psychosocial Assets tab of the PRAPARE form, ask the questions in theSocial and Emotional Health section regarding social interaction and stress.The entire PRAPARE form highlights the different areas of social determinants of health.KM07KM02FKM02C

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYKM06\\

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYContent Name2017 PCMHConcept2017 PCMHCompetency2017 PCMH CriteriaKM 02A: Medical history of patient and family. (Core)PatientHistoryKM: Knowingand ManagingYour PatientsAKM 02B: Mental health/substance use history ofpatient and family. (Core)KM 02C: Family/social/cultural characteristics. (Core)2014Crosswalk3CWorkflow NotesKM 02A: Collect patient and family medical history in the Patient History Form. You cancollect directly on the Summary tab and if you need additional options go into the specifictabs (Med Hx & Family Hx)KM 02B: Collect patient and family behavioral health history in the medical Hx tab andFamily Hx tabsKM 02C: Under the Socs Pers Hx Tab, document any information regardingfamily/social/cultural characteristics in the Relationship & Family, Residence, & Work &Education sections. Additional documentation can be free texted in the “Otherinformation” sectionKM02CKM02A-BKM02A-B

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYKM02A-BKM02A-B

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYContent NameWell ChildCare2017 PCMHConceptKM: Knowingand ManagingYour PatientsKM: Knowingand ManagingYour PatientsKM: Knowingand ManagingYour Patients2017 PCMHCompetencyAAF2017 PCMH CriteriaKM 02H: Comprehensive Health AssessmentDevelopmental screening using a standardized tool.(Core)KM 05: Oral Health Assessment and Services: Assessesoral health needs and provides necessary servicesduring the care visit based on evidence-basedguidelines or coordinates with oral health partners. (1credit)KM 23: Oral Health Education: Provides oral healtheducation resources to patients. (1 credit)2014Crosswalk3CWorkflow NotesWell Child Care Form – Screening Tab: Select ASQ and complete the cut off and scores asneeded for newborns through 30 months. If there are no established risk factors orparental concerns, screens are done by 24 months. Indicate in the Comments box theresults.In the Anticipatory Guidance, complete the Oral Health section and assess any oral healthneeds. Check the “Areas of Concern” box to populate the free text and document servicesor referrals made to oral health partners.In the Anticipatory Guidance, complete the Oral Health section and assess any oral healthneeds. Check the “Ed Done” box and “Areas of Concern” box to populate the free text anddocument any educational resources provided to the patient.KM02HKM05 & KM23

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYContent NameAdult HM &Ed2017 PCMHConceptKM: Knowingand ManagingYour Patients2017 PCMHCompetencyA2017 PCMH CriteriaKM 02E: Behaviors affecting health- Assesses riskyand unhealthy behaviors that go beyond physicalactivity, alcohol consumption and smoking status andmay include nutrition, oral health, dental care, riskysexual behavior and secondhand smoke exposure.(Core)2014Crosswalk3CWorkflow NotesIn the Drugs/Tobac tab of the Adult HM & Ed, practices can document second hand smokeexposure informationIn the Diet/Exercise tab of the Adult HM & Ed, practices can document nutritioninformation.KM02EKM02E

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYContent NamePreventativeCare FormKM 202017 PCMHConceptKM: Knowingand ManagingYour Patients2017 PCMHCompetencyE2017 PCMH CriteriaKM 20: Implements clinical decision support followingevidence-based guidelines for care of (Practice mustdemonstrate at least four criteria): A. Mental healthcondition.B. Substance use disorder.C. A chronic medical condition.D. An acute condition.E. A condition related to unhealthy behaviors.F. Well child or adult care.G. Overuse/appropriateness issues. (Core)2014Crosswalk3E1, 2-6Workflow NotesThe Adult Preventative Care form provides clinical decision support once the protocols arecalculated and indicates if a patient is due for a specific service. Complete therecommended criteria to calculate the protocols. Use the Summary tab for a quickreference and clinic on the view button or each additional tab at the top to direct you tospecific forms.

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYContent NameGADKM 04A2017 PCMHConceptKM: Knowingand ManagingYour Patients2017 PCMHCompetencyA2017 PCMH CriteriaKM 04A: Conducts behavioral health screeningsand/or assessments using a standardized toolAnxiety. (1 credit)2014CrosswalkWorkflow NotesComplete the GAD form for the patient and calculate the score. Provide necessary follow upbased on the results

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYContent NameAUDITKM 04B2017 PCMHConceptKM: Knowingand ManagingYour Patients2017 PCMHCompetencyA2017 PCMH CriteriaKM 04B: Conducts behavioral health screeningsand/or assessments using a standardized tool- Alcoholuse disorder. (1 credit)2014CrosswalkWorkflow NotesComplete the AUDIT form and calculate the score & interpretation. Provide any necessaryfollow up based on the results.

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYContent NameDASTKM 04C2017 PCMHConceptKM: Knowingand ManagingYour Patients2017 PCMHCompetencyA2017 PCMH CriteriaKM 04C- Conducts behavioral health screeningsand/or assessments using a standardized toolSubstance use disorder. (1 credit)2014CrosswalkWorkflow NotesComplete the DAST form and calculate the score & interpretation. Provide any necessaryfollow up and treatment based on the results.

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYContent NameHEEADSSSKM 04D2017 PCMHConceptKM: Knowingand ManagingYour Patients2017 PCMHCompetencyA2017 PCMH CriteriaKM 04D: Conducts behavioral health screeningsand/or assessments using a standardized toolPediatric behavioral health screening. (1 credit)2014CrosswalkWorkflow NotesIn the HEEADSSS form, click on the very last tab labeled “Suic/MH” to assess your pediatricpatient’s behavioral health status. Conduct any necessary follow up based on the patient’sresponse.

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYContent NamePrimary CarePostTraumaticStressDisorderScreenKM 04E2017 PCMHConceptKM: Knowingand ManagingYour Patients2017 PCMHCompetency2017 PCMH CriteriaKM 04E: Conducts behavioral health screeningsand/or assessments using a standardized tool- PostTraumatic Stress Disorder. (1 credit)A2014CrosswalkWorkflow NotesComplete the PC-PTSD Screening questionnaire to obtain the score. Provided any necessaryfollow up base don the results.

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & ContentUpdated: 2018 MAYContent NameAdult ADHDKM 04F2017 PCMHConceptKM: Knowingand ManagingYour Patients2017 PCMHCompetencyA2017 PCMH CriteriaKM 04F: Conducts behavioral health screeningsand/or assessments using a standardized tool- AdultADHD. (1 credit)2014CrosswalkWorkflow NotesComplete the Adult ADHD form and calculate the score. Provide any necessary follow upbased on the results.

Alliance FAQ – Patient-Centered Medical Home (PCMH) 2017 Standards & Content Updated: 2018 MAY ALLIANCE FAQ – PATIENT-CENTERED MEDICAL HOME (PCMH) 2018 CONTENT Overview: This FAQ is to inform you of new and revised Alliance Clinical Content for use in implementing PCMH 2017 Standards & Guidelines.The PCMH el

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