Patient Centered Medical Home: Managing Patients and Patient Centered Access

Patient Centered Medical Home: Managing Patients and Patient Centered Access 

The goal of this course is to provide learners with practical information on how they can meet the 2017 National Committee for Quality Assurance (NCQA) standards. In this module, you will learn about the second and third concepts of Patient-Centered Medical Home (PCMH) model called Knowing and Managing Patients and Patient-Centered Access and Continuity. To demonstrate the concept of Knowing and Managing Patients your practice will need to demonstrate 6 competencies. To demonstrate Patient-Centered Access and Continuity, it will need to demonstrate 2 competencies. Further, this module will go into detail about the core criteria required to satisfy the competencies for each concept. It will not review elective criteria.


Hours: 1.50


Certificates provided by accrediting body (0 Match)

Course Details

Course Code: REL-CH-0-PCMH3
Hours: 1.5
Type: Online Course
Content Expiration Date: 8/31/2023
Learning Objectives:
Identify the concepts Knowing and Managing Patients and Patient-Centered Access and Continuity.
Describe core criteria associated with concepts in this module.
Give examples of activities that satisfy the core criteria for the concepts in this module.

Section 1: Introduction A. About This Course B. Learning Objectives Section 2: PCMH Overview A. Model of Care B. 3 C's C. Concepts D. Review E. Summary Section 3: Knowing and Managing Patients A. Second Concept in the PCMH model B. Competency A C. Criterion 1: Problem List and Diagnoses D. Criterion 2: Comprehensive Assessment E. Criterion 3: Depression Screening F. Competency B G. Criterion 9: Assessing Diverse Population Needs H. Criterion 10: Assessing Language Needs I. Competency C J. Competency D K. Criterion 14: Medication Safety During Care Transitions L. Criterion 15: Medication Reconciliation M. Competency E N. Criterion 20: Implementing Clinical Decision Support O. Competency F P. Criterion 21: Community Resources Q. Review R. Summary Section 4: Patient-Centered Access and Continuity C. Introduction D. Competency A E. Criterion 1: Determining Access Needs F. Criterion 2: Same Day or Urgent Appointments G. Criterion 3: Extended Access H. Criterion 4: Telephone Advice I. Criterion 5: Documentation of Clinical Advice J. Competency B K. Criterion 10: Personal Clinician L. Criterion 11: Empanelment M. Continuity of Care N. Review O. Summary Section 5: Conclusion P. Summary Q. Course Contributors R. Resources S. References T. Congratulations!

Instructor: Elizabeth Kellerman, MSN, RN
Elizabeth Kellerman MSN, RN started in nursing in 2007 after graduating from Samuel Merritt University in Oakland, California. While working in a critical care unit at Sutter Mills-Peninsula Hospital she earned her CCRN and TNCC. Her experience and knowledge led her to nursing education where she taught at a community college while working to receive her Master's in Nurse Education at Western Carolina University. As a nursing instructor, she spent time in many types of care settings including medical-surgical inpatient and community living centers. Her passion for education and training has most recently led her to a position as subject matter expert and content writer for Relias. Disclosure: Elizabeth Kellerman, MSN, RN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: entry and intermediate level General Staff.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form ( or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.