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.
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!
Elizabeth Kellerman, MSN, RN worked as a critical care nurse in an Intensive Care Unit of a community hospital and that experience provided significant training in caring for older adults. Her experience and knowledge led her to nursing education where she taught at a community college as she received 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 Curriculum Designer for Relias. Disclosure: Elizabeth Kellerman, MSN, RN discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as a Salaried Employee All of the relationships listed for this individual have been mitigated.Relevant Non-Financial Relationship with No Entities Exists as a Contributor All of the relationships listed for this individual have been mitigated.
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