Access and Developing workflows for Clinic HCH Quality Team Tools used to screen the clinic population: Communication Population (HCH is the clinic Disease specific Registry Tools Standard population) Risk assessment tools Manager 1A 1,2 Process to screen for patients A recommended risk assessment tool - “Care Coordination who would benefit from care Tier Assignment Tool” defines risk levels for Provider Champion / coordination Care Coordination Levels Medical Director Intake / participation process Billing process Written document to Staff communication HCH concepts Patients HCH Brochure Template - about health care homes for to patients providers to use with their patients. Access and Establish system/ processes to HCH Quality Team Access to Care Resources (i.e. same-day appointments, Communication inform patients about continuous group visits, e-visits and online patient services, culturally Standard access during and after clinic sensitive care, after-hours coverage) 1B 1.2a, b,c,d, and hours (24/7/365) Manager 3 Provider Champion / Establish protocol for Medical Director Designated clinic staff On Call Providers Triage Staff To have continuous access to Patients medical record, id of HCH patient and level of care coordination. Access and Collection of Information about HCH Quality Team MN Stratis Health Resource Communication patients and process to utilize Standard information MNCM Collection of Race Ethnicity Language Data Manager 1C Culture Race Provider Champion / Primary Language MNCM /HealthPartners Webinar Slides Medical Director Staff Patients Registry & HCH uses a searchable population HCH Quality Team Tracking Standard based electronic registry to record
Access and Communication Standard 1A 1,2 Developing workflows for Clinic Population (HCH is the clinic population) Process to screen for patients who would benefit from care coordination Intake / participation process Written document to communication HCH concepts to patients HCH Quality Team Manager Provider Champion / Medical Director Staff Patients Tools used to screen the clinic population: Disease specific Registry Tools Risk assessment tools A recommended risk assessment tool - “Care Coordination Tier Assignment Tool” defines risk levels for Care Coordination Levels Billing process HCH Brochure Template - about health care homes for providers to use with their patients. Access and Communication Standard 1B 1.2a, b,c,d, and 3 Establish system/ processes to inform patients about continuous access during and after clinic hours (24/7/365) Establish protocol for Designated clinic staff On Call Providers Triage To have continuous access to medical record, id of HCH patient and level of care coordination. HCH Quality Team Manager Provider Champion / Medical Director Staff Patients Access to Care Resources (i.e. same-day appointments, group visits, e-visits and online patient services, culturally sensitive care, after-hours coverage) Access and Communication Standard 1C Collection of Information about patients and process to utilize information Culture Race Primary Language HCH Quality Team Manager Provider Champion / Medical Director Staff Patients MN Stratis Health Resource MNCM Collection of Race Ethnicity Language Data MNCM /HealthPartners Webinar Slides Registry & Tracking Standard HCH uses a searchable population based electronic registry to record HCH Quality Team