PCMH 5C Factor 2 Must Pass Critical Factor Corporate Survey The practice: Shares clinical information with admitting hospitals and emergency departments Documentation Required Documented Process Records or Screen Shots, i.e., electronic may be used as 1) examples (system capabilities of an electronic “copy” health record—EHR) 2 materials (Web site resources) 3 reports (logs, patient lists) or 4) records (e.g. documentation of clinical advice in the medical record Documented Process Written procedures, protocols, processes, workflow forms (not explanations) Does the Documented Process include the following? Practice Name Date of implementation (Must be at least 90 days before submission) Date of revisions (If applicable) Depicts all aspects of the factor Text boxes, arrows, or other methods identify important sections Text arrows, or other methods briefly explain the importance to the elements Records or Files Patient files or registry entries documenting action taken; data from medical records Do the Records or Files include the following? Practice Name De-identified PHI Current, within the past 12 months Text boxes, arrows, or other methods identify important sections Text boxes, arrows, or other methods briefly explain the importance to the elements Matches documented process At least 3 examples Does this documentation meet the intent of the factor? Yes No If no, suggestions to meet the intent
PCMH 5C Factor 2 Must Pass Critical Factor Corporate Survey The practice: Shares clinical information with admitting hospitals and emergency departments Documentation Required Documented Process Records or Screen Shots, i.e., electronic “copy” may be used as 1) examples (system capabilities of an electronic health record—EHR) 2 materials (Web site resources) 3 reports (logs, patient lists) or 4) records (e.g. documentation of clinical advice in the medical record Documented Process Written procedures, protocols, processes, workflow forms (not explanations) Does the Documented Process include the following? Practice Name Date of implementation (Must be at least 90 days before submission) Date of revisions (If applicable) Depicts all aspects of the factor Text boxes, arrows, or other methods identify important sections Text arrows, or other methods briefly explain the importance to the elements Records or Files Patient files or registry entries documenting action taken; data from medical records Do the Records or Files include the following? Practice Name De-identified PHI Current, within the past 12 months Text boxes, arrows, or other methods identify important sections Text boxes, arrows, or other methods briefly explain the importance to the elements Matches documented process At least 3 examples Does this documentation meet the intent of the factor? Yes No If no, suggestions to meet the intent
PCMH-5C-Factor-2.docx