3A information and track patient Some examples of registry resources available care. Manager Free / Low Cost Patient Care Registries to Support Clinic (HCH) Population Health Care Homes Provider Champion / Manage Health Services Webinar – Free and Low Cost Registries MN Chapter Medical Director American Academy of Pediatrics and Straits Health Provide Appropriate Follow-Up QI Staff Identify gaps in care Providers Care Teams / Care Coordinators Examples of Registries: Disease Specific Immunizations Preventive Screening Care Coordination Development of a collaborative HCH Quality Team Resources for comprehensive care planning – examples Standard care coordination model – helping 5A 1,2,3 patient Children with Special Health Needs Manager Set goals and identify Provider Champion / resources to achieve Persons with Complex Needs and Older Adults Medical Director Communicate with PCP / Care Teams / Care Care Coordinator Coordinators Establish frequency of Patients contacts Care Coordination A systematic workflow process to HCH Quality Team Panel reports & guidelines available for empanelment Standard select primary care provider / care procedures (designating primary care provider) 5B coordinator – accessible to all who Manager are providing care Patient and Family Centered Care Resources HCH defined roles & Provider Champion / accountabilities Medical Director Include Family Family Centered Care Self-Assessment Tool for Providers Care Teams / Care Centered Care Principals Coordinators Patients Staff
3A information and track patient care. Clinic (HCH) Population Manage Health Services Provide Appropriate Follow-Up Identify gaps in care Examples of Registries: Disease Specific Immunizations Preventive Screening Manager Provider Champion / Medical Director QI Staff Providers Care Teams / Care Coordinators Some examples of registry resources available Free / Low Cost Patient Care Registries to Support Health Care Homes Webinar – Free and Low Cost Registries MN Chapter American Academy of Pediatrics and Straits Health Care Coordination Standard 5A 1,2,3 Development of a collaborative care coordination model – helping patient Set goals and identify resources to achieve Communicate with PCP / Care Coordinator Establish frequency of contacts HCH Quality Team Manager Provider Champion / Medical Director Care Teams / Care Coordinators Patients Resources for comprehensive care planning – examples Children with Special Health Needs Persons with Complex Needs and Older Adults Care Coordination Standard 5B A systematic workflow process to select primary care provider / care coordinator – accessible to all who are providing care HCH defined roles & accountabilities Include Family Centered Care Principals HCH Quality Team Manager Provider Champion / Medical Director Care Teams / Care Coordinators Patients Staff Panel reports & guidelines available for empanelment procedures (designating primary care provider) Patient and Family Centered Care Resources Family Centered Care Self-Assessment Tool for Providers
health-care-home-hch-certification-tools-resource-menu-002.docx