SBMH02 Establishes criteria and conducts Documented process AND TBD – necessary assessments to identify level of Core TBD care for all consented students. Evidence of implementation SBMH03 -- Instructs patients on how to Documented process AND TBD access health services when the school TBD is closed (e.g. during summer months) Core including: A) Practice location with SBMH Evidence of implementation coordination, B) Access to medical record SBMH04 Identifies and documents the Documented process AND TBD – patient’s PCP and provides information on Core TBD available PCP’s to patients without them Evidence of implementation SBMH05 - Communicates the importance of TBD patients following up with their primary Core Evidence of implementation provider. Documented process AND TBD SBMH06 Shares a summary-of-care record – Core with primary care provider. Evidence of implementation OR TBD Report SBMH07 Establishes coordinated care plan Documented process AND TBD – for selected patients (e.g. non PCMH with Elective TBD outside PCP) Evidence of implementation SBMH08 Informs patient/family/caregiver Documented process AND TBD – of care coordination plan for selected Elective students and role of the SBMH. TBD Evidence of implementation Documented process AND TBD SBMH09 Informs patient of their right to – Core confidential care Evidence of implementation TBD SBMH10 Provides visual and auditory TBD – Core Documented process privacy Documented process AND TBD SBMH11 Offers reproductive health – Elective services to adolescent patients Evidence of implementation TBD SBMH12 Provides co-located or integrated Documented process AND TBD – services that may include oral health, Elective TBD community health, health education, Evidence of implementation nutrition, vision SBMH13 Care team includes, at minimum, a TBD – 0.5 FTE behavioral health care provider at Core Job description center site SBMH14 Provides same day appointments Documented process AND TBD – for routine and urgent behavioral health care Elective TBD visits Evidence of implementation SBMH15 Develops a preparedness response TBD – Elective Documented process plan for school crises
SBMH02 – Establishes criteria and conducts necessary assessments to identify level of care for all consented students. Core Documented process AND TBD Evidence of implementation TBD SBMH03 -- Instructs patients on how to access health services when the school is closed (e.g. during summer months) including: A) Practice location with SBMH coordination, B) Access to medical record Core Documented process AND TBD Evidence of implementation TBD SBMH04 – Identifies and documents the patient’s PCP and provides information on available PCP’s to patients without them Core Documented process AND TBD Evidence of implementation TBD SBMH05 - Communicates the importance of patients following up with their primary provider. Core Evidence of implementation TBD SBMH06 – Shares a summary-of-care record with primary care provider. Core Documented process AND TBD Evidence of implementation OR Report TBD SBMH07 – Establishes coordinated care plan for selected patients (e.g. non PCMH with outside PCP) Elective Documented process AND TBD Evidence of implementation TBD SBMH08 – Informs patient/family/caregiver of care coordination plan for selected students and role of the SBMH. Elective Documented process AND TBD Evidence of implementation TBD SBMH09 – Informs patient of their right to confidential care Core Documented process AND TBD Evidence of implementation TBD SBMH10 – Provides visual and auditory privacy Core Documented process TBD SBMH11 – Offers reproductive health services to adolescent patients Elective Documented process AND TBD Evidence of implementation TBD SBMH12 – Provides co-located or integrated services that may include oral health, community health, health education, nutrition, vision Elective Documented process AND TBD Evidence of implementation TBD SBMH13 – Care team includes, at minimum, a 0.5 FTE behavioral health care provider at center site Core Job description TBD SBMH14 – Provides same day appointments for routine and urgent behavioral health care visits Elective Documented process AND TBD Evidence of implementation TBD SBMH15 – Develops a preparedness response plan for school crises Elective Documented process TBD
2017%20PCMH%20SBHC%20Criterion%20List%20(1).docx