Evidence of implementation KM04 - Conducts behavioral health No Elective AND screenings and/or assessments for two or more behavioral health conditions Documented process Yes KM05 - Assesses oral health provides Documented process AND Yes Elective services and/or coordinates with partners as necessary Evidence of implementation No KM06 - Identifies the predominant health List of top priority conditions Elective Yes concerns of the patient population and concerns KM07 - Understands social determinants of Report AND No Elective health for patients, monitors them, and implements interventions Evidence of implementation No Report AND Yes KM08 - Evaluates patient population needs Elective to tailor patient materials Evidence of implementation Yes KM09 - Collects information on how patients Core Report No identify in at least three areas KM10 - Assesses the language of its Core Report No population Evidence of Yes KM11 - Identifies and addresses Elective implementation OR needs in order to target health Q1 05 and QI 13 Yes disparities and address staff health and cultural literacy B & C) Evidence of Yes implementation A, B, D) Report/list and Yes KM12 - Reminds identified vulnerable outreach materials patients about services Core Report/list and outreach Yes materials OR KM13 Yes Report OR No KM13 - Demonstrates excellence in a Elective recognition program assessed HSRP or DRP recognition for at based care guidelines No least 75% of eligible clinicians KM14 - Reviews and reconciles medications Core Report No for >80% of patients from care transitions KM15 - Maintains an up-to-date list of Core Report No medications for more than 80% of patients KM16 - Assesses understanding and provides Report AND No Elective education on new prescriptions for more than 50% of patients caregivers Evidence of Implementation No KM17 - Assesses and addresses patient Report AND No Elective response to medications and barriers to adherence for more than 50% of patients Evidence of Implementation No KM18 - Reviews controlled substance Elective Evidence of implementation Yes database when prescribing them
KM04 - Conducts behavioral health screenings and/or assessments for two or more behavioral health conditions Elective Evidence of implementation AND No Documented process Yes KM05 - Assesses oral health provides services and/or coordinates with partners as necessary Elective Documented process AND Yes Evidence of implementation No KM06 - Identifies the predominant health concerns of the patient population Elective List of top priority conditions and concerns Yes KM07 - Understands social determinants of health for patients, monitors them, and implements interventions Elective Report AND No Evidence of implementation No KM08 - Evaluates patient population needs to tailor patient materials Elective Report AND Yes Evidence of implementation Yes KM09 - Collects information on how patients identify in at least three areas Core Report No KM10 - Assesses the language of its population Core Report No KM11 - Identifies and addresses needs in order to target health disparities and address staff health and cultural literacy Elective Evidence of implementation OR Yes Q1 05 and QI 13 Yes B & C) Evidence of implementation Yes KM12 - Reminds identified vulnerable patients about services Core A, B, D) Report/list and outreach materials Yes Report/list and outreach materials OR Yes KM13 Yes KM13 - Demonstrates excellence in a recognition program assessed care guidelines Elective Report OR No HSRP or DRP recognition for at least 75% of eligible clinicians No KM14 - Reviews and reconciles medications for >80% of patients from care transitions Core Report No KM15 - Maintains an up-to-date list of medications for more than 80% of patients Core Report No KM16 - Assesses understanding and provides education on new prescriptions for more than 50% of patients caregivers Elective Report AND No Evidence of Implementation No KM17 - Assesses and addresses patient response to medications and barriers to adherence for more than 50% of patients Elective Report AND No Evidence of Implementation No KM18 - Reviews controlled substance database when prescribing them Elective Evidence of implementation Yes based
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