(PCSP) Recognition Program

Transcription

1 Patient-Centered Specialty Practice (PCSP) Recognition Program Standards Workshop Part All materials 2013, National Committee for Quality Assurance

2 Agenda Part 1 Content t of PCSP Standards d and Guidelines Standards 1 3 Documentation ti Examples* Agenda Part 2 Content of PCSP Standards and Guidelines Standards 4 6 Documentation Examples* *Examples in the presentation only illustrate the element intent. They are NOT definitive nor the only methods of documenting how the requirements may be met. 2

3 NCQA Resources Available Free training each month aspx Getting On Board Includes How to Submit as a Multi-site Standards (2 part program) Software Training Using the ISS System for PCMH 2011 and PCSP The Online Application 3

4 What Specialty Practices are Learning About Coordinated Patient-Centered Care Enhances coordination between primary care and specialty care Roadmap for quality improvement using clinical performance measures Enables excellent care integration with the medical home Improves the experience of patients accessing specialty care Promotes coordinated teamwork in an information rich environment Aligns with processes that improve quality and eliminate waste 4

5 PCSP Content and Scoring PCSP 1: Track and Coordinate Referrals Pts PCSP 4: Plan and Manage Care Pts A. *Referral Process and Agreements B. Referral Content C. *Referral Response PCSP 2: Provide Access and Communication A. Access 5 B. Electronic Access 2 C. Specialty Practice Responsibilities 4 D. Culturally and Linguistically Appropriate 2 Services (CLAS) E. *The Practice Team 5 PCSP 3: Identify and Coordinate Patient Populations A. Patient Information B. Clinical Data C. Coordinate Patient Populations Pts 18 Pts A. Care Planning and Support Self-Care B. *Medication Management C. Use Electronic Prescribing PCSP 5: Track and Coordinate Care A. Test Tracking and Follow-Up B. Referral Tracking and Follow-Up C. Coordinate Care Transitions PCSP 6: Measure and Improve Performance A. Measure Performance B. Measure Patient/Family Experience C. *Implement and Demonstrate Continuous Quality Improvement D. Report Performance E. Use Certified EHR Technology *Must Pass Elements Pts Pts

6 The PCSP Design Challenge To accommodate the range of relationships between PCP and specialist: Consulting on patients Evaluating and treating patients Co-managing patients Providing temporary/permanent care management for some patients Patient self-referral Practices are likely to have patients in each relationship category 6

7 PCSP Scoring 6 standards = 100 points 5 Must Pass elements NOTE: Must Pass elements require a 50% performance level to pass Level of Qualifying Points Must Pass Elements at 50% Performance Level Level of 5 Level of 5 Level of 5 Not Recognized 0-24 < 5 Practices with a numeric score of 0 to 24 points and/or achieve less than 5 Must Pass Elements are not Recognized. Recognition is for 3 years. Practices may submit an add-on survey, based on their initial survey, within the 3 year Recognition to achieve a higher level. After 3 years, the practice must submit the survey version available at that time for renewal. 7

8 Meaningful Use of Health Information Technology (HIT) NCQA emphasizes HIT because helps manage information Reinforces HIT use to improve quality Stage 1 and Stage 2 meaningful use language are embedded in the standards Synergy: practices will be well prepared to qualify for meaningful use, and vice versa Stage 2 measures will not be scored in PCSP until Jan. 1,

9 Eligible Applicants for PCSP Recognition Recognition is at the practice-site level Assessment for Recognition must include a survey for every site the practice expects to identify as a Recognized PCSP PCSP Recognition identifies clinicians practicing i at the site, including nurse practitioners and physicians assistants who share or have their own panel of patients Practice may add and remove clinicians for the duration of their Recognition 9

10 Eligibility for PCSP Recognition May be multi-site and/or multi-specialty Eligible clinicians: MDs, DOs NPs/PAs with their own or shared panel of patients Certified nurse mid-wives Behavioral health specialists: Psychologists, licensed clinical social workers, marriage and family counselors 10

11 PCSP 1: Track and Coordinate Referrals Intent of Standard Referral process that includes agreements with primary care and a timely exchange of information Primary care/referring clinician is informed of information the practice needs to include in a referral Specialty practice provides a timely referral response with test results and treatment t t recommendations 11

12 PCSP 1: Track and Coordinate Referrals e Elements PCSP 1A: Referral Process and Agreements MUST PASS PCSP 1B: Referral Content PCSP 1C: Referral Response MUST PASS 12

13 PCSP 1A: Referral Process and Agreements The practice has a written process for implementing and managing referrals with PCPs/other referring clinicians 1. Formal and informal agreements 2. Specified methods of communication with PCP/referring clinician 3. Specified method of communicating with the patient/family/caregiver 4. Specified co-management or transition strategy 5. Confirmation of receipt and acceptance of referral 6. Information needed from PCP about patients 7. Information and timing of the referral response to PCPs 8. Communicating i results and treatment to patient/family il 13

14 PCSP 1A: Referral Process and Agreements MUST PASS 9 Points Scoring 6-8 factors = 100% 4-5 factors = 75% 2-3 factors = 50% No scoring options = 25% 0-1 factors = 0% Documentation F1-8: Documented process and F1-8: Three examples showing process has been implemented 14

15 PCSP 1A: Referral Request Checklist Recommends: Pt. demographics Special issues Insurance Provider name/contact Urgency Type of referral Clinical question Core clinical data Key data notes/tests Pt. knowledge American College of Physicians (ACP) Website 15

16 PCSP 1A: Example of a Referral Form Referral Form Includes: Date Referring clinician Diagnosis Weight Degree of urgency Type of referral (consult, testing, follow-up, consult and treat) Patient contact Appointment confirmation Test results sent to specialist Notes 16

17 PCSP 1A: Sample Referral Agreement Women s Health and Family Medicine Collaborative Services Agreement Women s health core services Access agreements Communication agreements Quality assurance agreements Family medicine core services 17

18 PCSP 1B: Referral Content The practice has a written process and monitors against it to ensure receipt of information needed in referrals from referring clinicians: 1. Clinical question 2. Type of referral 3. Urgency of referral 4. Patient demographics 5. Clinical information 6. Current primary practice care plan, treatment, test results and procedures 7. Communication with patient/family/caregiver 18

19 5 Points Scoring PCSP 1B: Referral Content 100% 5-7 factors 75% factors 50% factors 25% - No scoring option 0% - 0 factors Documentation Factors 1-7: Documented process Factors 1-7: Report demonstrating information provided by referring clinicians based on at least 1 month of data. Tracking system for information received from referring clinicians 19

20 PCSP 1A: Referral Urgency 20

21 PCSP 1B: Example Referral Request Carol Greenlee, MD, FACP FACE Western Slope Endocrinology 21

22 PCSP 1C: Referral Response The practice has a written process and monitors against it to ensure a timely response to PCPs, referring clinicians and patients that includes: 1. Tracking system for confirming receipt of the referral and sending date and time of the appointment t to the referring clinician. i i 2. Answer(s) to clinical question(s) in referral 3. Diagnosis 4. Procedures and test results (con t) 22

23 PCSP 1C: Referral Response 5. Recommended specialist s plan of care, care management, patient education, secondary referrals 6. Follow-up needed with specialist including further coordination 7. Tracking system for monitoring timeliness of referral response 8. Providing an electronic summary of care record to another provider for more than 50 percent of referrals++/+ + Stage 2 Core Meaningful Use Requirements ++ Stage 1 Menu Meaningful Use Requirement 23

24 Must Pass 8 Points Scoring PCSP 1C: Referral Response 100% factors 75% factors 50% - 3 factors 25% factors 0% - 0 factors Documentation Factors 1-7: Documented process for staff and Factor 1-7: Report from tracking system based 1 mo. data Factor 8: Report with numerator, denominator and percentage 24

25 PCSP 1C: Referral Response Example Referral Response Acceptance Change type of referral Diagnosis Secondary diagnosis Medication changes Equipment changes Diagnostic testing Patient education Procedures Secondary referrals Follow-up Special requests or recommendations 25

26 PCSP 2: Provide Access and Communication Intent of Standard Patients have access to routine/urgent care and clinical advice that are culturally/linguistically ll i ti ll appropriate during/after hours Electronic access Specified responsibilities of specialist vs. PCP Team-based care; trained staff Meaningful Use Patients provided electronic: Access to health information Capability to download health information Clinical summary of visit Secure messaging 26

27 PCSP 2: Provide Access and Communication Elements 2A: Access 2B: Electronic Access 2C: Specialty Practice Responsibilities 2D: Culturally and Linguistically Appropriate Services (CLAS) 2E: The Practice Team MUST PASS 27

28 PCSP 2A: Access The practice has a written process, defined standards and demonstrates that it monitors performance against the standards to: 1. Provide patient appointments based on patient need 2. Provide same day appointments 3. Provide non-visit ii consultations with referring clinicians 4. Provide timely clinical advice to patients who contact the office when the office is open (con t) 28

29 PCSP 2A: Access The practice has a written process, defined standards and demonstrates that it monitors performance against the standards to: 5. Provide timely clinical advice to patients who contact the office when the office is closed 6. Document clinical advice to established patients in the patient medical record 7. Provide equal access to accepted patients regardless of source of payment 8. Provide uninsured patients with information about obtaining i coverage 29

30 5 Points Scoring 100% factors 75% factors 50% factors 25% - 1 factors 0% - 0 factors Documentation PCSP 2A: Access Factors 1-8: Documented process for staff Factors 1-6: Three examples of implementation Factor 7: Materials provided d to uninsured, Medicare and Medicaid patients showing non-discriminatory policy and a report with mix of payers Factor 8: Materials or link to potential ti insurance sources 30

31 PCSP 2A: Example Access Policy Types of Care Definitions/Policy: Routine Physical Exam Routine Care Urgent Care Emergent Care After-Hours Care Office Waiting Time 31

32 PCSP 2A: Examples for Same Day Appts 32

33 Shows: Call date/time Response date/time If time meets policy PCSP2A: Example Response Times to Calls 33

34 PCSP2A: Example Providing Timely Messaging g Advice Clinical Call Response time for 5/7/2009 5/11/2009 (data attached) Message Responders total # messages avg response time in hours: Physicians Residents Midlevelsl Nurses Clinical Asst Total (standard is 2 hours) 34

35 PCSP2A: Example of Documentation of Call Response in Patient Record 35

36 PCSP 2A Patient Access After Hours, Documented Process ABC Plastic Surgery Effective 1/30/2012 Subject: After Hours Access for Patients - includes call response protocol - includes medical record access and documentation protocol Patients have 24/7 access to a care provider outside of scheduled office hours. The on call provider is to have computer access while on call, which will enable that care provider access to patient records, to view and search patient records, and also record after hours activity for a patient, by logging onto the EMR remotely. After hours calls from patients are to be responded to by the on-call provider within one hour and is to be recorded d as a noted patient interaction i in the EMR in within 24 hours of communication with the patient. 36

37 PCSP 2A Patient Access After Hours, 5 Day Audit Date Person Calling Call Time Who responds to patient Time Response entered inoxbow Time to Respond 9/23/2011 Name of pt 7:22 pm Barbara 7:24 pm 2 min 9/24/2011 Name of pt 8:44 am Barbara 8:46 am 2 min 9/24/2011 Name of pt 8:59 am Barbara 9:03 am 4 min 9/24/2011 Name of pt 9:52 am Barbara 9:59 am 7 min 9/25/2011 Name of pt 3:03 pm Barbara 3:10 pm 7 min 9/25/2011 Name of pt 7:45 am Barbara 7:55 am 10 min 9/25/2011 Name of pt 10:00 pm Barbara 10:10 pm 10 min 9/26/2011 / Name of pt 1:00 am Barbara 1:03 pm 3 min 9/26/2011 Name of pt 4:30 am Barbara 4:45 am 15 min 9/26/2011 Name of pt 2:14 am Barbara 2:20 am 6 min 9/27/2011 Name of pt 8:00 pm Barbara 8:02 pm 2 min 37

38 PCSP 2B: Electronic Access The practice provides the following information and services to patients/families/caregivers through a secure electronic system 1. More than 10/50 percent of patients have online access to their health information within four business days of when the information is available to the practice+ 2. More than 5 percent of patients view, download or transmit to a third party their health information+ 3. Clinical summaries are provided to patients, families/caregivers within 3/1 business day(s) for more than 50 percent of office visits+ 4. A secure message was sent to more than 5 percent of patients+ 5. Two-way communication between patients/families/caregivers and the practice 6. Request for appointments, prescription refills and test results + Stage 1/2 Core Meaningful Use Requirements NOTE: Factor 2 will be scored NA until 1/1/15 38

39 2 Points Scoring PCSP 2B: Electronic Access 100% factors 75% - 4 factors 50% - 3 factors 25% factors 0% - 0 factors Documentation Factors 1-4: Report based on numerator, denominator and percentage for a recent 12 months (or 3 months) of data in the electronic system Factors 5 and 6: Screen shots showing the capability of the practice s system 39

40 PCSP 2B: Example Interactive Web Site Health Record Disease Management Prescription Renewal Appointments Message Center 40

41 PCSP 2B: Example Interactive Website Requesting Appointment 41

42 PCSP 2B: Example Electronically Contacting Patient to Review Test Results 42

43 PCSP 2C: Specialty Practice Responsibilities The practice has a process and materials that it provides to patients/families/caregivers about: 1. Role of the specialist s 2. Methods, content and frequency of communication with the patient (e.g. test results, care management, after-hours contact) 3. Coordination of care between the primary care clinician, the referring clinician, the specialist and the patient/family/caregiver t/f il / i 43

44 PCSP 2C: Specialty Practice Responsibilities 4 Points Scoring 100% - 3 factors 75% - not a scoring option 50% - 2 factors 25% - 1 factor 0% - 0 factors Documentation Factors 1-3: Documented process Factors 1-3: Materials such as brochures, Web materials or letter to patients 44

45 PCSP 2C: Information for All Patients Specialist 45

46 PCSP 2C Example Brochure Our cardiologists will work hand-in-hand with your primary care physician to diagnose, treat and manage a wide variety of cardiac problems. 46

47 PCSP 2D: Culturally and Linguistically Appropriate Services (CLAS) The practice engages in activities to understand and meet the cultural and linguistic needs of its patients/families/caregivers 1. Assessing the racial and ethnic diversity of its population 2. Assessing the language needs of its population 3. Providing interpretation or bilingual services to meet the language age needs of its population 4. Providing printed materials in the languages of its population 47

48 2 Points Scoring PCSP 2D: Culturally and Linguistically Appropriate Services (CLAS) 100% - 4 factors 75% - 3 factors 50% - 2 factors 25% - 1 factor 0% - 0 factors Documentation Factors 1 and 2: The practice provides a report showing practice ethnic and language composition of its patients Factor 3: Documentation of availability of interpretive services or has a policy for using bilingual staff Factor 4: Provides or shows access to materials in languages needed by 5 percent of its population, including on-line materials to meet this requirement 48

49 PCSP 2D: Assessing the Diversity of the Population Patients seen 5/1/2012 4/30/

50 PCSP 2D: Assessing the Language Needs of the Population Patient Distribution by Language # of Patients % of Patients English % Spanish % Russian % 07% Other % All other % Blank field % Total 2763 This is based on unique pts seen between 08/07/09-10/08/09. This sampling indicates that most of our patients speak English. We utilize staff that speak Spanish and also have available language line for any other languages that might be needed 50

51 PCSP 2D: Example of Providing Bilingual Services LPN speaks Spanish 51

52 PCSP 2D Factor 4 Materials in Other Languages 52

53 PCSP 2E: The Practice Team 1. Defining roles for clinical and nonclinical team members 2. Having regular team meetings or a structured communication process focused on patients 3. Using standing orders for services 4. Training and assigning care teams to coordinate care 5. Training and designating care team members in communication skills 6. Involving care team staff in the practice s performance evaluation and quality improvement activities 7. Holding regular practice team meetings 53

54 5 Points MUST PASS Scoring PCSP 2E: The Practice Team Documentation Factor 1, 4, 5: Staff position descriptions of clinical team Factor 2: Description of structured 100% factors team communication on scheduled 75% - 4 factors patients and three examples 50% - 3 factors Factor 3: Example of standing orders 25% factors Factors 4 and 5: Description or 0% - 0 factors materials on training process Factor 6: Description of staff roles in practice evaluation/qi or highlighted minutes from meetings showing staff involvement Factor 7: Description of practice meetings and three examples 54

55 PCSP 2E: Example of Care Team Members Responsibilities 55

56 PCSP 2E: Regular Team Meetings Team huddles are one example of regular team meetings Stewart EE, Johnson BC. Huddles: Improve Office Efficiency in Mere Minutes. Family Practice Management Web site at Copyright 2007 American Academy of Family Physicians. 56

57 PCSP 2E: Documentation Example 57

58 PCSP 2E: Example Standing Orders POLICY/STANDING ORDERS FOR ADMINISTERING PNEUMOCOCCAL VACCINES TO ADULTS PURPOSE: To reduce morbidity and mortality from pneumococcal disease by vaccinating all adults who meet the criteria established by the Centers for Disease Control and Prevention s Advisory Committee on Immunization Practices. POLICY: Under these standing orders, eligible nurses/moas may vaccinate patients who meet any of the criteria below. PROCEDURE: 1. Identify eligible adults pneumococcal vaccination using the checklist in the nurse triage note: 2. Age > Diabetes 4. Chronic heart disease 5. Chronic lung disease (asthma, emphysema, chronic bronchitis, etc) 6. HIV or AIDS 7. Alcoholism 8. Liver cirrhosis 9. Sickle cell disease 10. Kidney disease (e.g. dialysis, renal failure, nephrotic syndrome) 11. Cancer 12. Organ transplant 13. Damaged spleen or no spleen 14. Exposure to chemotherapy 15. Chronic steroid use 16. Exposure to radiation therapy 2. Screen all patients for contraindications and precautions to pneumococcal vaccine: a) Severe allergic reaction to past pneumococcal vaccine b) Pregnant patients (con t) 58

59 PCSP 2E: Example of Training Materials/Description Care Team Training: Self-Management Support & Population Management Diabetes/Hypertension Care Team Training Sessions Joint Staff Meeting June 3rd Participants: All clinic staff and providers at general monthly clinic meeting Agenda: The utilization of patient registries to manage high-risk diabetics and hypertensive patients. Summary: Introduction and education of patient care registries and their value (con t) 59

60 PCSP 3: Identify and Coordinate Patient Populations Intent of the Standard Collect patient information and clinical i l data Use data and evidence-based guidelines to generate lists and remind patients of care services needed Meaningful Use Use electronic system to collect patient demographics and clinical data Generate lists of patients/ remind patients of condition-related services Implement clinical decision-support interventions ti 60

61 PCSP 3: Identify and Coordinate Patient t Populations Elements PCSP 3A: Patient Information PCSP 3B: Clinical i l Data PCSP 3C: Coordinate Patient Populations 61

62 PCSP 3A: Patient Information The practice uses an electronic system that records the following as structured (searchable) data for more than 50/80 percent of the patients 1. Date of birth+ 2. Sex+ 3. Race+ 4. Ethnicity+ 5. Preferred language+ g 6. Telephone numbers 7. address 8. Primary caregiver 10. Presence of advance directives 11. Health insurance information 12. Name/contact information of primary care clinician 13. Name/contact information of other specialists 14. Practice-patient relationship status 9. Occupation (NA for pediatric practices) + Stage 1/2 Core Meaningful Use Requirement 62

63 PCSP 3A: Patient Information 3 Points Scoring 100% factors 75% factors 50% factors 25% factors 0% factors Documentation Factors Report with numerator, denominator and percentage with 12 months (or 3 months) of data Factors 13 and 14 do not need to be searchable or structured data. Documented process identifying how and where this information is captured on patients and three examples 63

64 PCSP 3A: Example Patient Information PCSP 3, Element A, Items Percentage of patients with documented items recorded as structured (searchable) data within the practice's EMR. The report is 12 months of data from May 4, 2011 to May 4, 2012 General Internal Medicine Associates Total Patient Ethni Phone Dates of Previous Legal Primary Insur Count DOB Gender Race city Lang # Visits Guardian Caregiver Adv Dir Info # of PTS NA NA NA 9541 % 100% 100% 100% 95% 95% 100% 98% 35% 100% NA NA NA 96% Correct Responses Yes Yes Yes Yes Yes Yes No Yes No No No Yes 64

65 PCSP 3A(1-5) - Demographics This certified system produced d very graphic Meaningful Use reports that the were used to show practice level (all providers) results for a 12 month reporting period Demographic percentage for 1 year duration 2/6/2011 / 2/6/2012. Report covers all site providers. 65

66 PCSP 3A: Example Sex An acceptable summary report with at least 3 months of data with numerators, denominators and percentage over 50% for factors shown, explanation should indicate source of data as in a searchable system 66

67 PCSP 3B: Clinical Data The practice uses an electronic system to record the following as structured (searchable) data. 1. An up-to-date problem list with current and active diagnoses for more than 80 percent of patients+ 2. Allergies, including medication allergies and adverse reactions for more than 80 percent of patients+ 3. Blood pressure, with the date of update for more than 50/80 percent of patients 3 years and older+ 4. Height/length for more than 50/80 percent of patients+ 5. Weight for more than 50/80 percent of patients+ 6. System calculates and displays BMI (NA for pediatric practices)+ 7. System plots and displays growth charts (length/height, weight and head circumference (less than 2 years of age)) and BMI percentile ( years) (NA for adult practices)+ (con t) 67

68 PCSP 3B: Clinical Data (cont.) The practice uses an electronic system to record the following as structured (searchable) data 8. Status of tobacco use for patients 13 years and older for more than 50/80 percent of patients+ 9. List of prescription medications with date of updates for more than 80 percent of patients More than 20 percent of patients have family health history recorded as structured data Enter at least one electronic progress note created, edited and signed by an eligible professional for more than 30 percent of patients t with at least one office visit+++ it + Stage 1/2 Core Meaningful Use Requirement +++ Stage 2 Menu Meaningful Use Requirement NOTE: Factors 10 and 11 will not be scored until 1/1/

69 4 Points Scoring 100% factors 75% factors 50% factors 25% factors 0% factors Documentation PCSP 3B: Clinical Data Factors 1-5, 8-11: Reports with a numerator, denominator and percentage Factors 6 and 7: Screen shots 69

70 PCSP 3B: Example Clinical Data PCSP 3B Data for Practice 2 Primary Care Physicians Core Meaningful Use Requirements CO1 CO2 CO3 (factor 1) CO4 CO5 (factor 9) CO6 (factor 2) CO7 CO8 (factors 3 7) CO9 (factor 8) CO10 CO11 CO12 CO13 CO14 CO15 N D #1 PCP #2 PCP Total Y/N N % D N D N % D N % D N D N % D N % D Y/N Y/N N D N D Y/N Y/N Shows: Core MU requirements by physician NCQA Factors by physician and total 70

71 PCSP 3B: Example Factor 1 Factor 9 Factor 8 71

72 PCSP 3B: Practice Data 2 Primary Care Physicians i 1/1/2012-3/31/012 Core MU Requirements (CO) #1 PCP #2 PCP Total % CO3 (factor 1) N % D CO5 (factor 9) N % D CO6 (factor 2) N % D CO8 (factors 3-7) N % D CO9 (factor 8) N % D

73 PCSP 3B: Patients With Recorded Vital Signs Clinician #1 255 Clinician i i #2 73

74 PCSP 3C: Coordinate Patient Populations The practice uses patient t information, clinical i l data and evidence-based guidelines to: 1. Generate lists of patients and proactively remind patients/families/caregivers of services needed or coordinate with primary care for one condition-related service ++/+ 2. Generate lists of patients and proactively remind patients/families/caregivers / of services needed or coordinate with primary care for a second conditionrelated service ++/+ 3. Generate lists of patients and proactively remind patients/families/caregivers of services needed or coordinate with primary care for a third conditionrelated service (con t) 74

75 PCSP 3C: Coordinate Patient Populations The practice uses patient information, clinical data and evidence-based guidelines to: 4. Generate lists of patients and proactively remind more than 10 percent of patients/families/caregivers (or coordinate with primary care for these patients) for needed preventive/follow-up care Implement at least 1/5 clinical decision support intervention(s)+ + Stage 1/2 Core Meaningful Use Requirement ++ Stage 2 Menu Meaningful Use Requirement NOTE: Factor 5 requirement changes from at least 1 to at least 5 clinical decision support interventions as of 1/1/2015 to reflect the transition from Stage 1 to Stage 2 MU 75

76 PCSP 3C: Coordinate Patient Populations 3 Points Scoring 100% factors 75% - 3 factors 50% factors 25% - No scoring option 0% - 0 factors Documentation ti Factors 1-4: Reports of patients managed by the specialist needing services and follow-up Factors 1-4: Materials showing how patients are notified of needed services Factor 5: Three examples of clinical decision support interventions 76

77 PCSP 3C: Patients Needing Service Patients having abnormal BMI who need a follow up plan. 77

78 PCSP 3C Outreach for Service 78

79 PCSP 3C: Asthma Guidelines and Use Asthma Visit Sheet Shows: Physical exam specific to respiratory system Allergies Immunizations Asthma triggers Peak flow Medication tracking Treatment plan Referral National Asthma Education and Prevention Program (NAEPP) guidelines are imbedded in asthma visit sheet 79

80 WE HAVE MOVED! As of March 3 Submit Questions to our PCS System: You will need to register if you have never accessed the system Select Recognition Programs after logging in A web-based b Q&A system Similar to what some know as PCS Categorizes/lets you track your questions Will help develop more useful FAQs and additional documentation A place to provide and track FAQs No longer submit questions to pcsp@ncqa.org **Only submit if submitting payment or practice ce changes** 80

81 NCQA Contact Information Contact NCQA Customer Support: PCSP standards documents, application account, and survey tools Questions about your user ID, password, access Visit NCQA Web Site: cticerecognition.aspx View Frequently Asked Questions View Recognition Programs Training Schedule View other Recognition Programs PCMH, DRP, HSRP Questions about interpretation of PCSP standards to: Submit a Question to PCS select Recognition Programs after logging in. 81

82 Questions? 82