The PCMH model of care requires technology that allows for integration of information from multiple, diverse sources into a single system to support comprehensive medical information needs. Among many requirements, system s must include up-to-date and accurate problem and medication lists, information about each patient encounter, referral and order tracking and a patient web interface.
The National Committee for Quality Assurance (NCQA) developed a medical home certification tool known as Physician Practice Connections- Patient Centered Medical Home. Recognition is awarded from levels 1-3, depending on the degree to which requirements are satisfied, with the goal being a Level 3 and a score of over 75 out of 100 points.
EHR serves as the central nervous system of this new model, and without it, not even a Level 1 certification is attainable. The EHR is the core component of receiving certification in the NCQA Physician Practice Connections®-Patient-Centered Medical Home (PPC®- PCMH™ model. The technology transcends across all of the quality standards needed to achieve certification.
Certification addresses the following nine standards:
- Access and communication
- Patient tracking and registry functions
- Care management
- Patient self-management support
- Electronic prescribing
- Test tracking
- Referral tracking
- Performance reporting and improvement
- Advanced electronic communications
OLIMG's Flushing North practice was the pilot location for the PCMH transition. The practice employed six PCP physicians, all of whom felt overwhelmed, underpaid and frustrated. Virtually all clinical workflows were funneled through the physicians. There was limited team structure and much of the staff was underutilized or not utilized in the appropriate capacity. Consequently, providers were staying two to three hours beyond office hours each day just to keep up--leading to increased aggravation, dissatisfaction and inefficiency.
Allscripts Enterprise EHR was the tool to make the Patient-Centered Medical Home possible for the practice-with the hopes of increased patient and staff satisfaction and, most importantly, higher quality of care.