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Disclaimer: This publication was made possible by grant number U30CS09735 from the Health Resources and Services Administration, Bureau of Primary Health Care." The contents of this publication are solely the responsibility of the authors and do not necessarily represent the ofcial views of the HRSA!
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"! Medical Home Safety Net Initiative, Resources on Empanelment! http://www.safetynetmedicalhome.org/change-concepts/empanelment! "! Wagner EH, Coleman K, Reid RJ, Phillips K, Sugarman JR. Guiding Transformation: How Medical Practices Can Become Patient-Centered Medical Homes, The Commonwealth Fund (2012)! http://www.commonwealthfund.org/~/media/Files/Publications/Fund%20Report/2012/Feb/ 1582_Wagner_guiding_transformation_patientcentered_med_home_v2.pdf! "! Willard R, Bodenheimer T. The Building Blocks of High-Performing Primary Care: Lessons from the Field, California HealthCare Foundation (2012)! http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/B/PDF%20BuildingBlocksPrimaryCare.pdf!
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Medical Home Safety Net Initiative, Resources on Empanelment! http://www.safetynetmedicalhome.org/change-concepts/empanelment! "! Wagner EH, Coleman K, Reid RJ, Phillips K, Sugarman JR. Guiding Transformation: How Medical Practices Can Become Patient-Centered Medical Homes, The Commonwealth Fund (2012)! http://www.commonwealthfund.org/~/media/Files/Publications/Fund%20Report/2012/Feb/ 1582_Wagner_guiding_transformation_patientcentered_med_home_v2.pdf! ! Willard R, Bodenheimer T. The Building Blocks of High-Performing Primary Care: Lessons from the Field, California HealthCare Foundation (2012)! http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/B/PDF%20BuildingBlocksPrimaryCare.pdf!
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University of California San Francisco Center for the Health Professions, Physician Assistant and Nurse Practitioner Stafng Patterns in California's Licensed Community Clinics: 2005 2008 (2010)! http://futurehealth.ucsf.edu/Content/ 8866/2010-06_Physician_Assistant_and_Nurse_Practitioner_Stafng_Patterns_in_Californias_Licensed_Community_Clinics_2005-2008.pdf! "! University of California San Francisco Center for the Health Professions, Medical Assistants in Community Clinics: Perspectives on Innovation in Role Development (2010)! http://www.futurehealth.ucsf.edu/Content/ 8866/2010-06_Medical_Assistants_in_Community_Clinics_Perspectives_on_Innovation_in_Role_Development.pdf! "! University of California San Francisco Center for the Health Professions, The Utilization of Medical Assistants in Californias Licensed Community Clinics (2009)! http://www.futurehealth.ucsf.edu/Content/8877/2009-07_The_Utilization_of_Medical_Assistants_in_California_s_Licensed_Community_Clinics.pdf! "! Ngo V, Hammer H, Bodenheimer T. Health coaching in the teamlet model: a case study. J Gen Intern Med. (2010);25(12):1375-1378! "! Bodenheimer T, Laing BY. The teamlet model of primary care. Ann Fam Med. (2007);5(5):457-461! "! BTW Informing Change, The Bridging Role of Community Health Promoters (2010)! http://www.communityclinics.org/content/general/detail/1019!
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"! Medical Home Safety Net Initiative, Resources on Enhanced Access! http://www.safetynetmedicalhome.org/change-concepts/enhanced-access! "! Wagner EH, Coleman K, Reid RJ, Phillips K, Sugarman JR. Guiding Transformation: How Medical Practices Can Become Patient-Centered Medical Homes, The Commonwealth Fund (2012)! http://www.commonwealthfund.org/~/media/Files/Publications/Fund%20Report/2012/Feb/ 1582_Wagner_guiding_transformation_patientcentered_med_home_v2.pdf! "! Willard R, Bodenheimer T. The Building Blocks of High-Performing Primary Care: Lessons from the Field, California HealthCare Foundation (2012)! http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/B/PDF%20BuildingBlocksPrimaryCare.pdf! "! Murray M, Bodenheimer T, Rittenhouse D, Grumbach K. Improving timely access to primary care: case studies of the advanced access model. JAMA. (2003);289(8):1042-1046! "! Tantau C. Accessing patient-centered care using the advanced access model. J Ambul Care Manage. (2009);32(1):32-43! !
! Eads M Virtual ofce visits: A reachable and reimbursable innovation. Fam Pract Manag. (2007); 14(9):20-22! http://www.aafp.org/fpm/2007/1000/p20.pdf! "! Agency for Healthcare Research and Quality Innovations Exchange, Solo Physicians Use of Virtual and Phone Visits, Same-Day Appointments, and Extended In-Person Visits Leads to High Patient Satisfaction and Improved Chronic Disease Outcomes! http://innovations.ahrq.gov/content.aspx?id=2196! !! American College of Physicians, Communicating with Patients Electronically (2008)! http://www.acponline.org/running_practice/technology/comm_electronic.pdf!
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PRACTICE TRANSFORMATION TITLE | 1!
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Network of National Libraries of Medicine, Consumer Health Information in Many Languages Resources (materials available in Chinese, Korean, Vietnamese, Cambodian/Khmer, Hmong, Laotian, Thai, and other languages)! http://nnlm.gov/outreach/consumer/multi.html! "! Care 1st Health Plan, Patient Health Education Materials in Multiple Languages! https://www.care1st.com/ca/providers/health-education/health-education-materials.asp!
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TRANSITIONING FROM CURRENT PAPER MEDICAL RECORDS TO OVERVIEW ELECTRONIC HEALTH RECORDS
As community health centers implement electronic health records, they must adjust their workows and implement other changes to support the ongoing electronic #Level 1 Bullet ! documentation of data and use of electronic data for both individual and population #Level 1 Bullet ! management.! level clinical care and ! # Level 2 Bullet! Agency for Healthcare Research and Quality, Workow Assessment for Health IT!
http://healthit.ahrq.gov/portal/server.pt/community/health_it_tools_and_resources/919/workow_assessment_for_health_it_toolkit/27865! "! Agency for Healthcare Research and Quality, Necessary But Not Sufcient: The HITECH Act and Health Information Technologys Potential to Build Medical Homes (2010)! http://pcmh.ahrq.gov/portal/server.pt/community/pcmh__home/1483/ahrq_commissioned_research! "! Patient-Centered Primary Care Collaborative, Transforming Patient Engagement: Health IT in the Patient Centered Medical Home (2010)! http://www.pcpcc.net/sites/default/les/media/pep-report.pdf! "! Patient-Centered Primary Care Collaborative, Meaningful Connections: A Resource Guide for Using Health IT to Support the Patient-Centered Medical Home (2009)! http://www.pcpcc.net/sites/default/les/media/cehia_mc.pdf! ! Bates DW, Bitton A. The future of health information technology in the patient-centered medical home. Health Aff. (2010);29(4):614-621!
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! U.S. Department of Health and Human Services Ofce of Minority Health, Data Collection Standards for Race, Ethnicity, Primary Language, Sex, and Disability Status (2011)! http://minorityhealth.hhs.gov/templates/browse.aspx?lvl=2&lvlid=208! "! Institute of Medicine, Race, Ethnicity and Language Data: Standardization for Health Care Quality Improvement (2009)! http://www.iom.edu/datastandardization! "! Wynia M, Hasnian-Wynia R, Hotze TD, Ivey SL. Collecting and using race, ethnicity, language data in ambulatory settings, Commission to End Health Care Disparities (2011)! http://www.ama-assn.org/resources/doc/public-health/cehcd-redata.pdf! "! Health Research and Education Trust, Toolkit on Collecting Race, Ethnicity, and Primary Language Information from Patients! http://www.hretdisparities.org/! "! U.S. Department of Health and Human Services Ofce of Minority Health, Plan for Health Data Collection on Lesbian, Gay, Bisexual, and Transgender Populations (2011)! http://minorityhealth.hhs.gov/templates/browse.aspx?lvl=2&lvlID=209! "! Institute of Medicine, Collection of Sexual Orientation and Gender Identity Data in Electronic Health Records (2012)! http://www.iom.edu/Reports/2012/Collecting-Sexual-Orientation-and-Gender-Identity-Data-in-Electronic-Health-Records.aspx!
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"! Patient-Centered Primary Care Collaborative, Clinical Decision Support in the Medical Home (2010)! http://www.pcpcc.net/sites/default/les/media/clinical-decision.pdf! "! Medical Home Safety Net Initiative, Resources on Organized Evidence-Based Care! http://www.safetynetmedicalhome.org/change-concepts/organized-evidence-based-care! "! Wagner EH, Coleman K, Reid RJ, Phillips K, Sugarman JR. Guiding Transformation: How Medical Practices Can Become Patient-Centered Medical Homes, The Commonwealth Fund (2012)! http://www.commonwealthfund.org/~/media/Files/Publications/Fund%20Report/2012/Feb/ 1582_Wagner_guiding_transformation_patientcentered_med_home_v2.pdf! "! Willard R, Bodenheimer T. The Building Blocks of High-Performing Primary Care: Lessons from the Field, California HealthCare Foundation (2012)! http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/B/PDF%20BuildingBlocksPrimaryCare.pdf! "! LA Care Health Plan, Matrix of Clinical Guidelines! http://www.lacare.org/sites/default/les/les/2012%20CPG%20Source%20Matrix%20Rev%2010-3-12%20_2_.pdf! "! LA Care Health Plan, Matrix of Preventive Health Guidelines! http://www.lacare.org/sites/default/les/les/2012%20PHG%20matrix%202-24-12.pdf! "! American Academy of Family, Physician Encounter Forms! http://www.aafp.org/fpm/2006/0900/p63.html! ! !
ELECTRONIC OVERVIEWPRESCRIBING
One of the functions of an electronic health records that will improve patient safety and the efciency of care!will be electronic prescribing that includes checks for drug-to#Level 1 Bullet drug interactions as well as eligibility for health insurance coverage through #Level 1 Bullet formularies. Having ! electronic records of all prescriptions will also be invaluable in compiling medication lists for each patient.! # Levelcomprehensive 2 Bullet! "! # Level 2 Bullet!
RAND Corporation, Toolset for E-Prescribing Implementation in Physician Ofces, Agency for Healthcare Research and Quality (2011)! http://healthit.ahrq.gov/portal/server.pt/community/health_it_tools_and_resources/919/a_toolset_for_eprescribing_implementation_in_physician_ofces/30594! "! American Academy of Family Physicians, Family Practice Management Toolbox: Care Management ! http://www.aafp.org/online/en/home/publications/journals/fpm/fpmtoolbox.html#Parsys60925! "! Grossman JM, Gerland A, Reed MC, Fahlman C. Physicians' experiences using commercial e-prescribing systems. Health Aff (2007);26(3):w393w404 ! "! Weingart SN, et al. Assessing the value of electronic prescribing in ambulatory care: a focus group study. Int J Med Inform (2009);78(9):571-578! "! Center for Studying Health System Change, Even When Physicians Adopt E-Prescribing, Use of Advanced Features Lag (2010)! http://www.hschange.com/CONTENT/1133/1133.pdf! ! !
Patient-Centered Primary Care Collaborative, Integrating Comprehensive Medication Management to Optimize Patient Outcomes (2012)! http://www.pcpcc.net/sites/default/les/media/medmanagement.pdf! "! Schnipper JL, et al. Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a clusterrandomized trial. Arch Intern Med. (2009);169(8):771-780!
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