PCMH
The Patient Centered Medical Home/ Patient Centered Medical Home-Neighborhood is a model in which all patient care is coordinated between the Primary Care Physician (PCP), Specialists and any other healthcare provider with the patient’s well-being in mind. This means coordinating necessary care if and when they need it and reducing unnecessary or redundant care when they don’t.
The PCMH/PCMH-N model drives office workflow to coordinate care between all health care professionals with effective communication, defined roles and responsibilities between providers and patients and supportive interventions in order to better population health management, quality, outcomes and cost.
Where do I start?
Call or Email any one of our Medical Management team members and we can get you started with a PCMH/PCMH-N starter kit, including a Binder for you start working on as well as a tutorial through your roles and expectations for the program.
The PCMH/PCMH-N program can not only improve your quality, outcomes and cost of care for your patients, but may also yield financial incentives from entities such as Blue Cross Blue Shield of Michigan. However this means that we also require some initiative from your practice as well. For OPNS, we require attendance of at least half of the Workgroups that we offer throughout each year as well as implementation of 1 new Capability for Specialists and 2 new Capabilities for Primary Care Physicians.
What Resources can OPNS provide for me?
Does your Binder have all of this? Click on any one and get a copy for your Binder
Urgent Care Brochure
Call First Poster and Wallet Card
Training Log
Community Resource Guide
Health Leads Social Determinants of Health
2024-2025 Interpretive Guidelines by BCBSM
PCMH/PCMH-N Policy Templates
Domain 1 Domain 2 Domain 3 Domain 4 Domain 5 Domain 6 Domain 8 Domain 9 Domain 10 Domain 11 Domain 12 Domain 13 Domain 14
Do you have an OPNS provided, customized Patient Provider Partnership Brochure?
Take a look at our example; if you are interested just email us your office information: location(s), hours and after hours information and we can make you your very own PPP brochure to hand out to patients in your office.
Blue Cross Blue Shield of Michigan VBR Opportunities
Satisfaction Survey Process
OPNS has been working on the patient satisfaction survey process, which covers PCMH/PCMH-N capabilities 4.4, 11.4 and 14.9. As Pfizer will no longer be providing this service, OPNS has found a way to utilize Survey Monkey for all Practices.
OPNS has established individual practice links for patients to access the survey. This can be done by giving the patients the link on a Business card, sending the link to patients by text or mass email to all patients. OPNS is also able to loan a pre-loaded laptop with access to the survey, if needed, for 2 weeks to complete the surveys. With completion of a minimum of 50 patients, OPNS can run and send an office level report on the findings.
If interested, please contact us to begin working on a Survey Monkey that will be specific to your practice.
