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?

Contact us!

Call or Email any one of our PCMH 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 intitiative from your practice as well. For OPNS, we require attendence of at least half of the Workgroups that we offer throughout each year as well as implementation of 1-2 new Capabilities for Specialists and 2-3 new Capabilities for Primary Care Physicians.

Telehealth

Although OPNS cannot recommend a specific service to you, the below chart has been drafted using vedors most frequently used within our network, along with some information that might help you with your process.

Use of any non-HIPAA compliant telehealth platforms will be accepted for reimbursement for most health plans indefinitely

Telehealth Codes

This, as well as additional information, will also be found under each health plan listed on our website, just follow the steps below:

1. Head to the top-right corner of the website and click Login (if you have not logged in already)
2. Once you have logged in, hover over Practice Resources listed in the top bar of the website and click on any of the listed health plans
   • Any information provided by the health plans will be listed, dated and named regarding their contents, including telehealth information

CLICK HERE FOR A COMPREHENSIVE TABLE ON TELEHEALTH POLICIES ACROSS ALL PARTICIPATING PAYERS IN MICHIGAN POST-COVID

What Resources can OPNS provide for me? 

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.