Gail Williams Dunn
Chief Operating and Compliance Officer
Southeast Community Health Systems
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 Understanding
the Purpose
 Building a Team
 Getting Buy-in
 Understanding the Standards
 Determining Readiness
 Identifying Challenges
 Determining Resources
 Knowing the Benefits
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Understand why you are considering PCMH
 Adopt a more sustainable health care system
that provides greater access to affordable,
quality care at the right time in the right
place.
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It increases efficiency and gives PCPs more
time to do what they do best: care for
patients.
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Build an interdisciplinary team that consists of:
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Provider(s)
Nurse(s)
Front Office Staff
Behavioral Health Staff
Quality Officer
Outreach Workers
Team Lead Champion – Offers leadership commitment
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Teamwork
is key….
Board
 Administrative
 Fiscal
 Providers
 Clinicians

Meet them where they are and move it
forward…
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 Review
Standards and Elements
 Review Crosswalks (as applicable)
 Determine elements that’s applicable to
meet the certification level
 Test “Must Pass” and Critical elements to
determine where you are in meeting them
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Review documented processes
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Documented process - Written procedures, protocols,
processes for staff, workflow forms
Reports - Aggregated data showing evidence
Records or files - Patient files or registry entries
documenting action taken; data from medical records
for care management
Materials - Information for patients or clinicians, e.g.
clinical guidelines, self-management and educational
resources
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 Identify
what’s needed to meet
requirements
Policies
 Data
 Staffing, etc.
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 Offers
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Accessible services
comprehensive care
Team based care
Patient Family Engagement
Care Coordination
Quality and safe care
 Increased
Revenue
 Increased Encounters
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 Financial
Resources
 Buy-In
 Staffing
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