Practice Transformation

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Access and Redesign

  • Reduce patient wait times, cycle times, and no-show rates
  • Create same-day appointment access
  • Right-size provider patient panels

Meaningful Use of Electronic Health Records (EHRs)

  • Meaningful use certification
  • Optimization of EHRs, including clinical decision support, telehealth, e-prescribing, and e-consultations
  • Performance measurement and reporting
  • Implementation of health information exchange

Care Coordination and Team-Based Care

  • Development of effective care teams for high-need patients
  • Population health and chronic disease management
  • Transitions of care and referral coordination

Patient-Centered Medical Home Practice Recognition

PCMH Assessments and One-to-One Coaching

  • On-site and/or virtual assessment of current operations against PCMH standards
  • Live consulting phone/video conference with a PCMH expert
  • Development of an individualized work plan including a plan for Q-PASS virtual check-ins; live consulting phone/video conferences; documentation review; preparation for and/or participation in NCQA live virtual check-ins
  • Learning collaboratives for multiple sites, including learning sessions and coaching


To learn more, please visit our Patient-Centered Medical Home page.