Diabetes
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Disease/High-Risk Management
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Patient Self-Management
| Audience |
Item |
Description |
| Clinicians/Case Managers |
Article: Helping Patients Manage Their Chronic Conditions (PDF) |
Author Thomas Bodenheimer, MD, UCSF, for the California HealthCare Foundation describes 5 strategies that help caregivers work successfully within the collaborative model, and reviews literature on the effectiveness of self-management support methods |
| Clinicians/Case Managers |
Video: Techniques for Effective Patient Self-Management (WEB) |
A short training video, produced by the California HealthCare Foundation and William Polonsky, PhD or UCSD, on strategies and tools, based on principles of motivational interviewing, that busy clinicians can use to help patients adopt healthy behaviors |
| Clinicians/Case Managers |
Patient Self-Management Support in Organized Medical Groups (PPT) |
Presentation by Neil Solomon, MD, CQC Clinical Director, on the definition, core competencies, strategies, applications and resources for improving patient self-management in a medical group setting |
| Clinician/Patient |
Patient Action Plan (DOC) |
CMS' action plan tool that specifies one or two concrete activities that the patient agrees to engage in to mange their condition. It is specifically focused on the patient's needs, preferences, experiences, and readiness to complete the activity |
| Clinician |
Self-Management ACE tool (PDF) |
CMS' communication tool that provides a simple strategy for getting patients to focus and be on the same page with their provider and strengthens a therapeutic relationship |
| All |
New Health Partnerships (WEB) |
An educational website providing self-management support strategies, tools and best practices for patients, family members, and providers interested working together to improve self-management support |
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HCC
| Audience |
Item |
Description |
| All |
HCC Coding Tools (WEB) |
Presentations, resources and tools available for download from SCAN Health Plan to assist providers and groups in the provision of accurate coding that will contribute to the quality of care and support the expected revenue from the Medicare program |
| Managers/Clinicians |
Coding Quiz & Answers (PDF) |
Brief quiz to initiate discussion and engage with providers on accurate documentation |
| Clinicians |
Coding Tips (PPT) |
Presentation by Kaiser Permanente (KP) Riverside Coding Champion, Terence Shum, MD, on coding tips and considerations for various acute and chronic conditions |
| Clinicians |
CKD/Diabetes Pocket-Sized Documentation Guidelines (DOC) |
KP Riverside pocket-sized tool outlining documentation guidelines for CKD/Diabetes |
| Clinicians |
Depression & Drug/Alcohol Abuse Pocket-Sized Documentation Guidelines (DOC) |
KP Riverside pocket-sized tool outlining documentation guidelines for Depression and Drug/Alcohol Abuse |
| Clinicians/Managers |
HCC Blog (WEB) |
Regularly updated blog on all things related to Medicare Advantage risk adjustment. Author: Matt Yuill, MD, CPC - Founder of SearchICD9.com (another great tool!) and Chief Medical Information Officer of HCC Administrators, Inc. based in Los Angeles |
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Patient Experience
| Audience |
Item |
Description |
| Clinicians |
Patient Agenda Form (PDF) |
Form for the patient to complete prior to their visit to assist with establishing a shared agenda with their practitioner |
| Managers |
Survey Monkey Overview & Sample Patient Surveys (PDF) |
Overview of inexpensive web-based survey tool and sample patient satisfaction surveys from John Muir Physicians Network and CQC Patient Experience Collaborative |
| Clinicians/Managers |
Doctor-Patient Communication: Key Skills for an Effective Relationship (PPT) |
Brief presentation by Laurence Baker, PhD from the Institute for Healthcare Communication on techniques and skills to improve doctor-patient communication |
| Clinicians/Managers |
Mills-Peninsula Medical Group: Physician-Patient Communication Training Program (PDF) |
Presentation on Mills-Peninsula's Physician-Patient Communication Training Program: key components, successes and outcomes |
| Clinicians/Managers |
CRM Training Video: "It's a Dog's World" (WEB) |
Preview and order patient satisfaction/customer service training video recommended by physician groups |
| Clinicians/Managers |
Improving Patient Experience (Video, Low-resolution) |
Includes physician testimonials on the effect changes had on their practice and work life. High-resolution version available for $15: Email rdo@pbgh.org |
| Clinicians/Managers |
Best Practices for Patient Satisfaction - Physicians Medical Group of Santa Cruz (PDF) |
PMG Santa Cruz outlines what techniques work to improve patient satisfaction in 4 areas: Access, Reliability, Communication (or "Perception of Caring"), and Coordination |
| Physician Group Leaders |
Tips for Physician Recruitment & Retention (PDF) |
Lee Ounanian, MD, Medical Director, of Beaver Medical Group outlines tips for physician recruitment and retention to improve quality and patient experience |
| All |
Article: Implementing Advanced Access in a Group Practice Network (PDF) |
AAFP article telling the success story of Geisinger Health System from pilot to implementation of advanced access, includes key components and strategies for consideration |
| All |
Quick Reference Guide: Improving The Patient Experience (PDF) |
Twelve proven changes and tips for the practice and the physician group to improve patient experience ratings in three domains: Doctor-Patient Communication, Access, and Care Coordination |
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General Resources
| Audience |
Item |
Description |
| All |
A Regional Look at California Health Care (WEB) |
Reports from the California Healthcare Foundation provide a first-time analysis of how health care is organized, delivered, and financed in six distinct California markets |
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