Applicable to PCPs and specialists. Patient web portal is a system that supports two-way, secure, compliant communication between the practice and the patient. For capabilities pertaining to patient’s use of portal, practice unit staff must be trained in and have implemented this capability, and patients must be able to use it currently.
Available vendor options for purchasing and implementing a patient web portal system have been evaluated
PO or Practice Unit has assessed liability and safety issues involved in maintaining a patient web portal at any level and developed policies that allow for a safe and efficient exchange of information
Ability for patients to request appointments electronically is activated and available to all patients
Ability for patients to log and/or graph results of self-administered tests (e.g., daily blood glucose levels) is activated and available to all patients
Providers are automatically alerted by system regarding self-reported patient data that indicates a potential health issue
Ability for patients to participate in E-visits is activated and available to all patients
Providers are using patient portal to send automated care reminders, health education materials, links to community resources, educational websites and self-management materials to patients electronically
Patient portal system includes capability for patient to create personal health record, and is activated and available to all patients
Ability for patients to review test results electronically is activated and available to all patients
Ability for patients to request prescription renewals electronically is activated and available to all patients
Ability for patients to graph and analyze results of self-administered tests for selfmanagement support purposes is activated and available to all patients
Ability for patients to have access to view registries and/or electronic medical records online that contain patient personal health information that has been reviewed and released by the provider and/or practice is activated and available to all patients
Ability for patients to schedule appointments electronically through an interactive calendar is activated and available to all patients
Patients have access to a web portal enabling patients to access medical information and to have electronic communication with providers
An innovative incentive program through BCBSM that brings together physician organizations from across Michigan, to encourage information sharing about various aspects of health care. Program participants, including both primary care physicians and specialists, collaborate on initiatives designed to improve the health care system in the state.
An organization that partners with physicians or is a group of physicians that works with health plans on contracts and other mutual interests (i.e. incentive programs, transition programs, etc.) of their organization.
An organization that partners with physicians and hospitals in order to obtain payer contracts and to further mutual interests (i.e. incentive programs, transition programs, etc.) within integrated delivery systems.
An organization that is 50% owned by physicians and 50% owned by the Health System to negotiate payer contracts, assist with health plan enrollment, and provide guidance and support in mutual interests that promote evidence based care and overall well being of their customers "the patient".
Twice a year (summer and winter) BCBSM requires PO/PHO to conduct assessments for PGIP participating offices which include review of office demographic information, office technology and PCMH initiative implantation within the office. This data is linked to PCMH nomination, PCMH designations and PGIP incentive monies.
The identification of a practice within the PGIP program.
An office in PCMH nomination status is requesting review by BCBSM for PCMH Designation. An office can be nominated through their PGIP participating PO/PHO during the BCBSM Winter SRD submission.
Total number of "current" patients in the practice.
Total number of patients in the denominator with whom conversations have been held and partnerships established at any point in the past
Claim payments based on quality and utilization scoring determined by the health plan. (Quality based payment structure)