Do you remind patients of missed or overdue services?
Do you have a process to identify and care for patients post hospitalization or emergency department (ED) visit?
Are you involved in any community or international volunteer efforts (e.g. disaster planning, national relief)?
Do you have an established process to prepare for the next day’s visits?
Do you have an established rooming work flow to optimize provider time, having all staff work to their highest license (e.g. medication reconciliation, review of overdue services)?
Do you utilize the Prescription Monitoring Program prior to dispensing opioids or applied for waiver to treat patients with buprenorphine?
If your patients are assigned a primary provider, do you understand your panel profile and routinely assess (e.g. chronic conditions, payer mix, 3rd next available, etc.)
Do you have a standard process for placing and tracking orders (referrals, diagnostics) or notifying patients of results?
Do you offer services such as telehealth, chronic disease group visits, peer support groups?
Do you have a process for staff education and assessment?
Do you distribute patient-satisfaction surveys, safety surveys or have a patient Advisory Council?
Do you have any ancillary staff embedded in your practice (Care Manager, Social Worker, Dortor of Pharmacy (PharmD), Certified Diabetes Educator, Nutritionist, peer counselor)?
Have you incorporated behavioral health services and screenings into your practice (e.g. colocation of services, screening efforts for tobacco, diabetes, alcohol, depression)?
Have you incorporated efforts to enhance patient education, self-management and care- planning efforts into your workflow or your Electronic Health Records (EHR)?
Do you provide longitudinal Case Management for patients?
Does your Electronic Health Records (EHR) offer advanced functionality (i.e. interface with Health Information Exchange (HIE), patient education, decision support, Duable Medical Equipment (DME) interfaces, patient portal, risk tools, order completion, referral loop, registry)?
Have you integrated evidence based performance improvement processes within your office (e.g. identifying high risk patients, Chronic Disease, Diabetes Mellitus, improving patient satisfaction, reducing cost, falls screen, optimizing antibiotic use, anticoagulation, managing medication effectively, shared decision making, risk reduction)?
Do you participate in a Qualified Clinical Data Registry (QCDR)?