Patient-Centered Medical Home PowerNote

Many of you are already aware of the NCQA Patient-Centered Medical Home project that has been underway since last summer. While the definition of PCMH is pretty vast (see pp. 1-2 Standards and Guidelines for Physician Practice Connections®—Patient-Centered Medical Home (PPC-PCMH™)), we are working to develop tools that will enable you to more effectively meet the level 3 criteria for NCQA certification.

A group of us (Diane Russell, Julie, Gentes, Glenn Alli, and I) have been working on a Medical Home PowerNote template that provides cues for optimal documentation of a variety of chronic medical conditions. While the template itself is essentially just a "refurb" of the Med Office Note template, the HPI and Impression & Plan have been juiced up with both monitoring and treatment terms for each of the following conditions: Type 2 diabetes, HTN, hyperlipidemia, CAD, CHF, asthma, and chronic pain.

We are pretty happy with the design and believe that, if you know how it works, you will be too. Here is a video I created covering the essentials. Given the length of the template, this was tough to keep under 5 minutes. I suspect that if you are familiar with PowerNote use, though, this will be old news.

(If you are unable to see the video in full view, use the following link: Medical Home PowerNote)