The Federal Government enacted the Heath Information Technology for Economic and Clinical Health Act (HITECH) in 2009, which incentivized providers to use electronic health records (EHR) for meaningful use (MU); the Patient-Centered Medical Home (PCMH) stems from the Act. Research by the National Council on Quality Assurance (NCQA) shows that primary care practices have a positive influence on the health of patients, families and communities. These positive influences are related to their ability to deliver first-contact access, and to develop long-term therapeutic relationships that focus on the person rather than the disease, improving patient health outcomes and reducing health care cost.
The project focuses on developing a standardized template to guide the primary care provider (PCP) to efficiently document in the EHR and according to the NCQA recommendations. The template includes specific recommendations to focus on during a primary care visit, which are in line with the PCMH model. Using the existing EHR software, a template was developed highlighting the elements identified by the NCQA to guide the provider to accurately document care plans he or she develops with the patient; to document identified patient barriers for those who have not met treatment goals; to make appropriate referrals and identify self-referrals; and to reconcile discrepancies in treatment when a patient transitions throughout the health care system, such as after hospitalization.
","abstract_html":"<p>The Federal Government enacted the Heath Information Technology for Economic and Clinical Health Act (HITECH) in 2009, which incentivized providers to use electronic health records (EHR) for meaningful use (MU); the Patient-Centered Medical Home (PCMH) stems from the Act. Research by the National Council on Quality Assurance (NCQA) shows that primary care practices have a positive influence on the health of patients, families and communities. These positive influences are related to their ability to deliver first-contact access, and to develop long-term therapeutic relationships that focus on the person rather than the disease, improving patient health outcomes and reducing health care cost.</p> <p>The project focuses on developing a standardized template to guide the primary care provider (PCP) to efficiently document in the EHR and according to the NCQA recommendations. The template includes specific recommendations to focus on during a primary care visit, which are in line with the PCMH model. Using the existing EHR software, a template was developed highlighting the elements identified by the NCQA to guide the provider to accurately document care plans he or she develops with the patient; to document identified patient barriers for those who have not met treatment goals; to make appropriate referrals and identify self-referrals; and to reconcile discrepancies in treatment when a patient transitions throughout the health care system, such as after hospitalization.</p>","abstract_has_math":false,"creators":["Twomey, Aileen Teresa"],"institution":null,"degree_name":"DNP Doctor of Nursing Practice","degree_level":"Final Project","degree_discipline":"Nursing","degree_department":null,"school":null,"contributors":["Mary Ellen Roberts, DNP","Jane Dellert, PhD","Edward J. Gold, MD"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2013,"date_issued":"2013-10-02T07:00:00Z","date_published":"2013-10-02T07:00:00Z","updated_at":"2026-07-24T04:32:52Z","subjects":["Primary Care Provider (PCP)","Meaninful Use (MU)","Documenting with a template","Patient Privacy and Affordable Care Act (PPACA)","Information Technology (IT)","The National Committee for Quality Assurance (NCQA)","Health and Medical Administration","Health Economics","Health Information Technology","Health Policy","Other Nursing","Primary Care"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://scholarship.shu.edu/final-projects/2","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Mary Ellen Roberts, DNP","Jane Dellert, PhD","Edward J. Gold, MD"]},{"key":"dc:creator","label":"Author","values":["Twomey, Aileen Teresa"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["2014-04-10T07:00:00Z"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Nursing"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Final Project"]},{"key":"thesis:degree_name","label":"Degree Name","values":["DNP Doctor of Nursing Practice"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Primary Care Provider (PCP)","Meaninful Use (MU)","Documenting with a template","Patient Privacy and Affordable Care Act (PPACA)","Information Technology (IT)","The National Committee for Quality Assurance (NCQA)","Health and Medical Administration","Health Economics","Health Information Technology","Health Policy","Other Nursing","Primary Care"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://scholarship.shu.edu/final-projects/2"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["The Federal Government enacted the Heath Information Technology for Economic and Clinical Health Act (HITECH) in 2009, which incentivized providers to use electronic health records (EHR) for meaningful use (MU); the Patient-Centered Medical Home (PCMH) stems from the Act. Research by the National Council on Quality Assurance (NCQA) shows that primary care practices have a positive influence on the health of patients, families and communities. These positive influences are related to their ability to deliver first-contact access, and to develop long-term therapeutic relationships that focus on the person rather than the disease, improving patient health outcomes and reducing health care cost.
The project focuses on developing a standardized template to guide the primary care provider (PCP) to efficiently document in the EHR and according to the NCQA recommendations. The template includes specific recommendations to focus on during a primary care visit, which are in line with the PCMH model. Using the existing EHR software, a template was developed highlighting the elements identified by the NCQA to guide the provider to accurately document care plans he or she develops with the patient; to document identified patient barriers for those who have not met treatment goals; to make appropriate referrals and identify self-referrals; and to reconcile discrepancies in treatment when a patient transitions throughout the health care system, such as after hospitalization.
"]},{"key":"dc:title","label":"Title","values":["The Advanced Practice Nurse and Patient-Centered Medical Home: Maintaining Patient Focus, Meeting the Institute for Healthcare Improvement Triple Aim Through the Electronic Health Record"]}]}],"canonical_facts":{"dc:contributor":["Mary Ellen Roberts, DNP","Jane Dellert, PhD","Edward J. Gold, MD"],"dc:creator":["Twomey, Aileen Teresa"],"dc:date.available":["2014-04-10T07:00:00Z"],"dc:description.abstract":["The Federal Government enacted the Heath Information Technology for Economic and Clinical Health Act (HITECH) in 2009, which incentivized providers to use electronic health records (EHR) for meaningful use (MU); the Patient-Centered Medical Home (PCMH) stems from the Act. Research by the National Council on Quality Assurance (NCQA) shows that primary care practices have a positive influence on the health of patients, families and communities. These positive influences are related to their ability to deliver first-contact access, and to develop long-term therapeutic relationships that focus on the person rather than the disease, improving patient health outcomes and reducing health care cost.
The project focuses on developing a standardized template to guide the primary care provider (PCP) to efficiently document in the EHR and according to the NCQA recommendations. The template includes specific recommendations to focus on during a primary care visit, which are in line with the PCMH model. Using the existing EHR software, a template was developed highlighting the elements identified by the NCQA to guide the provider to accurately document care plans he or she develops with the patient; to document identified patient barriers for those who have not met treatment goals; to make appropriate referrals and identify self-referrals; and to reconcile discrepancies in treatment when a patient transitions throughout the health care system, such as after hospitalization.
"],"dc:identifier":["https://scholarship.shu.edu/final-projects/2"],"dc:subject":["Primary Care Provider (PCP)","Meaninful Use (MU)","Documenting with a template","Patient Privacy and Affordable Care Act (PPACA)","Information Technology (IT)","The National Committee for Quality Assurance (NCQA)","Health and Medical Administration","Health Economics","Health Information Technology","Health Policy","Other Nursing","Primary Care"],"dc:title":["The Advanced Practice Nurse and Patient-Centered Medical Home: Maintaining Patient Focus, Meeting the Institute for Healthcare Improvement Triple Aim Through the Electronic Health Record"],"thesis:degree_discipline":["Nursing"],"thesis:degree_level":["Final Project"],"thesis:degree_name":["DNP Doctor of Nursing Practice"]},"updated_at":"2026-07-24T04:32:52Z"}