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

<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>

Name thesis:degree_name

DNP Doctor of Nursing Practice

Level thesis:degree_level

Final Project

Discipline thesis:degree_discipline

Nursing

Year dc:date.available

2013

Author dc:creator

• Twomey, Aileen Teresa

Contributors dc:contributor

• Mary Ellen Roberts, DNP
• Jane Dellert, PhD
• Edward J. Gold, MD

• 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

Repository record dc:identifier

https://scholarship.shu.edu/final-projects/2

OAI identifier oai:identifier

oai:scholarship.shu.edu:final-projects-1002