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Learn morePhysician Group Incentive Program (PGIP)
Core Clinical Process-focused Initiatives
Patient-Provider partnership — (PC-MH)
PGIP Ref#: CCP-08-02
BCBSM Administrative Lead: Margaret Mason
Description: In this initiative, Physician Organizations and Practice Units will develop a Patient-Provider agreement or documented patient communication process regarding mutual roles and responsibilities in the patient centered medical home.
Other Core Clinical Process-focused Initiatives:
- Evidence based care tracking to reduce gaps in care
- Performance reporting*
- Extended access*
- Individual care management*
- Test tracking and follow-up*
- LEAN Clinical Reengineering for PCMH CQI
- Coordination of care*
- Preventive services*
- Specialist referral process*
- Linkage to community services*
- Self-management support*
- Transitions of care
* These initiatives relate to Patient-Centered Medical Home.
