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Learn morePhysician Group Incentive Program (PGIP)
Core clinical process-focused initiatives
Coordination of care — (PCMH)
PGIP Ref#: CCP-09-08
BCBSM Administrative Lead:
Margaret Mason
Description: In this initiative, patient care will be coordinated across the health care system through a process of active collaboration and communication between the patient, providers, and caregivers.
Other core clinical process-focused initiatives:
- Evidence-based care tracking to reduce gaps in care
- Performance reporting*
- Patient-provider partnership*
- Extended access*
- Individual care management*
- Test tracking and follow-up*
- Lean clinical redesign for PCMH CQI
- Preventive services*
- Specialist referral process*
- Linkage to community services*
- Self-management support
- Transitions of care
* These initiatives relate to Patient-Centered Medical Home.
