Jump to Content
Learn morePhysician Group Incentive Program (PGIP)
Core clinical process-focused initiatives
Patient-provider partnership — (PCMH)
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.
Fact Sheet: Patient-Provider partnership PC-MH Initiative (PDF)
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.
