Physician Group Incentive Program (PGIP)
Core clinical process-focused initiatives
Specialist referral process — (PCMH)
PGIP Ref#: CCP-09-10
BCBSM Administrative Lead: Margaret Mason
Description: In this initiative, the process of referring patients to specialists will be coordinated seamlessly, with both providers receiving timely access to the information they need to provide optimal care and follow-up to the patient.
Fact Sheet: Specialist Referral Process PC-MH Initiative (PDF)
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 reengineering for PCMH CQI
- Coordination of care*
- Preventive services*
- Linkage to community services*
- Self-management support
- Transitions of care
* These initiatives relate to Patient-Centered Medical Home.
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