Page 20 - Delaware Medical Journal - May/June 2018
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Management  Assign to Panels/Assign Accountability
• SUCCESS: Sustainable Business Operations 
of Operation  Streamline Work Flows 

b. The practice assigns members of the care team to coordinate care for individual patients (NCQA PCMH)
c. The practice assigns members of the care team to support

and behavior change (NCQA PCMH)
9. Document plan for patients with behavioral health care needs
• PERFORMANCE: Person-Centered Care  Population Management  Identify Care Gaps/Decrease Care Gaps
• PERFORMANCE: Person-Centered Care  Coordinated Care Delivery  Manage Care Transitions
• PERFORMANCE: Person-Centered Care  Practice as a Community Partner  Use Community Resources
a. The practice has a process for informing patients/families about the role of the Advanced Primary Care Practice and gives patients/families materials describing the scope of services available within the practice, including how behavioral health needs are addressed (NCQA PCMH)
b. The practice ensures regular communication and coordinated

clinicians (CMS)

technology functionality to support active care management and outreach to patients (CMS)
Physicians bring economic health to our communities.
The 2018 AMA Economic Impact Study demonstrates how physicians contribute mightily to the health of Delaware’s economy.
25,791
JOBS
$4.8 billion
IN ECONOMIC ACTIVITY
$164.6 billion
IN STATE & LOCAL TAX REVENUES
$2.4 billion
IN WAGES & BENEFITS
Physicians’ impact is felt far beyond the exam room, reaching through local communities, producing a network of jobs and spurring local investment.
Learn more at PhysiciansEconomicImpact.org
© 2018 American Medical Association. All rights reserved. 17-1906041:1/18
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