1. Patient Provider Agreement
• National Partnership for Women and Families
• Patient-Physician Relationship
2. E-Prescribe
• Dr. First E-Prescribe Tool Website
• Surescripts: Certification Status of Multiple Products
3. Patient Registry IPIP Registry Comparison
4. Performance Reporting
(Part of registry component: please see above for more detailed information)
5. Extended Access
Review BCBSM definition and urgent care requirements, and select a local urgent care to establish a partnership. Sample Urgent Care Partnership Form
6. Individual Care Management
Links to education materials for the chronic diseases of focus. Some of the material these sites offer may be used as part of your planned visit component for this requirement.
• National Diabetes Education Program
• CHCS Asthma education materials for patients
• National Heart, Lung and Blood Institute: Health Information for Professionals
• Nation Heart, Lung and Blood Institute: Coronary Artery Disease Educational Links
• National Asthma Education: and Information Program
• IHI: Deliver Reliable, Evidence-Based Care for Congestive Heart Failure
• What is coronary artery disease?
• American Lung Association COPD Toolkit
7. Test Tracking
• KMA: Tracking Test Results Within a Physician Practice
9. Preventive Services
• U.S Preventive Services Task Force. Reviews evidence and makes recommendations regarding preventive care
• Workplace Smoking Cessation Implementation Suggestions
• Health Care Provider Guide to Free or Reduced Cost Smoking Cessation Medication for Michigan Residents
* American Lung Association: Stop Smoking
10. Linkage to Community Services
• Michigan Health Go Local. A link to health services in Michigan
• 211 Information and Referral Search
• Oakland County Community Services Agencies
• Macomb County Resources List
• Wayne County Homepage
• Michigan Department of Human Services
11. Self Management Support
• Michigan Path Chronic Disease Workshops
• Patient Education Brochures
• Ask About Type 2 Diabetes
• Ask About Asthma
• Asthma Action Plan
• Ask about Heart Failure
• Ask about High Blood Pressure
• BCBSM Provider Incentive Group Chronic Care Model T Code
• American Medical Association: Practice Management Center
• Self Management Assessment Tool
• About the Assessment of Primary Care Resources and Supports for Chronic Disease
Self Management Tool (PCRS)
• IHI and RWJF Partnering in Self Management Toolkit
• Stages of Change
• Ask Me 3 Poster
• Personal Action Plan
12. Patient Portal
13. Coordination of Care
14. Specialist Referral Process