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team-based care

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Preparing to Transition to Value-based Care -- Physician Payment

Jul 29, 2019 - Learn how two family physicians are incorporating value-based concepts into their practices to ensure quality patient care and financial sustainability.

Practice Management : Payment for Physicians

https://www.aafp.org/practice-management/payment/value-based-care-payment/transition-to-value-based-care.html

Succeed in Value-based Care -- Physician Payment

Jun 10, 2019 - Take small steps today that will help you increase payment, enhance patient care, and succeed in value-based care.

Practice Management : Payment for Physicians

https://www.aafp.org/practice-management/payment/value-based-care-payment.html

Team-based Care: Empowering Your Team to Increase Efficiency -- Physician Payment

Apr 3, 2019 - Learn how to implement team documentation in your practice, and how to evaluate the value of team-based care.

Practice Management : Payment for Physicians

https://www.aafp.org/practice-management/payment/value-based-care-payment/team-based-care.html

The Medical Home: Planned Care and Population Health -- Practice Management

Mar 1, 2019 - Population health management helps practices identify health needs of its patient populations and develop care plans accordingly.

Practice Management : Practice Transformation

https://www.aafp.org/practice-management/transformation/pcmh/key-functions/planned-care-population-health.html

MACRAnyms: Acronyms and Terms Related to MACRA's Quality Payment Program -- Physician ...

Feb 5, 2019 - A list of MACRA-related acronyms for easy reference.

Practice Management : Payment for Physicians

https://www.aafp.org/practice-management/payment/medicare-payment/macra-101/acronyms.html

AAFP TIPS - Continuity of Care -- Practice Management

Jan 31, 2019 - AAFP TIPS Transformation in Practice Series Continuity of Care can help you examine continuity in ambulatory primary care, including measurement and improvement.

Practice Management : Practice Transformation

https://www.aafp.org/practice-management/transformation/pi-tips/continuity-of-care.html

AAFP TIPS - Empanelment -- Practice Management

Jan 31, 2019 - AAFP TIPS Transformation in Practice Series Empanelment can help you learn about the importance of patient panels and how to create them for physicians and care teams.

Practice Management : Practice Transformation

https://www.aafp.org/practice-management/transformation/pi-tips/empanelment.html

AAFP TIPS - Quality Improvement -- Practice Management

Jan 31, 2019 - AAFP TIPS Transformation in Practice Series Quality Improvement can help you explore the benefits, concepts, and steps for quality improvement that can enhance the care you provide.

Practice Management : Practice Transformation

https://www.aafp.org/practice-management/transformation/pi-tips/quality-improvement.html

AAFP TIPS - Clinical Data Registries -- Practice Management

Jan 31, 2019 - AAFP TIPS Transformation in Practice Series Clinical Data Registries can help you uncover the benefits of registries, and learn how to select and implement them in your practice.

Practice Management : Practice Transformation

https://www.aafp.org/practice-management/transformation/pi-tips/clinical-data-registries.html

AAFP TIPS - Team Documentation -- Practice Management

Jan 31, 2019 - AAFP TIPS Transformation in Practice Series can help you build a business case for team documentation and identify steps to implement it in your practice.

Practice Management : Practice Transformation

https://www.aafp.org/practice-management/transformation/pi-tips/team-documentation.html

Initial Preventive Physical Examination (IPPE) -- Physician Payment

Nov 29, 2018 - Learn about the initial preventive physical examination (IPPE), a preventive visit offered to newly-enrolled Medicare beneficiaries.

Practice Management : Payment for Physicians

https://www.aafp.org/practice-management/payment/coding/medicare-coordination-services/ippe.html

Resident Program Directors: Train Your Residents to Transform Their Practice With AAFP ...

Mar 22, 2018 - AAFP TIPS are the AAFP practice improvement modules to help residency program directors train residents to transform their practice with small changes that yield big results.

Practice Management : Practice Transformation

https://www.aafp.org/practice-management/transformation/pi-tips/aafptips_for_residents.html

Transform Your Practice With AAFP TIPS -- Practice Management

Mar 22, 2018 - AAFP TIPS are the AAFP practice improvement modules to help you transform your practice with small changes that yield big results.

Practice Management : Practice Transformation

https://www.aafp.org/practice-management/transformation/pi-tips.html

Practice Improvement Checlklist: Getting Started -- Practice Management

Mar 9, 2018 - View the practice improvement checklist with key concepts to start transforming your practice to a patient-centered medical home.

Practice Management : Practice Transformation

https://www.aafp.org/practice-management/transformation/pcmh/checklists/getting-started.html

Practice Improvement Checklist: Building on Change -- Practice Management

Mar 9, 2018 - View the practice improvement checklist to help you tackle the core principles of an advanced primary care practice to become a patient-centered medical home.

Practice Management : Practice Transformation

https://www.aafp.org/practice-management/transformation/pcmh/checklists/building-on-change.html

Webcast: Medicare Annual Wellness Visit -- Physician Payment

Apr 5, 2017 - Purchase access to this webcast to learn about the Medicare Annual Wellness Visit (AWV) requirements and identify how AWV findings can close care gaps and engage patients.

Practice Management : Payment for Physicians

https://www.aafp.org/practice-management/payment/coding/medicare-coordination-services/awv/getting-paid.html

Get Paid with the Annual Wellness Visit -- Physician Payment

Mar 20, 2017 - The Annual Wellness Visit (AWV) allows practices to gain information about the patient, including medical and family history, health risks, and specific vitals.

Practice Management : Payment for Physicians

https://www.aafp.org/practice-management/payment/coding/medicare-coordination-services/awv.html

Physician Payment and Risk -- Physician Payment

Feb 2, 2017 - As health care moves from volume-based to value-based models, physicians must consider business models focusing on quality of care and risk sharing.

Practice Management : Payment for Physicians

https://www.aafp.org/practice-management/payment/risk.mem.html

Introduction to Electronic Health Records (EHRs) -- Health IT Guides

Jun 13, 2013 - Learn the basics of electronic health records including common terms and the benefits to your practice.

Practice Management : Health-IT Guides

https://www.aafp.org/practice-management/health-it/product/intro.html

Family Physicians and Physician Assistant: Team-Based Family Medicine

...Team-Based Family Medicine A Joint Policy Statement of the American Academy of Family Physicians and American Academy of Physician Assistants February 2011...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/admin_staffing/AAFP-AAPAJtPaper.pdf

Valuation of Care Management Performed by Primary Care Physicians

...Valuation of Care Management Performed by Primary Care Physicians An Issue Brief Developed for the American Academy of Family Physicians by Discern Health 1120 N. Charles St., Ste. 200 Baltimore, MD 21021 Page 2 of 7 Introduction The U.S. health care system is...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/transformation/CMValuation.pdf

Practice Improvement Checklists

...The following foundational concepts are central to any high-functioning primary care practice. CHECKLIST Staffing  Develop physician leadership skills.  Define staff member roles and job descriptions.  Allow patients to select their personal physician(s). Financial Management ...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/transformation/PractImprovementChecklists.pdf

PCMH Intermediate Concepts Checklist: Building on Change

...medical home (PCMH) model. Work with your practice staff to create a plan around your practice’s organization, quality care, and patient-centered care goals. Remember to work at your own pace-the practice transformation process takes time. Even incremental change will result in...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/pcmh/PCMHIntermediateChecklist.pdf

Frequently Asked Questions on Patient Self-Management

...Who can perform health coaching services? Anyone on the health care team can serve as a health coach. Physicians, nurse practitioners/physician assistants, RNs, LPNs, pharmacists, health educators, nutritionists, medical assistants, community health workers, and even patients can...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/pcmh/patientcare/PSM-FAQ.pdf

Guidelines for Patient-centered Medical Home (PCMH) Recognition and Accreditation Programs

...the four primary care physician societies-the American Academy of Family Physicians (AAFP), the American Academy of Pediatrics (AAP), the American College of Physicians (ACP), and the American Osteopathic Association (AOA)-and have since been endorsed by 19 additional...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/pcmh/initiatives/PCMHJoint2011.pdf

2019-mips-playbook.pdf

...MEDICARE WELLNESS AND CARE COORDINATION SERVICES 26 Medicare Annual Wellness Visit (AWV) 26 Chronic Care Management (CCM) 28 Transitional Care Management (TCM) 30 Summary 31 OPTIONS TO MEET OR EXCEED THE PERFORMANCE THRESHOLD 32 Baseline - Quality + Improvement Activities...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/restricted/2019-mips-playbook.pdf

2018-mips-playbook.pdf

...Clinicians were excluded if they provided care to less than or equal to 100 Medicare Part B beneficiaries, or received less than or equal to $30,000 in Medicare Part B payments. Three points No complex or small practice bonus Clinicians could choose from one of four Pick...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/restricted/2018-mips-playbook.pdf

2019-mips-playbook.pdf

...MEDICARE WELLNESS AND CARE COORDINATION SERVICES 26 Medicare Annual Wellness Visit (AWV) 26 Chronic Care Management (CCM) 28 Transitional Care Management (TCM) 30 Summary 31 OPTIONS TO MEET OR EXCEED THE PERFORMANCE THRESHOLD 32 Baseline - Quality + Improvement Activities...

Practice Management

https://www.aafp.org/content/dam/AAFP/documents/practice_management/restricted/2019-mips-playbook.pdf

2018-mips-playbook.pdf

...Clinicians were excluded if they provided care to less than or equal to 100 Medicare Part B beneficiaries, or received less than or equal to $30,000 in Medicare Part B payments. Three points No complex or small practice bonus Clinicians could choose from one of four Pick...

Practice Management

https://www.aafp.org/content/dam/AAFP/documents/practice_management/restricted/2018-mips-playbook.pdf

macra-tcm-qpp.pdf

...Making Sense of MACRA: Aligning Transitional Care Management (TCM) with the Quality Payment Program (QPP) November 2017 Learn more | aafp.org/MACRAReady MACRAready The Shift to Value-Based Payment Learn how coordinated care benefits patients, QPP performance, and your bottom...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/restricted/macra-tcm-qpp.pdf

PCMHBudgeting.xlsx

...QUALITY CARE PATIENT CENTERED CARE HEALTH INFORMATION TECHNOLOGY ORGANIZING YOUR PRACTICE ☐ Process Improvements Are there quality or process improvements that will be made in your practice? How will this affect revenue and expenses? ☐...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/pcmh/practorg/PCMHBudgeting.xlsx

PhysicianPaymentRisk.pdf

...The Patient Protection and Affordable Care Act (PPACA), commonly called the Affordable Care Act (ACA), was enacted into law in 2010. The ACA created the Center for Medicare and Medicaid Innovation (CMMI) to test innovative payment and service models. In October 2011, the Centers for...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/restricted/PhysicianPaymentRisk.pdf

PhysicianPaymentRisk.pdf

...The Patient Protection and Affordable Care Act (PPACA), commonly called the Affordable Care Act (ACA), was enacted into law in 2010. The ACA created the Center for Medicare and Medicaid Innovation (CMMI) to test innovative payment and service models. In October 2011, the Centers for...

Practice Management

https://www.aafp.org/content/dam/AAFP/documents/practice_management/restricted/PhysicianPaymentRisk.pdf

questions-for-your-employer.pdf

...(TCPi). Finally, physicians should personally engage in the efforts to improve performance by asking for specific details about their team’s role and how it can help. Continued on back 1 2 3 QUESTIONS TO ASK YOUR EMPLOYER The following questions can be used as a guide...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/restricted/questions-for-your-employer.pdf

questions-for-your-employer.pdf

...(TCPi). Finally, physicians should personally engage in the efforts to improve performance by asking for specific details about their team’s role and how it can help. Continued on back 1 2 3 QUESTIONS TO ASK YOUR EMPLOYER The following questions can be used as a guide...

Practice Management

https://www.aafp.org/content/dam/AAFP/documents/practice_management/restricted/questions-for-your-employer.pdf

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