Reference no: EM133619087

Problem: Define "Patient Centered Medical Home". List and explain the five attributes - or "five pillars" of the Patient-Centered Medical Home. Define "patient navigator" (CDC is a recommended source). Describe a task a medical assistant might do, acting as a patient navigator. Who are the team members (or the neighbors)? List at least five and don't forget to include the "primary stakeholder"!. Summarize the six key features of a high-functioning medical neighborhood. In the current system, who acts as navigator? Who SHOULD be acting as navigator? What makes a "good neighbor" within the PCMH? Under "Specialists" - the most common type of interaction with PCCs - what kind of information do only 35% of specialists say they get from the referring physicians? Summarize the 10 barriers to a high-functioning medical neighborhood. Describe three potential activities or reforms that could improve the functioning of medical neighborhoods. WHO is this "dedicated staff" responsible for coordination transitions (referrals)? Under "Systematizing care coordination..." WHAT tool should these coordinators be using to "efficiently perform these tasks?" To encourage good "Care Transitions:.... as a first step, hospitals could, at a minimum" share what kind of information back to primary care? Describe one specific thing we can do to "engage" patients and describe one responsibility of the patient in the PCMH.