The Safety Net Medical Home Initiative

Change Concepts

Empanelment
  • EmpanelmentDetermine and understand which patients should be empanelled in the medical home and which require temporary, supplemental or additional services.
  • Use panel data and registries to proactively contact, educate and track patients by disease status, risk status, self-management status, community and family need.
  • Understand practice supply and demand, and balance patient load accordingly.

Empanelment Resources
  • Accommodating Part-Time Providers and Residents in the Medical Home (August 2010)
    Moderator: Donna Daniel, PhD, Qualis Health
    Speakers: L. Gordon Moore, MD, Ideal Medical Practices; Rob Reid, MD, PhD, Group Health Research Institute; Ed Wagner, MD, MPH, MacColl Institute, Group Health Research Institute
    Audio & Video Audio & video program    Adobe Acrobat Printable slides

  • Empanelment Implementation Guide Part 1 (March 2010)
    At the heart of the PCMH model is the relationship between a patient and a provider and care team. This implementation guide explains the purpose and process of empanelment and provides step-by-step directions for successful implementation in the safety net.
    Empanelment Implementation Guide Read the guide
    Clinical Standards for Empanelment Clinical Standards for Empanelment
    Provider Staffing and Scheduling Polic Provider Staffing and Scheduling Policy
    Scripting for Appointment Scheduling Scripting for Appointment Scheduling

  • Empanelment Implementation Guide Part 2 (June 2011)
    Empanelment, the act of assigning individual patients to individual primary care providers (PCP), is the key to achieving continuity of care. Empanelment Part 2: Assigning and Managing Panels in a Patient-Centered Medical Home offers step-by-step instructions that will allow a practice to do the work of assigning panels, make necessary job assignments to support empanelment and sustain the effort over time. This guide also includes interactive tools that will help practices understand their patient acuity and balance provider panels accordingly.

  • Knowledge Building Session: Empanelment (October 2009)
    Speaker    : Amit Shah, MD, Multnomah County Health Department
    undefined Audio program    undefined Viewable slides   adobe_xsmall Printable slides 

  • Primary Care Renewal Core Components: Change Packages (July 2009)
    Primary Care Renewal Core Components: Change Packages Viewable slides