The care delivery process for CMM ensures that the right patients are enrolled, their health conditions and diagnoses are defined and coded, their visits are scheduled longitudinally and the patient’s progress is monitored throughout their enrollment.
A robust IT infrastructure for the CMM care delivery process will support an interdisciplinary team of health care providers working in collaboration with patients. Any infrastructure should be augmented with the goal of optimizing medication use, preventing adverse drug events, improving patients’ quality of life and reducing provider administrative burden.
This new checklist contains key considerations and dozens of questions designed to enable and support your CMM practice along five important domains.
- What are the goals for the implementation of your CMM program? What elements in your dataset can be used to establish CMM?
- What are criteria for qualifying patients for CMM in your EHR or dataset (e.g., demographics, high-risk medications, specific ICD-10 codes, lab test results)?