Is your EHR CMS Certified? Yes No Visit healhit.gov and search for your organization Does your organization have a patient portal? Yes No Do your patients have access to a provider (MD, DO, PA, ARNP) for clinical advice after normal business hours? Yes No Does your organization currently care manage any of your patient population? Yes No Does your organization have a process for tracking referrals, lab tests, imaging tests, etc.? Yes No Does your organization participate in any quality improvement activities? Yes No Will your organization be able to appoint/hire a PCMH Team Leader? Yes No Does your organization have written policies and/or processes in place? Yes No Would you like our PCMH expert to contact you to set up a FREE one-on-one meeting to discuss transforming your practice to a PCMH? Yes No If yes, please enter your name, organization, city/county, email and phone number.Name First Last Organization City County Email Phone
