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The following short survey should take approximately 5 (Montana Office of the Commissioner of Securities and Insurance, Montana State Auditor)

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The following short survey should take approximately 5 minutes to complete.
Montana Primary Care Provider Survey
To Montana Primary Care Providers:
The Montana Patient-Centered Medical Home Program is conducting a survey of providers not yet qualified in the program to learn
more about your understanding, experiences and questions regarding PCMH. Your answers to the eleven questions below will help
the CSI and stakeholder council develop strategies to assist non-participating clinics. Thank you in advance for your time and
participation.
What is a PCMH?
A patient-centered medical home is a team of healthcare professionals that transform their focus from treating illness to keeping
patients healthy. A PCMH utilizes a “team” of primary care providers to coordinate all aspects of a patient’s health. The care team
engages the patient as an active participant in their healthcare. PCMHs leverage technology to identify gaps in care for better disease
prevention and management.
Background
In April 2013, the Montana PCMH law was passed by the Montana Legislature. A PCMH healthcare provider must apply for
qualification and receive approval from the Commissioner of Securities and Insurance before promoting itself as a medical home and
receiving enhanced reimbursement from insurers and Medicaid. As of April 2016, there are 64 Montana PCMH clinics.
More information is available here: http://csimt.gov/issues-reports/pcmh/
Practice site Manager
Name of Practice
Address
Address 2
City/Town
MT
ZIP/Postal Code
Email Address
Phone Number
1. Clinic Information
Comments
2. What is your level of knowledge about Patient-Centered Medical Homes?
High
Medium
Low
None
Comments
3. Are you aware of the efforts of the PCMH Stakeholders Council administered by the Commissioner of
Securities and Insurance?
Yes
No
Other (please specify)
4. Have you considered how PCMH can be adopted in your practice?
Yes
Somewhat
No
Other
5. What resources would be helpful for pursuing Montana PCMH recognition?
Webinars
Conference calls with expert
Online resources for practice transformation
Peer to peer learning with Montana PCMH providers
1 2 3
Purchasing or upgrading
an electronic medical
record
Obtaining a data registry
for quality improvement
Meeting Meaningful Use
requirements
Managing quality
outcomes more
effectively
Coordinating care with
specialists
Addressing revenue
gaps
Staffing needs and skill
development
6. Please rank the top three needs for your practice and/or patients in the next three years. (1=top priority)
Other
7. What barriers (internal or external) do you face to starting the PCMH transformation process?
Lack of reimbursement
Staffing limitations
Technology challenges
8. Is your practice working toward PCMH accreditation?
NCQA
AAAHC (Accreditation Association for Ambulatory Health Care)
Joint Commission
No
9. Which best describes your location?
Mostly rural
Small town <15,000
Larger town 15,000-30,000
Small city 30,000-50,000
Metropolitan Statistical Are >50,000
10. Approximately how many patients are in your total practice panel?
<1,000
1,000-2,500
2,501-4,000
4,001-8,000
8,001-10,000
10,000 +
11. Would you like to be contacted with more information on The Montana PCMH Program?
Yes
No
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Completed 13 August 2020

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