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This is the first of several resources MCN is developing to aid health centers in addressing the unique healthcare needs of migrant patients within the Patient Centered Medical Home. In addition, MCN is developing tools and resources health centers can utilize as they seek PCMH recognition.

Open Access means that patients can get same-day appointments for acute care needs and rapid access to routine care needs. This resource describes what Open Access looks like for migrant patients.

NCQA Standard 1: Enhance Access and Continuity; Element A: Access During Office Hours

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To document fair employment practices.
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To define a process for accepting verbal or telephone orders and test results directly from physicians, physician extenders (Physician Assistants, Nurse Midwives, Nurse Practitioners), labs and/or testing services.

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The purpose of the Patient Discharge from Practice Policy is to direct a mechanism for review of cases where there is a serious breech in the responsibility of a patient to Cherry Street Health Services. The reviewers consist of the Medical Director and/or Dental Director and the Provider involved and any other staff involved in the case. The group may recommend a remedy, which may include the termination of the patient from the health center practice.

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To provide for a consistent method of telephone medical management by the Registered Nurse.

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Manage changes in a rational and predictable manner so that staff and clients can plan accordingly.

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Clinic policy detailing the informed consent process.
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The purpose of this policy is to define the reasons for patients being terminated from the practice and to describe the termination process. This policy statement can be downloaded and modified for use in other health centers.

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This policy is created to outline the process for the management of difficult patients. This includes those who are perceived to be difficult with respect to recurrent hostile behavior, inappropriate use of __HC services, excessive non-compliance, inappropriate use of controlled substances, or other patterns of behavior that represent excessive lack of respect or responsibility on the part of the patient.

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Clinic policy on patient flow.
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To delineate consistent guidelines for the creation, dissemination, and amendment of policies.

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To guarantee that there is not any wage discrimination based on race, color, sex, religion, national origin, age, disability, pregnancy, sexual orientation, HIV / AIDS status and/or status a veteran or member of the armed services, between staff members who are performing comparable duties
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To safeguard financial resources by authorizing only certain individuals to sign contracts on behalf of the organization.

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