Useful Information for Clinicians

Communication Tools

• Patient Satisfaction Survey Tool
• Diabetic Eye Exam Form
• OB/GYN to PCP Communication
• PCP to Specialist Form
• Specialist to PCP Form
• Medical Orders for Life-Sustaining Treatment (MOLST)

Patient Centered Medical Home

• Robert Wood Johnson Foundation’s Policy paper
• American College Physicians-Running a Successful medical home
• Patient Centered Primary Care Collaborative- Joint Principles of the Patient Centered Medical Home
• CMS EHT Meaningful Use Overview
• Center for Advancement of Health
• Center for Advancement of Health: White Paper on Supporting Patient Engagement in the Patient-Centered Medical Home

• Center for Advancement of Health: Creating a Patient Guide for a “Medical Home” Physician Practice

• NCQA® Physician Practice Connection – Patient Centered Medical Home™
• American Academy of Family Physicians Patient Centered Medical Home Checklist

Medical Record Documentation

• Adult Health History Form
• Adult Preventive Care Flow Sheets
• Asthma Flow Sheet
• CAGE Questionnaire
• Diabetes Flow Sheet
• Diabetes Foot Exam Documentation Sheet
• Problem List and Medication List Form

Medical Record Review

• Ambulatory Medical Record Review Tool
• Ambulatory Medical Record Review Standards

Radiation Safety

• Radiation Safety: Image Gently

Useful Information for Patients

Patient Safety

• Implementing National Safety Goals
• Ask Me Three Patient Brochure - English
• Ask Me Three Patient Brochure - Spanish
• Personal Medication List
• Fall Prevention Brochure
• Fall Risk Assessment and Prevention Planning (Tools from the CDC publication, Preventing Falls: How to Develop Community-based Fall Prevention Programs for Older Adults)

Radiation Safety

• Radiation Safety for Parents: Image Gently
• My Child's Imaging Record
• My Child's Imaging Record Wallet Size
• Radiation Risk Calculator

Helpful Health Forms

• Vermont Health Care Proxy
• Self Management Support Tool