Achieving NCQA PCMH Recognition: A toolkit for practices seeking to apply

Achieving NCQA PCMH Recognition: A toolkit for practices seeking to apply

A collaborative venture of Florida and Illinois sought to provide direct technical assistance to child-serving practices working to achieve NCQA Patient-Centered Medical Home (PCMH) recognition in an effort to gain a better understanding of the resources and effort necessary for practices to achieve PCMH recognition, identify transformation areas and processes that are the most challenging for individual practices, develop key resources/tools to share with future practices, and inform the medical community and federal and state policy makers of needed resources. The NCQA PCMH Recognition Toolkit was assembled to share more broadly with practices considering applying for recognition the tools created through this work.

Here is a link to the full Toolkit (zipped file).

Documentation Examples:

PCMH 1- Patient-Centered Access

Element A- Patient-Centered Appointment Access

Element B- 24-7 Access to Clinical Advice

Element C- Electronic Access

PCMH 2- Team-Based Care

Element A- Continuity

Element B- Medical Home Responsibilities

Element C- Culturally and Linguistically Appropriate Services

Element D- The Practice Team

PCMH 3- Population Health Management

Element A- Patient Information

Element B- Clinical Data

Element C- Comprehensive Health Assessment

Element D- Use Data for Population Management

Element E – Implement Evidence Based Decision Support

PCMH 4- Provide Self-Care Support and Community Resources

Element A- Care Management and Support

Element B- Care Planning and Self-Care Support

Element C- Medication Management

Element D- Use Electronic Prescribing

Element E- Supports Self Care and Decision Making

PCMH 5- Care Coordination and Transitions

Element A- Care Coordination and Care Transitions

Element B- Referral Tracking and Follow Up

Element C- Coordinate Care Transitions

PCMH 6- Performance Measurement and Quality Improvement

Element A- Performance Measurement and Quality Improvement

Element B- Measure Resource Use and Care Coordination

Element C- Measure Patient-Family Experience

Element D- Implement Quality Improvement

Element E- Demonstrate Quality Improvement

Element F- Report Performance

Other Documentation Examples:

Internal Documentation Checklists:

PCMH 1

PCMH 2

PCMH 3

PCMH 4

PCMH 5

PCMH 6

Other Internal Documentation Checklists:

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