2014 - PCMH6D

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The practice uses an ongoing quality improvement process to:

The practice sets goals and acts to improve performance, based on clinical quality measures (measures identified in Element A), resource and care coordination measures (measures identified in Element B) and patient experience measures (measures identified in Element C). The goal is for the practice to reach a desired level of achievement based on its self-identified standard of care. No show rates are not acceptable.

Since for element 6E you need to show improvement on at least three measures, you should pick to report on measures where you have some potential for improvement.

NCQA will review a report showing how you meet each factor, or you can complete NCQA's PCMH Quality Measurement and Improvement Worksheet and submit that.

6.D.1 Set goals and analyze at least three clinical quality measures from Element A.

Description Example/Screenshot/Documentation Source Date Added
CQI Policies and Data Policies, Samples, and Results TPC 03/25/13

6.D.2 Act to improve at least three clinical quality measures from Element A.

6.D.3 Set goals and analyze at least one measure from Element B.

6.D.4 Act to improve at least one measure from Element B.

6.D.5 Set goals and analyze at least one patient experience measure from Element C.

6.D.6 Act to improve at least one patient experience measure from Element C.

6.D.7 Set goals and address at least one identified disparity in care/service for identified vulnerable populations.

The care or service used does not need to be the same as identified in Element 6A or 6C.