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| This wiki serves as an informal repository of PCMH documentation related to the 2011 PCMH Standards. Much of the content here comes from PCC clients who have generously allowed us to use their material. Nothing in this wiki is official PCC documentation and should be used at your own risk. | | This wiki serves as an informal repository of PCMH documentation related to the 2011 and 2014 PCMH Standards. Much of the content here comes from PCC clients who have generously allowed us to use their material. Nothing in this wiki is official PCC documentation and should be used at your own risk. |
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| {| style="float: right; border:2px solid #616F7C;background-color:whitesmoke;padding:2px;width:30%;margin: 0 auto 1em auto;"
| | On March 24, 2014 NCQA released a set of new 2014 Standards. These new standards can now be reviewed and downloaded from NCQA's web site. As of June 30, 2014 you can no longer purchase the 2011 survey tools from NCQA. If you have purchased the 2011 survey tool and plan to submit your application to NCQA before the 3/31/15 deadline, you should refer to PCC's 2011 PCMH resources below. Otherwise, please refer to the 2014 PCMH resources: |
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| ==PCMH 1: Enhance Access and Continuity (20 points)==
| | [http://pcmh.pcc.com/index.php/2011_Main 2011 PCMH Standards] |
| | | [http://pcmh.pcc.com/index.php/2014_Main 2014 PCMH Standards] |
| The intent of this standard is:
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| * Patients have access to routine/urgent care and clinical advice during/after hours that is culturally and linguistically appropriate.
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| * Patients have electronic access
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| * Clinician selected by patient
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| * Team based Care - trained staff
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| ===[[PCMH1A|PCMH1A - Access During Office Hours (4 points) ('''Must Pass''')]]===
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| ===[[PCMH1B|PCMH1B - After-hours access (4 points)]]===
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| ===[[PCMH1C|PCMH1C - Electronic Access (2 points)]]===
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| ===[[PCMH1D|PCMH1D - Continuity (2 points)]]===
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| ===[[PCMH1E|PCMH1E - Medical Home Responsibilities (2 points)]]===
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| ===[[PCMH1F|PCMH1F - Culturally and Linguistically Appropriate Services (2 points)]]===
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| ===[[PCMH1G|PCMH1G - The Practice Team (4 points)]]===
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| ==PCMH 2: Identify and Manage Patient Populations (16 points)==
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| The intent of this standard is:
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| * Electronic systems have searchable fields for demographic and clinical data
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| * Patients receive documented comprehensive health assessments
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| * Electronic systems used to identify patients who need services
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| ===[[PCMH2A|PCMH2A - Patient Information (3 points)]]===
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| ===[[PCMH2B|PCMH2B - Clinical Data (4 points)]]===
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| ===[[PCMH2C|PCMH2C - Comprehensive Health Assessment (4 points)]]===
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| ===[[PCMH2D|PCMH2D - Use Data for Population Management ('''Must Pass''') (5 points)]]===
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| ==PCMH 3: Plan and Manage Care (17 points)==
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| The practice systematically identifies individual patients and plans, manages and coordinates their care based on their condition and needs and on evidence-based guidelines.
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| ===[[PCMH3A|PMCH3A - Implement Evidence-Based Guidelines (4 points)]]===
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| ===[[PCMH3B|PMCH3B - Identify High Risk Patients (3 points)]]===
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| ===[[PCMH3C|PMCH3C - Care Management ('''Must Pass''') (4 points)]]===
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| ===[[PCMH3D|PMCH3D - Medication Management (3 points)]]===
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| ===[[PCMH3E|PMCH3E - Use Electronic Prescribing (3 points)]]===
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| ==PCMH 4: Provide Self-Care Support and Community Resources (9 points)==
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| Intent of Standard: The practice acts to improve patients' ability to manage their health by providing a selfcare
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| plan, tools, educational resources and ongoing support.
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| ===[[PCMH4A|PMCH4A - Support Self-Care Process ('''Must Pass''') (6 points)]]===
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| ===[[PCMH4B|PMCH4B - Provide Referrals to Community Resources (3 points)]]===
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| ==PCMH 5: Track and Coordinate Care (18 points)==
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| The practice systematically tracks tests and coordinates care across specialty care, facility-based care and community organizations.
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| ===[[PCMH5A|PMCH5A - Test Tracking and Follow-Up (6 points)]]===
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| ===[[PCMH5B|PMCH5B - Referral Tracking and Follow-Up ('''Must Pass''') (6 points)]]===
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| ===[[PCMH5C|PMCH5C - Coordinate With Facilities and Care Transitions (6 points)]]===
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| ==PCMH 6: Measure and Improve Performance (20 points)==
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| The practice uses performance data to identify opportunities for improvement and acts to improve clinical quality, efficiency and patient experience.
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| ===[[PCMH6A|PMCH6A - Measure Performance (4 points)]]===
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| ===[[PCMH6B|PMCH6B - Measure Patient/Family Experience (4 points)]]===
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| ===[[PCMH6C|PMCH6C - Implement Continuous Quality Improvement ('''Must Pass''') (4 points)]]===
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| ===[[PCMH6D|PMCH6D - Demonstrate Continuous Quality Improvement (3 points)]]===
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| ===[[PCMH6E|PMCH6E - Report Performance (3 points)]]===
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| ===[[PCMH6F|PMCH6F - Report Data Externally (2 points)]]===
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This wiki serves as an informal repository of PCMH documentation related to the 2011 and 2014 PCMH Standards. Much of the content here comes from PCC clients who have generously allowed us to use their material. Nothing in this wiki is official PCC documentation and should be used at your own risk.
On March 24, 2014 NCQA released a set of new 2014 Standards. These new standards can now be reviewed and downloaded from NCQA's web site. As of June 30, 2014 you can no longer purchase the 2011 survey tools from NCQA. If you have purchased the 2011 survey tool and plan to submit your application to NCQA before the 3/31/15 deadline, you should refer to PCC's 2011 PCMH resources below. Otherwise, please refer to the 2014 PCMH resources:
2011 PCMH Standards
2014 PCMH Standards