2014 - PCMH6B

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At least annually, the practice measures or receives quantitative data on:

6.B.1 At least two measures related to care coordination.

NCQA says that measuring adherence to agreements (PCMH 5, Element B) may be used to meet the factor.

NQF also has provided these examples of care coordination measures relevant to pediatrics:

  • Reconciled medication list received by discharged patients (inpatient discharge to home/self-care or any other site of care).
  • Transition record, with specified elements received by discharged patients (inpatient discharge to home/self-care or any other site of care).
  • Timely transmission of transition record (inpatient discharge to home/self-care or any other site of care).
  • Transition record, with specified elements received by discharged patients (emergency department discharges to ambulatory care [home/self-care]).

6.B.2 At least two utilization measures affecting health care costs.

Description Example/Screenshot/Documentation Source Date Added
PCC eRx can report on utilization measure affecting health care costs such as:
  • Utilization of generic vs brand name prescriptions
  • Utilization of non-formulary medications
Using PCC eRx to report on two utilization measures affecting health care costs PCC 07/07/14
Various Reports and Samples. These reports are generated from Partner, the PCC Dashboard, or the PCC EHR Examples TPC 03/25/13