2014 PCMH Standards

This wiki serves as an informal repository of PCMH documentation related to the 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.

Most Recently Updated Elements

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PCMH 1: Patient-Centered Access (10 points)

The intent of this standard is:

PCMH 2: Team-Based Care (12 points)

The intent of this standard is:

PCMH 3: Population Health Management (20 points)

The practice uses a comprehensive health assessment and evidence-based decision support based on complete patient information and clinical data to manage the health of its entire patient population.

PCMH 4: Care Management and Support (20 points)

Intent of Standard: The practice systematically identifies individual patients and plans, manages and coordinates care, based on need.

PCMH 5: Care Coordination and Care Transitions (18 points)

The practice systematically tracks tests and coordinates care across specialty care, facility-based care and community organizations.

PCMH 6: Performance Measurement and Quality Improvement (20 points)

The practice uses performance data to identify opportunities for improvement and acts to improve clinical quality, efficiency and patient experience.