The scored component of a standard that provides details about performance expectations. Approximately,000 practices with 67,000 clinicians are recognized by ncqa. The columns show where meeting 2014 factors meet current criteria and where there are differences. The medical home and integrated behavioral health pediatrics. The practice is involved in external pcmhoriented collaborative activities. Comparison of ncqa 2014 medical home recognition to. Ncqa patientcentered medical home pcmh recognition is the most widely adopted model for transforming primary care practices into medical homes. Appendix 6summary of changes 65 july 25, 2016 2014 pcmh recognition modified the following text to the documentation for factor 3. Patientcentered access 33 november 16, 2015 ncqa patientcentered medical home 2014 element b. Ncqa recognition is granted to the practice sites, as well as the eligible providers practicing at those sites o recognized providers are listed by name on the ncqa website for both patient centered medical home pcmh and patient centered specialty practice pcsp eligible providers include.
Upgrade to the 2011 standards purchase your iss tool and application tool now deadline for submission under 2011 standards is march 31, 2015. Standards and guidelines for ncqas patientcentered. Ncqa s ppcpcmhs medical home standards were first released in 2008 with the second, strengthened version published in 2011 pcmh 2011. Brief history and description of national committee for quality assurance ncqa patientcentered medical home pcmh recognition program vermonts use of ncqa spcmh standards overview of ncqa pcmh 2014 standards highlight ncqa s emphasis on teambased care answer questions you have about integrating pcmh. Ncqa 2014 patientcentered medical home standards and guidelines. Pcmh standards and guidelines version 5 july 30, 2019 tc 03 1 credit external pcmh collaborations. Patient centered medical home toolkit for 2014 ncqa. Some states use ncqas pcmh and pcsp standards to define health home capabilities. A third set of standards was released in 2014 pcmh 2014. Stdelefacdescription summary documentation current product feature supporting this element current product reporting options notes on clinic processes prioritization 1b 3 providing timely clinical advice using a secure, interactive electronic system. Ncqa has included more rigorous standards for behavioral health integration in its updated, 2014 pcmh standards. Number joint commission standards and elements of performance. July 28, 2014 ncqas patientcentered medical home pcmh 2014 the pcmh advisory committee ncqa began planning for the next version of the pcmh standards shortly after the 2011 standards were released. Our staff and other resources are here to ensure that using this toolkit is the first of many productive steps culminating in your practice earning the ncqa pcmh seal.
Pcmh 2017 edition, version 4, is available for download via ncqa s download center. Th e information contained within is based on the ncqa published pcmh standards and guidelines, 2014. Ncqa sets high standards and we want to help you rise to meet them. The final pcmh 2017 standards will include detailed explanations, evidence requirements and relevant examples to guide practices through their recognition.
Crosswalk ncqa 2014 pcmh hrsa 19 requirements meaningful use. Ncqa began planning for the next version of the pcmh standards shortly. A detailed overview of what a practice or clinic needs to know as they pursue their ncqa pcmh recognition. Pcmh 2014 and cms stage 2 meaningful use requirements, may 2014. Enhanced personal health care and 2014 ncqa patient centered medical home pcmh standards and guidelines anthem designed enhanced personal health care to align with ncqa pcmh standards and guidelines. Patientcentered access 2014 pcmh recognition november 21, 2016 ad hoc telephone or email exchanges do not meet the requirement. The practice defines and communicates its role and the patients role in the medical home model of care. Ncqas patientcentered medical home pcmh recognition program is the most widely adopted pcmh evaluation program in the country. Stdelefacdescription summary documentation current product feature supporting this element current product reporting. Ncqa pcmh practices should utilize the ncqa patientcentered medical home pcmh standards and guidelines to ensure that they are choosing the. Use this worksheet when adding and deleting clinicians. Ncqa 2014 pcmh standards focus on teambased care, integration of behavioral health, measuring costs, quality improvement, and care coordination ncqa want practices to understand this is a process, not an event changes reflect evidencebased trends focus on the triple aim require practices to follow standards over time. Patientcentered access 31 july 28, 2014 ncqa patientcentered medical home pcmh 2014 documentation for all factors that require a documented process for staff, the documented process for staff includes a date of implementation or revision and has been in place for at least.
Focus on teambased care, integration of behavioral health, measuring costs, quality improvement, and care coordination. Ncqa pcmh accelerator program 2014 standards measure name provider name satisfaction percentage patients view, download or transmit their health info shawnda hollie, md 49% patients view, download or transmit their health info sigrid corcuera, np 9% patients view, download or transmit their health info sister mary diana dreger, md 41%. Pcmh 2014 standards and guidelines university of new. Ncqa revises their patientcentered medical home standards every three years to align with the evolving healthcare. The future of patientcentered medical homes the john a. November 21, 2016 2014 pcmh recognition ncqa s patientcentered medical home 2014 patientcentered medical homes pcmh transform primary care practices into what patients want. Strategies for achieving pcmh care coordination institute. Qalis healt seteber 2014 stage 2 eligible professional mu and ncqa pcmh 2014 standards page 2 of 9 stage 2 ep mu core measures ncqa pcmh 2014 standards objective measures standard element factors record demographics record the following demographics.
The 2017 standards emphasize a practice wide commitment to sustaining the pcmh transformation, demonstrating patient care and population health management, care coordination and ongoing quality improvement. This guide is designed as a supplemental document and is not a substitute for the pcmh standards and. Ncqa evaluates each element in a standard to determine how well the practice meets the elements requirements. Patientcentered medical home pcmh ncqas patientcentered medical home pcmh recognition program is the most widely adopted pcmh evaluation program in the country. Review the pcmh 2014 corporate credit transition shared credit tables found in the pcmh 2017 standards and guidelines document for details. Ncqa is a nonprofit organization dedicated to improving health care quality. Enhanced personal health care and 2014 ncqa patient. Conversion gives practices the opportunity to move to the pcmh 2014 standards during their current recognition period without submitting a full surveyan attractive option for practices in states that provide higher incentives for pcmh 2014 recognition.
Confidential this document and the information it contains are the confidential information of greenway health. Primary care practices continually strive to achieve higher levels of recognition under more stringent and evolving standards. Patientcentered medical home pcmh crosswalk from ncqa pcmh 2014 the table below compares ncqa s patientcentered medical home pcmh 2014 standards with the current pcmh program requirements. Table 2 sample standards from the 2014 ncqa pcmh recognition program35 and the ahrq integrated behavioral health. The redesigned pcmh 2017 requirements focus on assessing a practices transformation into a medical home and specify goals for improvement. Patientcentered medical home pcmh crosswalk from ncqa. If you are an ncqa pcmh 2014 level 3 practice, you can transition directly.
Standards and guidelines for ncqa patientcentered medical. Patientcentered access 29 november 16, 2015 ncqa patientcentered medical home 2014 pcmh 1. Converting to pcmh 2014 during the recognition period offers a streamlined process to. The pcmh 2014 reference guide for sevocity users has been generated to assist sevocity users with ncqa pcmh guidelines and reporting. At the 20 patientcentered medical home research conference, an. Health information technology hit implementation and behavioral. The practice has a written process and defined standards for providing access to appointments, and regularly assesses its performance on. The levels are represented by points that range from 1 to 12. The pcmh standards focus on identifying best practices and core. A pcmh 2014 standards structure standard statement. Patient centered medical home toolkit for 2014 ncqa standards. Ferrante jm, balasubramannian ba, hudson sv, crabtree bf.
Edition of the ncqa patientcentered medical home program are able to be met. Comparison of ncqa 2014 medical home recognition to 2014. Talbot, ncqa pcmh cce crosswalk ncqa 2014 pcmh hrsa 19 requirements meaningful use pcmh pcmh description hrsa hrsa description mu stage 2 meaningful use report1. Acknowledgments july 28, 2014 ncqa s patientcentered medical home pcmh 2014 the pcmh advisory committee ncqa began planning for the next version of the pcmh standards shortly after the 2011 standards were. Variances are implemented as needed as defined in chapter 0050 in the hch rule. Ncqa s pcmh 2014 standards mpm functionality guide. Garg a, jack b, zuckerman b, addressing the social determinants of health within the patientcentered medical home. Behavioral health integration in patientcentered medical home standards july 29, 2015. The practice has standards for appointment availability. Getting started with ncqa patientcentered medical home. The patientcentered medical home is a model of care that emphasizes care coordination and communication to transform primary care into what patients want it to be. Patientcentered medical home pcmh ncqa s patientcentered medical home pcmh recognition program is the most widely adopted pcmh evaluation program in the country. Care teams use technology and healthmanagement tools to offer patientspecific options and to engage patients as active partners in their care. Ncqa pcmh accelerator program 2014 standards all saint thomas medical providers primary care combined scores providers with pcmh application scheduled measure name satisfaction percentage closing the referral loop.
The higher point values within a level indicate that the actions described in that box are more fully implemented. Ncqa pcmh recognition 2014 12month timeline template. Advancing behavioral health integration within ncqa. Ncqa revises their patientcentered medical home standards every three years to align with the evolving healthcare industry and to address new gaps and. More roadmap than recipe, pcmh standards give practices the freedom to decide the best way to become medical homes, based. Brief history and description of national committee for quality assurance ncqa patientcentered medical home pcmh recognition program vermonts use of ncqaspcmh standards overview of ncqa pcmh 2014 standards highlight ncqas emphasis on teambased care answer questions you have about integrating pcmh. Multisites recognized under pcmh 2011 or pcmh 2014. November 21, 2016 2014 pcmh recognition the pcmh advisory committee ncqa began planning for the next version of the pcmh standards shortly after the 2011 standards were released. Ncqa accredits and certifies a wide range of health care organizations, recognizes physicians and physician groups in key clinical areas and manages the evolution of hedis, the tool the nation. Avoid the rush submit by december 31, 2014 some grant programs require recognition by november 2014. Information on this page is intended for practice that have already earned recognition under the 2014 level 1 or 2 ncqa pcmh standards and are seeking to renew recognition with the new process. If you are an ncqa pcmh 2014 level 3 practice, you can transition directly to annual reporting. Principals of the patientcentered medical home and preventatives services delivery.
Patientcentered medical home 2014 standards frequently asked. Pcmhs get to know patients in longterm partnerships, rather than through hurried, sporadic visits. The work you do for ncqa pcmh recognition can also improve your performance scorecard and shared savings payments as a participant in enhanced personal health care. Ncqa s 2011 and 2014 standards place a heavier focus on integrating health information. Achieving patientcentered medical home recognition. The latest update was released on january 29, 2019. The patient centered medical home concept is an innovative approach to primary care that relies on multidisciplinary teams to provide care centered on patient needs and preferences.
As a team, complete the ncqa medical home assessment tool. For full program requirements and specifics, please refer to the ncqa. Guidance evidence the practice demonstrates that it is involved in at. Pcmh 2011 standards the most recent release of the national committee for quality assurance s ncqa patient centered medical home pcmh standards were released in march, 2014. Patientcentered access ncqa patientcentered medical home pcmh 2014 july 28, 2014 element b. This guide is designed as a supplemental document and is not a substitute for the pcmh standards and guidelines provided by ncqa. Ncqa pcmh recognition is the first and most widely used formal assessment program from a national quality evaluator that results in a designation. Qualis health revised september 2014 change concepts for practice transformation and 2014 ncqa pcmhtm recognition standards page 2 of 23 change concept element 2014 ncqa pcmh standards engaged leadership 1d. From the 2011 release date, we solicited, received and catalogued suggestions for future modifications. Build the practices values on creating a medical home for patients into staff hiring and training processes.
Presentation objectives overview of pcmh ncqa survey. Ncqas ppcpcmhs medical home standards were first released in 2008 with the second, strengthened version published in 2011 pcmh 2011. Patientcentered medical home standards and guidelines. Standards and guidelines for ncqas patientcentered medical. The new york state adirondack medical home demonstration. Patientcentered medical home pcmh 2014 patient centered specialty practice. The work you do for ncqa pcmh recognition can also improve your performance scorecard and shared savings. The final pcmh 2017 requirements will be released when the updated product launches on monday april 3, 2017. From pcmh 2011 to pcmh 2014 this course is designed for any healthcare practices, healthcare decision maker, or consultant to learn about new content areas resulting from the transition from pcmh 2011 standards and guidelines to the current pcmh 2014 standards and guidelines.