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Choosing Criteria for Each Virtual Review

This document contains a suggested path to earning NCQA PCMH Recognition,  including which criteria might be best to demonstrate at earlier and later virtual review sessions. The tables below suggest which criteria a practice might demonstrate for each virtual review. Practices are not required to follow the suggestions. NCQA assumes that the practice has [...]

2019-08-23T10:50:45-04:00August 1st, 2019|

PCMH Concepts – Slides and Recordings

Team-Based Care and Practice Organization (TC) & Patient-Centered Access and Continuity (AC) Training Slides (TC A and B) Webinar Recording Detailed Standards (TC) Training Slides (TC C and AC B) Webinar [...]

2019-08-02T15:18:13-04:00June 28th, 2019|

Timeline and Tasks for PCMH Recognition

One of the most common questions we are asked is, "How long does it take to pursue and apply for NCQA PCMH Recognition?" Similarly, many folks struggle with creating a work plan for PCMH transformation. To help CHC's plan and manage the work of PCMH transformation, we created an all-in-one reference guide for [...]

2019-08-01T19:02:35-04:00May 13th, 2019|

Jump Start Pathway to PCMH Recognition

It can be overwhelming starting the PCMH recognition journey - figuring out which of the 61 elective criteria you will "go for" in your application to NCQA. To help streamline the process, Community Health Solutions evaluated all criteria in the NCQA PCMH Standards & Guidelines. We then considered which elective criteria may be the [...]

2019-08-01T18:46:26-04:00August 6th, 2018|

Core Criteria Implementation Priorities Pathway

There are 40 core/required criteria in the NCQA PCMH Standards and Guidelines. Based on our knowledge of implementation considerations for these criteria, we recommend a priority list pathway (click image to view) . This is not meant to be prescriptive but is one approach for practices to use as they work through implementation [...]

2019-08-01T18:46:18-04:00May 23rd, 2018|

Applying PCMH 2014 Corporate Credits to New Recognition

Organizations who submitted a multi-site application under the 2014 guidelines would have received Corporate Survey Tool credits. These credits were applied across all practice sites pursuing recognition at that time. If your health center now plans to add additional sites and would like to pursue new recognition for one or more sites within your [...]

2019-08-01T18:20:25-04:00March 28th, 2018|

Navigating Q-PASS for Annual Reporting

In this post we provide an update on the PCMH Annual Reporting (Sustaining) process and the ability to renew in Q-PASS under the new annual reporting requirements. NCQA has updated the new Q-PASS system. The system is now ready for you to enroll those sites that are PCMH 2014 Level 3 and expiring in [...]

2019-08-01T18:07:32-04:00October 12th, 2017|

Accelerated Renewal to Redesigned PCMH (2017 – )

Health centers who achieved recognition in PCMH 2011 at Level 1, 2 or 3, or PCMH 2014 at Level 1 or 2 may pursue Accelerated Renewal under the redesigned PCMH program (2017 - ). These practices may attest to meeting certain criteria without providing all the evidence required of practices seeking recognition for the [...]

2019-08-01T18:38:56-04:00August 4th, 2017|

Maintaining PCMH Promising Practices

We always welcome additional ideas. Click here to submit your idea or approach. 1) Designate one team member who owns the PCMH program. This person may not be responsible for all the maintenance tasks but instead may delegate the requirements to other team members. 2) Print off and provide PCMH policy notebooks for [...]

2019-08-01T18:40:17-04:00August 3rd, 2017|

Crosswalk 2014 to the Redesigned PCMH Program

NCQA released a crosswalk of the 2014 Standards to the redesigned PCMH program (version 5, updated 7.31.19). The 2014 Elements and Factors are listed along the left-hand column, next to the corresponding PCMH (v5) criteria, which are similar in intent and requirements.

2019-08-01T18:23:18-04:00June 29th, 2017|