Download Summary of PCMH Scoring

Appendix 1
PCMH 2014 Scoring
NCQA Patient-Centered Medical Home 2014
March 24, 2014
Appendix 1—PCMH 2014 Scoring
1-1
APPENDIX 1
PCMH 2014 SCORING
Scoring Summary
Recognition Levels
Level 1
Level 2
Level 3
Required Points
35–59 points
60–84 points
85–100 points
Must-Pass Elements
 6 of 6 elements are required for each level
 Score for each Must-Pass element must be ≥ 50%
100 Points, 27 Elements, 6 Must-Pass Elements
Points
Standard/Element
Must-Pass = 50%
Score
10
4.5
3.5
2
PMCH 1: Patient-Centered Access
Element A Patient-Centered Appointment Access
Element B 24/7 Access to Clinical Advice
Element C Electronic Access
12
3
2.5
2.5
4
PMCH 2: Team-Based Care
Element A Continuity
Element B Medical Home Responsibilities
Element C Culturally and Linguistically Appropriate Services (CLAS)
Element D The Practice Team
20
3
4
4
5
4
PCMH 3: Population Health Management
Element A Patient Information
Element B Clinical Data
Element C Comprehensive Health Assessment
Element D Use Data for Population Management
Element E Implement Evidence-Based Decision Support
20
4
4
4
3
5
PCMH 4: Care Management and Support
Element A Identify Patients for Care Management
Element B Care Planning and Self-Care Support
Element C Medication Management
Element D Use Electronic Prescribing
Element E Support Self-Care and Shared Decision Making
18
6
6
6
PCMH 5: Care Coordination and Care Transitions
Element A Test Tracking and Follow-Up
Element B Referral Tracking and Follow-Up
Element C Coordinate Care Transitions
March 24, 2014
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NCQA Patient-Centered Medical Home 2014
1-2
Appendix 1—PCMH 2014 Scoring
Points
20
3
3
4
4
3
3
Not Scored
Standard/Element
PMCH 6: Performance Measurement and Quality Improvement
Element A Measure Clinical Quality Performance
Element B Measure Resource Use and Care Coordination
Element C Measure Patient/Family Experience
Element D Implement Continuous Quality Improvement
Element E Demonstrate Continuous Quality Improvement
Element F Report Performance
Element G Use Certified EHR Technology
NCQA Patient-Centered Medical Home 2014
Must-Pass = 50%
Score
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March 24, 2014