QUESTIONS WITH SOLUTIONS GRADED A+
◉ Physician Practice Connections- Patient Centered Medical Home(
PPC-PCMH). Answer: the first PCMH model implemented the joint
principles emphasizing:
- ongoing relationship with personal physician
- team based care
- whole person orientation
- care coordination and integration
- focus on quality, safety and enhanced access
◉ PCMH 2011. Answer: -explicitly incorporated health information
meaningful use criteria
- added content and examples for pediatric practices on parental decision
making, appropriate immunizations, teen privacy and other issues
- added voluntary distinction for practices that participate in the CAHPS
PCMH survey of patient experience and submit data to NCQA
- added content and examples for behavioral healthcare
◉ PCMH 2014. Answer: - more integration of behavioral healthcare
- additional emphasis on team based care
- focus care management for high need populations
,- encourage involvement of patients and families i QI activities
- alignment of QI activities with the triple aim: improved quality, cost
and experience of care
- alignment with health information technology meaningful use stage 2
◉ New Recognition Process Offers:. Answer: 1. flexibility
2. personalized service
3. user friendly approach
4. continuous improvement
5. alignment with changes in health care
◉ new format for articulating PCMH standards. Answer: concepts,
competencies and criteria
◉ Concept. Answer: brief title describing the criteria, uses a 2 letter
abbreviation
◉ Competencies. Answer: a brief description of the criteria subgroup.
Practices are not scored at this level.
◉ Criteria. Answer: a brief statement highlighting PCMH requiremnts.
Scorable aspects of a concept.
, ◉ Achieving recognition. Answer: 40 criteria and earn 25 credits in
elective criteria across 5 of the 6 concepts
◉ Virtual review. Answer: practice present evidence of implementation
in other ways and "tells the story" of their PCMH transformation
◉ Annual Reporting. Answer: PCMH 2014 Level 3 are eligible for the
Annual Reporting renewal phase. Each year, the practice shows NCQA
that its ongoing activities are consistent with the PCMH model of care.
◉ Six Concepts. Answer: 1. Team based care and practice organization (
TC)
2. Knowing and managing your patients (KM)
3. Patient Centered Access and Continuity ( AC)
4. Care Management and Support ( CM)
5. Care Coordination and Care Transitions ( CC)
6. Performance Measurement and Quality Improvement ( QI)
◉ Team based care and practice organization ( TC). Answer: The
practice provides continuity of care; communicates its roles and
responsibilities
to patients/families/caregivers; and organizes and trains staff to work to
the top of