PCMH CCE | 121 QUESTIONS AND ANSWERS | 2026 NEW UPDATE | WITH COMPLETE
SOLUTION
Physician practice connections 2003 - (ANSWER)This PCMH precursor recognized use of systematic
processes and health IT to:
-know and use patient history
-follow up with patients and other providers
- manage patient populations and use evidence-based care
- employ electronic tools to prevent medical errors
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
,PCMH CCE | 121 QUESTIONS AND ANSWERS | 2026 NEW UPDATE | WITH COMPLETE
SOLUTION
- 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)
, PCMH CCE | 121 QUESTIONS AND ANSWERS | 2026 NEW UPDATE | WITH COMPLETE
SOLUTION
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
their license to provide patient-centered care as part of the medical home.
Knowing and Managing Your
Patients (KM) - (ANSWER)The practice captures and analyzes information about the patients and
community it
serves, and uses the information to deliver evidence-based care that supports
population needs and provision of culturally and linguistically appropriate services
Patient-Centered Access and
Continuity (AC) - (ANSWER)The PCMH model expects continuity of care. Patients/families/caregivers
have 24/7
access to clinical advice and appropriate care facilitated by their designated
clinician/care team and supported by access to their medical record. The practice
considers the needs and preferences of the patient population when establishing
and updating standards for access.
Care Management and
Support (CM) - (ANSWER)The practice identifies patient needs at the individual and population levels
to
effectively plan, manage and coordinate patient care in partnership with
SOLUTION
Physician practice connections 2003 - (ANSWER)This PCMH precursor recognized use of systematic
processes and health IT to:
-know and use patient history
-follow up with patients and other providers
- manage patient populations and use evidence-based care
- employ electronic tools to prevent medical errors
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
,PCMH CCE | 121 QUESTIONS AND ANSWERS | 2026 NEW UPDATE | WITH COMPLETE
SOLUTION
- 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)
, PCMH CCE | 121 QUESTIONS AND ANSWERS | 2026 NEW UPDATE | WITH COMPLETE
SOLUTION
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
their license to provide patient-centered care as part of the medical home.
Knowing and Managing Your
Patients (KM) - (ANSWER)The practice captures and analyzes information about the patients and
community it
serves, and uses the information to deliver evidence-based care that supports
population needs and provision of culturally and linguistically appropriate services
Patient-Centered Access and
Continuity (AC) - (ANSWER)The PCMH model expects continuity of care. Patients/families/caregivers
have 24/7
access to clinical advice and appropriate care facilitated by their designated
clinician/care team and supported by access to their medical record. The practice
considers the needs and preferences of the patient population when establishing
and updating standards for access.
Care Management and
Support (CM) - (ANSWER)The practice identifies patient needs at the individual and population levels
to
effectively plan, manage and coordinate patient care in partnership with
