PCMH 6D Factor 1 Must Pass Critical Factor Corporate Survey The practice uses an ongoing quality improvement process to Set goals and analyzes at least three clinical quality measures from Element 6A Documentation Required Report OR PCMH Quality Measurement and Improvement Worksheet Screen Shots, i.e., electronic may be used as 1) examples (system capabilities of an electronic “copy” health record—EHR) 2 materials (Web site resources) 3 reports (logs, patient lists) or 4) records (e.g. documentation of clinical advice in the medical record Report Aggregated data showing evidence Stage 2 Core Meaningful Use Requirement Does the Report include the following? Practice Name De-identified PHI Reporting period current, within the past 12 months Correct time frame (12 months) Report is not future dated Displays numerator, denominator, and percent Text boxes, arrows, or other methods identify important headers/sections Text boxes, arrows, or other methods briefly explain the importance to the elements Does this documentation meet the intent of the factor? Yes No If no, suggestions to meet the intent
PCMH 6D Factor 1 Must Pass Critical Factor Corporate Survey The practice uses an ongoing quality improvement process to Set goals and analyzes at least three clinical quality measures from Element 6A Documentation Required Report OR PCMH Quality Measurement and Improvement Worksheet Screen Shots, i.e., electronic “copy” may be used as 1) examples (system capabilities of an electronic health record—EHR) 2 materials (Web site resources) 3 reports (logs, patient lists) or 4) records (e.g. documentation of clinical advice in the medical record Report Aggregated data showing evidence Stage 2 Core Meaningful Use Requirement Does the Report include the following? Practice Name De-identified PHI Reporting period current, within the past 12 months Correct time frame (12 months) Report is not future dated Displays numerator, denominator, and percent Text boxes, arrows, or other methods identify important headers/sections Text boxes, arrows, or other methods briefly explain the importance to the elements Does this documentation meet the intent of the factor? Yes No If no, suggestions to meet the intent
PCMH-6D-Factor-1.docx