Recognition Redesign: Frequently Asked Questions About Recognition Redesign Why is NCQA Redesigning the PCMH Recognition Program? NCQA is redesigning its PCMH Recognition program! The redesigned program—to be launched March 31, includes ongoing, sustained recognition status with annual check-in and reporting instead of the current program’s three-year recognition cycle. The process offers: Flexibility. Practices take the path to recognition that suits their strengths, schedule and goals. Personalized service. Practices get more interaction with NCQA. Each practice is assigned a Relationship Manager who’ll serve as the primary NCQA contact. User-Friendly approach. Reporting requirements remain meaningful, but with simplified reporting and less paperwork. Continuous improvement. Annual check-ins help practices strengthen as medical homes by reviewing progress and encouraging performance improvement more frequently. The program aligns with current public and private initiatives and can Alignment with changes in health care. adapt to future changes. What feedback has NCQA received that led to these changes? NCQA received the following feedback about the current PCMH Recognition Program that helped shape the redesign. The current recognition process can be too difficult for smaller practices. There needs to be less emphasis on process and more emphasis on performance. Currently there is too much documentation required. Practices want more and ongoing interaction with NCQA representatives. Practices should be demonstrating ongoing quality improvement and ongoing implementation of PCMH principles. There should be more education and guidance for practices. The current process requires the use of two separate, complicated tools. What does the redesigned process look like? The current recognition process requires the practice to guide itself through recognition, submit a large amount of documentation, at which point a practice is recognized for a three-year period and must repeat the process every three years. The recognition process has three parts: Assess. When a practice signs up to work with NCQA, it completes an assessment online. The practice works with their Relationship Manager to develop an evaluation plan and schedule. Transform. Practices gradually transform, building upon their prior success. During this time, they demonstrate progress by submitting documentation and data to be evaluated by NCQA. Practices submit through a new system designed to reduce paperwork and administrative hassles. Along the way, NCQA conducts virtual reviews—check-ins—with the practice to gauge progress and to discuss
Recognition Redesign: Frequently Asked Questions About Recognition Redesign Why is NCQA Redesigning the PCMH Recognition Program? NCQA is redesigning its PCMH Recognition program! The redesigned program—to be launched March 31, ongoing, sustained recognition status with annual check-in and reporting instead of the current program’s three-year recognition cycle. The process offers: Flexibility. Practices take the path to recognition that suits their strengths, schedule and goals. Personalized service. Practices get more interaction with NCQA. Each practice is assigned a Relationship Manager who’ll serve as the primary NCQA contact. User-Friendly approach. Reporting requirements remain meaningful, but with simplified reporting and less paperwork. Continuous improvement. Annual check-ins help practices strengthen as medical homes by reviewing progress and encouraging performance improvement more frequently. Alignment with changes in health care. The program aligns with current public and private initiatives and can adapt to future changes. What feedback has NCQA received that led to these changes? NCQA received the following feedback about the current PCMH Recognition Program that helped shape the redesign. The current recognition process can be too difficult for smaller practices. There needs to be less emphasis on process and more emphasis on performance. Currently there is too much documentation required. Practices want more and ongoing interaction with NCQA representatives. Practices should be demonstrating ongoing quality improvement and ongoing implementation of PCMH principles. There should be more education and guidance for practices. The current process requires the use of two separate, complicated tools. What does the redesigned process look like? The current recognition process requires the practice to guide itself through recognition, submit a large amount of documentation, at which point a practice is recognized for a three-year period and must repeat the process every three years. The recognition process has three parts: Assess. When a practice signs up to work with NCQA, it completes an assessment online. The practice works with their Relationship Manager to develop an evaluation plan and schedule. Transform. Practices gradually transform, building upon their prior success. During this time, they demonstrate progress by submitting documentation and data to be evaluated by NCQA. Practices submit through a new system designed to reduce paperwork and administrative hassles. Along the way, NCQA conducts virtual reviews—check-ins—with the practice to gauge progress and to discuss includes
Recognition%20Redesign%20NCQA%20FAQ.docx