2014 NCQA PCMH 1, Element NCQA 2014: Allow deeming. NCQA A, Factor 6 requires practices to act identified opportunities TCPI: “on to improve access.” The Allow partial deeming if Phase Explanation for Factor 6 states: 2 H is met. Separately verify The practice may participate in that PDSA cycles are designed or implement a to assess and improve the improvement process, such as effectiveness of its programs to Plan-Do-Study-Act (PDSA), expand access. that represents a commitment to ongoing quality Allow deeming once Phase 4. improvement and goes beyond A milestone is achieved. goals and taking action. The practice must perform at least 2 of the following functions: The practice has created a secure web portal 2011 NCQA PCMH 1, Element NCQA: Allow deeming. Hannah x x x that enables patients to: C, Factors 5 and 6 requires notes: send and receive secure messaging practices to have electronic TCPI: N/A did not request appointments access, including requesting require. request referrals appointments or prescription NCQA request prescription refills refills (Factor 5) and referrals or review lab and imaging results test results (Factor 6). The practice clearly communicates to patients 2014 NCQA PCMH 1, Element that the portal should not be used for urgent C, Factor 6: Patients can request matters and that patients should call the practice appointments, prescription under such circumstances. refills, referrals and test results; this is also a core meaningful use requirement The practice has expanded office hours so 2011 NCQA PCMH 1, Element The 2011 and 2014 NCQA x x Hannah that services are available at least two BG, Factor 2 requires practices standards are not specific mornings or two evenings a week for a to provide access to routine and regarding expanded office did not hours.
2014 NCQA PCMH 1, Element A, Factor 6 requires practices to act “on identified opportunities to improve access.” The Explanation for Factor 6 states: The practice may participate in or implement a improvement process, such as Plan-Do-Study-Act (PDSA), that represents a commitment to ongoing quality improvement and goes beyond goals and taking action. NCQA 2014: Allow deeming. TCPI: Allow partial deeming if Phase 2 H is met. Separately verify that PDSA cycles are designed to assess and improve the effectiveness of its programs to expand access. Allow deeming once Phase 4. A milestone is achieved. NCQA The practice must perform at least 2 of the following functions: The practice has created a secure web portal that enables patients to: send and receive secure messaging request appointments request referrals request prescription refills review lab and imaging results The practice clearly communicates to patients that the portal should not be used for urgent matters and that patients should call the practice under such circumstances. 2011 NCQA PCMH 1, Element C, Factors 5 and 6 requires practices to have electronic access, including requesting appointments or prescription refills (Factor 5) and referrals or test results (Factor 6). 2014 NCQA PCMH 1, Element C, Factor 6: Patients can request appointments, prescription refills, referrals and test results; this is also a core meaningful use requirement NCQA: Allow deeming. TCPI: N/A Hannah notes: did not require. NCQA x x x The practice has expanded office hours so that services are available at least two mornings or two evenings a week for a 2011 NCQA PCMH 1, Element BG, Factor 2 requires practices to provide access to routine and The 2011 and 2014 NCQA standards are not specific regarding expanded office hours. Hannah did not x x
Cost%20Management%20Strategies%20with%20NCQA%20PCMH%20Kids%20crosswalk%2001152016.docx