assessment, the care manager/care plan for at 75% of the patients specify the content of the coordinator completes a written care identified as high risk. The care plan care plan in sufficient plan, that includes: must include relevant treatment goals. detail and do not specify J: a medical/social summary a time table for risk factors completing the care plan. treatment with patient-generated goals 2014 NCQA PCMH 4, Element B: Care Do not allow deeming. the barriers to meeting goals plan incorporates the patient family, an action plan for attaining patient’s preferences and functional lifestyle goals goals, identifies treatment goals, 2014 PCMH NCQA a assesses and addresses potential requirements do not barriers to meeting goals, includes a specify a time table for care self-management plan and is given in completing care plans. plan, writing to the Allow deeming patient/family/caregiver. regarding content of a written patient care plan. 2014 NCQA PCMH 4 requires that Separately verify that the 75% of patients on high risk list have a practice is meeting the care plan. timeline. action TCPI: do not allow plan, deeming, as TCPI’s and, if requirements are not sufficiently specific. an
assessment, the care manager/care coordinator completes a written care plan, that includes: a medical/social summary risk factors treatment patient-generated goals barriers to meeting goals an action plan for attaining patient’s goals plan for at 75% of the patients identified as high risk. The care plan must include relevant treatment goals. 2014 NCQA PCMH 4, Element B: Care plan incorporates the patient preferences and functional lifestyle goals, identifies treatment goals, assesses and addresses potential barriers to meeting goals, includes a self-management plan and is given in writing to the patient/family/caregiver. 2014 NCQA PCMH 4 requires that 75% of patients on high risk list have a care plan. specify the content of the care plan in sufficient detail and do not specify a time table for completing the care plan. Do not allow deeming. 2014 PCMH NCQA requirements do not specify a time table for completing care plans. Allow deeming regarding content of written patient care plan. Separately verify that the practice is meeting the timeline. TCPI: do not allow deeming, as TCPI’s requirements are not sufficiently specific. J: with the family, a care plan, a action plan, and, if an
Cost%20Management%20Strategies%20with%20NCQA%20PCMH%20Kids%20crosswalk%2001152016.docx