The care management/care coordination 2011 NCQA PCMH 1, Element G NCQA: Allow deeming x resources participate in relevant requires the practice to use a team to care meetings to assure provide a range of patient care TCPI: do not allow J: care is provided to high-risk services. deeming, as the patients. requirement is too the 2014 NCQA PCMH 2, Element D general. health For pediatric practices, participants in (Must Pass) requires that the practice care practice-initiated team meetings may uses a team to provide a range of team include primary care and specialist patient services by holding a providers, school liaisons, behavioral scheduled patient care team meeting health providers, developmental or structured communication process specialists, government support program focused on individual patient care representatives (e.g., SSI), and social (Factor 3, CRITICAL factor). NCQA service agency representatives. Explanation states that all clinical staff of are members of the team. health care this
The care management/care coordination resources participate in relevant care meetings to assure care is provided to high-risk patients. For pediatric practices, participants in practice-initiated team meetings may include primary care and specialist providers, school liaisons, behavioral health providers, developmental specialists, government support program representatives (e.g., SSI), and social service agency representatives. 2011 NCQA PCMH 1, Element G requires the practice to use a team to provide a range of patient care services. 2014 NCQA PCMH 2, Element D (Must Pass) requires that the practice uses a team to provide a range of patient services by holding a scheduled patient care team meeting or structured communication process focused on individual patient care (Factor 3, CRITICAL factor). NCQA Explanation states that all clinical staff are members of the team. NCQA: Allow deeming TCPI: do not allow deeming, as the requirement is too general. J: the health care team of health care this x
Cost%20Management%20Strategies%20with%20NCQA%20PCMH%20Kids%20crosswalk%2001152016.docx