Patient-Centered Medical Home
The Patient-Centered Medical Home (PCMH) recognition program is a model for achieving excellence in patient care. This national model for practice transformation helps practices improve in areas of patient-centeredness, access, communication, care coordination, quality, and efficiency.
The PCMH model has shown promising improvements in quality of care as well as patient and caregiver experience while showing reductions in unnecessary hospital and emergency department use.
- Enhanced Access to and Continuity of Care for Patients
- Managed Patient Populations
- High Levels of Coordinated Care
- Patient Empowerment and Care Ownership
- Managed Care for Patients
- Increase in Practice Performance and Efficiency
- Earn full points in the Improvement Activities category of the Merit-Based Incentive Payment System (MIPS) under MACRA/QPP.
Why Pursue PCMH?
The PCMH model emphasizes team-based care, communication and coordination, which has been shown to lead to better care.
Many payers acknowledge PCMH Recognition as a hallmark of High-quality care. As a result, many payers provide incentives for NCQA-Recognized practices.
The PCMH model is associated with better staff satisfaction. One analysis found implementation of NCQA PCMH Recognition to increase staff work satisfaction while reported staff burnout decreased by more than 20%.1
1 Reid, Robert (2015). Transforming Primary Care: Evaluating the Spread of Group Health’s Medical Home. Retrieved from https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-reid.pdf
A Hartford Foundation study found that the PCMH model resulted in a better experience for patients, with 83% of patients saying being treated in a PCMH improved health.1
1 Langston C, Undem T, Dorr D. (2014). Transforming Primary Care What Medicare Beneficiaries Want and Need from Patient – Centered Medical Homes to Improve Health and Lower Costs. Hartford Foundation.
The PCMH model has been shown to help better manage patients’ chronic conditions.
As more emphasis is placed on value-based care, many state and Federal programs are embracing the patient-centered model of care.
PCMH Recognition is associated with lower overall health care costs.
PCMHs emphasize the use of health information technology and after-hours access to improve overall access to care when and where patients need it.
What we do for you:
- Complete extensive gap analysis
- Customize tools and consultation for your unique Rural Health Clinic
- Assist in implementation of new procedures and policies
- Attend all check-ins in person
- Feedback on all documentation and reports
- Customize timeline for a stress free submission process
- Provide education and resources
- Provide consultation and advice on overcoming barriers for transformation and renewal processes.
- Assist with achieving and maintaining NCQA’s PCMH Recognition.
- As part of maintaining your PCMH recognition, each year your practice will undergo an Annual Reporting process.
- You will attest to continuing to meet PCMH criteria and submit data and some documentation.
- This process is not as involved as initial recognition, but it maintains a practice’s recognition and encourages continuous improvement.
- NCQA – Annual Reporting