PCMH Policies & Procedures Guidebook
eBook
Non-Member Price$129.00
Member Price$79.00
Description
This step-by-step resource is essential for understanding the NCQA’s Patient-Centered Medical Home (PCMH) recognition program. This resource is newly revised and aligned with Version 7 of the NCQA's PCMH Standards and Guidelines (Effective January 1, 2022).
Keep informed with the PCMH Policies & Procedures Guidebook: Based on the National Committee for Quality Assurance’s PCMH Standards and Guidelines - eBook.
The goal of the medical home is simple: to obtain the best possible outcomes for patients by coordinating the medical team’s care with available community resources. This care delivery concept is called a patient-centered medical home or PCMH.
This resource can help your organization no matter where it is in the progression of PCMH adoption. Information in this guidebook can assist in refining patient throughput, education and related processes into a highly functional model, or serve as an outline for the first steps on the journey to becoming a medical home. The PCMH recognition means accepting the imperative to be the most effective coordinator of patient care across all care settings, which may include primary, specialty, ancillary, inpatient and community-based services.
The PCMH circle of care also includes the patient’s family, caregivers and the broader community. This eBook can help your organization in applying for and obtaining recognition as a medical home through the National Committee for Quality Assurance (NCQA) PCMH program. This electronic book with customizable policies is based on the NCQA’s PCMH Standards and Guidelines.
A step-by-step guide, this eBook assists your coordination of that journey by providing practical infrastructure in the form of concrete policies and procedures aligned with the NCQA’s PCMH Standards and Guidelines (Version 7: Effective January 1, 2022).
The PCMH Policies & Procedures Guidebook: Based on the National Committee for Quality Assurance’s PCMH Standards and Guidelines - eBook:
- Offers sample policies and procedures for you to reference as you complete the NCQA PCMH recognition process
- Helps the developers of the organization’s policies and procedures to best organize their written documentation at any step in the creation or revision process of a policy and procedure
- Contains samples of policies and procedures you can easily customize, reproduce and implement for your organization
- Features a job description for a PCMH health coach and protocols for holding team huddles
This guidebook provides an effective platform for compliance with “Improvement Activities,” the reporting category for the Merit-based Incentive Payment System (MIPS). Investing in the PCMH Policies & Procedures Guidebook: Based on the National Committee for Quality Assurance’s PCMH Standards and Guidelines - eBook facilitates your practice’s successful participation in MIPS. Medical practices designated as patient-centered medical homes gain full credit for the “Improvement Activity” section.
Table of Contents
PCMH 1: Team-Based Care and Practice Organization
Competency A: Practice Organization
Competency B: Team Communication
Competency C: Medical Home Responsibilities
PCMH 2: Knowing and Managing Your Patients
Competency A: Patient Information Collection
Competency B: Patient Diversity
Competency C: Needs Assessment
Competency D: Medication Safety and Adherence
Competency E: Evidence-based Care
Competency F: Community Resources
Competency G: Additional Patient Collaboration
PCMH 3: Patient-Centered Access and Continuity
Competency A: Patient Access
Competency B: Continuity
PCMH 4: Care Management and Support
Competency A: Patient Identification
Competency B: Care Plan Development
PCMH 5: Care Coordination and Care Transitions
Competency A: Diagnostic Test Results
Competency B: Referrals to Specialists
Competency C: Care Transitions
PCMH 6: Performance Measurement and Quality Improvement
Competency A: Performance Measurement
Competency B: Goals and Actions
Competency C: Performance Reporting
Appendices
APPENDIX: Medical Records Transfer
APPENDIX: The Practice Team
APPENDIX: Job Description for Health Coach
APPENDIX: Care Team Training
APPENDIX: No-Show Rates
APPENDIX: Online Access to Information
APPENDIX: View, Download or Transmit Information
APPENDIX: Clinical Summary
APPENDIX: Patient Information
APPENDIX: Electronic Prescribing
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