Has regular case conferences involving parties outside the practice team (e.g., community supports, specialists)
Characteristics
COORDINATED
Component
Community-connected
Measure Concept
Effective communication connecting patients with community supports
Descriptions
The practice uses "case conferences" to share information and discuss care plans for high-risk patients with clinicians and others outside its usual care team.
Case conferences are planned, multidisciplinary meetings with community organizations or specialists to plan treatment for complex patients.
Measure or Standard
Standard
Populations
Not specified or not applicable
Level of Measure
Practice/Health Center
Data Source
Documented process; Evidence of implementation
Measure Identification
NCQA 2017 PCMH standards
Developer/Steward
National Committee for Quality Assurance (NCQA)
Stage of Development/Use
Accreditation