Identifies and addresses population-level needs based on the diversity of the practice and the community
Characteristics
COORDINATED
Component
Population health oriented
[SYSTEM LEVEL ONLY]
Measure Concept
Identifies and addresses population-level health concerns based on the diversity of the practice and the community
[SYSTEM LEVEL ONLY]
Descriptions
Identifies and addresses population-level needs based on the diversity of the practice and the community (demonstrate at least two):
A. Target population health management on disparities in care.
B. Address health literacy of the practice staff.
C. Educate practice staff in cultural competence.
The practice recognizes the varied needs of its population and the community it serves, and uses that information to take proactive, health literate, culturally competent approaches to address those needs.
Measure or Standard
Standard
Populations
Not specified or not applicable
Level of Measure
Practice/Health Center
Data Source
Evidence of implementation
Measure Identification
NCQA 2017 PCMH standards
Developer/Steward
National Committee for Quality Assurance (NCQA)
Stage of Development/Use
Accreditation