Uses information on the population served by the practice to prioritize needed community resources
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
The practice identifies needed resources by assessing collected population information. Practice may assess social determinants, predominant conditions, emergency department usage and other health concerns to prioritize community resources (e.g., food banks, support groups) that support the patient population.
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