Documents an up-to-date problem list for each patient with current and active diagnoses
Characteristics
COMPREHENSIVE
Component
Prevention and wellness focused
Measure Concept
Dental/medical history completeness
Descriptions
Up-to-date means that the most recent diagnoses - ascertained from previous records, transfer of information from other providers, diagnosis by the clinician, or by querying the patient - are added to the problem list. Report shows patients with updated problem list at least annually.
The patient's active problem list or diagnoses should include acute and chronic conditions, behavioral health diagnoses and oral health issues, as well as past diagnoses that are relevant to the patient's current care. Implementing KM 01 is a foundation for understanding health risks.
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