Sets goals and acts to improve performance on at least three categories of clinical quality measures
Characteristics
QUALITY- AND SAFETY-FOCUSED
Component
Continuous quality improvement processes
Measure Concept
Performance assessment and improvement
Descriptions
Sets goals and acts to improve upon at least three measures across at least three of the four categories:
A. Immunization measures.
B. Other preventive care measures.
C. Chronic or acute care clinical measures.
D. Behavioral health measures.
Review and evaluation offer an opportunity to identify and prioritize areas for improvement, analyze potential barriers to meeting goals and plan methods for addressing the barriers. The practice has an ongoing quality improvement strategy and process that includes regular review of performance data and evaluation of performance against goals or benchmarks.
Measures selected for improvement are chosen from the set of measures identified in QI 01. The goal is for the practice to reach a desired level of achievement based on a self-identified standard of care.
The practice may participate in or implement a rapid-cycle improvement process, such as Plan-Do-Study-Act (PDSA), that represents a commitment to ongoing quality improvement. The Institute for Healthcare Improvement is a resource for the PDSA cycle.
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