601 Measure/Standard Results
Characteristic | Title | |||
|---|---|---|---|---|
| COORDINATED | Appropriate dental referrals | Effective communication and monitoring regarding referrals between generalists and specialists | Practice systematically manages referrals | National Committee for Quality Assurance (NCQA) |
| COORDINATED | Appropriate dental referrals | Effective communication and monitoring regarding referrals between generalists and specialists | Works with nonbehavioral healthcare specialists to whom the practice frequently refers to set expectations for information sharing and patient care | National Committee for Quality Assurance (NCQA) |
| COORDINATED | Appropriate dental referrals | Use of clinical protocols for referral determination | Uses clinical protocols to determine when a referral to a specialist is necessary | National Committee for Quality Assurance (NCQA) |
| COORDINATED | Community-connected | Effective communication connecting patients with community supports | Engages with schools or intervention agencies in the community | National Committee for Quality Assurance (NCQA) |
| COORDINATED | Community-connected | Effective communication connecting patients with community supports | Has regular case conferences involving parties outside the practice team (e.g., community supports, specialists) | National Committee for Quality Assurance (NCQA) |
| COORDINATED | Community-connected | Effective communication connecting patients with community supports | Routinely maintains a current community resource list based on the needs of the population served | National Committee for Quality Assurance (NCQA) |
| COORDINATED | Dental-medical coordination | Coordinated dental-medical patient records [SYSTEM LEVEL ONLY] | Care plan is integrated and accessible across settings of care | National Committee for Quality Assurance (NCQA) |
| COORDINATED | Dental-medical coordination | Effective communication and monitoring regarding referrals between dental and medical providers | Considers available performance information on consultants/specialists when making referrals | National Committee for Quality Assurance (NCQA) |
| COORDINATED | Dental-medical coordination | Effective communication and monitoring regarding referrals between dental and medical providers | Documents co-management arrangements in the patient's medical record | National Committee for Quality Assurance (NCQA) |
| COORDINATED | Dental-medical coordination | Effective communication and monitoring regarding referrals between dental and medical providers | Has regular case conferences involving parties outside the practice team (e.g., community supports, specialists) | National Committee for Quality Assurance (NCQA) |
| COORDINATED | Dental-medical coordination | Effective communication and monitoring regarding referrals between dental and medical providers | Monitors the timeliness and quality of the referral process | National Committee for Quality Assurance (NCQA) |
| COORDINATED | Dental-medical coordination | Effective communication and monitoring regarding referrals between dental and medical providers | Practice systematically manages referrals | National Committee for Quality Assurance (NCQA) |
| COORDINATED | Dental-medical coordination | Medical to dental referrals [SYSTEM LEVEL ONLY] | Contacts patients/families/caregivers for follow-up care, if needed, within an appropriate period following a hospital admission or emergency department visit | National Committee for Quality Assurance (NCQA) |
| COORDINATED | Population health oriented [SYSTEM LEVEL ONLY] | Identifies and addresses population-level health concerns based on the diversity of the practice and the community [SYSTEM LEVEL ONLY] | Identifies and addresses population-level needs based on the diversity of the practice and the community | National Committee for Quality Assurance (NCQA) |
| COORDINATED | Population health oriented [SYSTEM LEVEL ONLY] | Identifies and addresses population-level health concerns based on the diversity of the practice and the community [SYSTEM LEVEL ONLY] | Identifies the predominant conditions and health concerns of the patient population | National Committee for Quality Assurance (NCQA) |
| COORDINATED | Population health oriented [SYSTEM LEVEL ONLY] | Identifies and addresses population-level health concerns based on the diversity of the practice and the community [SYSTEM LEVEL ONLY] | Understands social determinants of health for patients, monitors at the population level and implements care interventions based on these data | National Committee for Quality Assurance (NCQA) |
| COORDINATED | Population health oriented [SYSTEM LEVEL ONLY] | Identifies and addresses population-level health concerns based on the diversity of the practice and the community [SYSTEM LEVEL ONLY] | Uses information on the population served by the practice to prioritize needed community resources | National Committee for Quality Assurance (NCQA) |
| COORDINATED | Population health oriented [SYSTEM LEVEL ONLY] | Proactively identifies populations of patients and educates them about needed care [SYSTEM LEVEL ONLY] | Proactively and routinely identifies populations of patients and reminds them, or their families/caregivers about needed services | National Committee for Quality Assurance (NCQA) |
| Measures Not Included in PCDH Framework | Not applicable | Financing | Rate Trend | National Committee for Quality Assurance (NCQA) |
| Measures Not Included in PCDH Framework | Not applicable | Lab and imaging test tracking and follow-up | Practice systematically manages lab and imaging tests | National Committee for Quality Assurance (NCQA) |