601 Measure/Standard Results
Characteristic | Title | |||
|---|---|---|---|---|
| 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) |
| Measures Not Included in PCDH Framework | Not applicable | Not categorized | Has regular patient care team meetings or a structured communication process focused on individual patient care | National Committee for Quality Assurance (NCQA) |
| Measures Not Included in PCDH Framework | Not applicable | Oral evaluation/ examination | Assessment of Disease Status | National Committee for Quality Assurance (NCQA) |
| Measures Not Included in PCDH Framework | Not applicable | Structure: leadership support | Designates a clinician lead of the medical home and a staff person to manage the PCMH transformation and medical home activities | National Committee for Quality Assurance (NCQA) |
| Measures Not Included in PCDH Framework | Not applicable | Use of diverse provider types for needed care and maintenance support | Has regular case conferences involving parties outside the practice team (e.g., community supports, specialists) | National Committee for Quality Assurance (NCQA) |
| Measures Not Included in PCDH Framework | Not applicable | Use of health information technology | The practice uses a certified electronic health record technology system (CEHRT) | National Committee for Quality Assurance (NCQA) |
| Measures Not Included in PCDH Framework | Not applicable | Utilization: Use of any dental or oral health service | Annual Dental Visit: Healthcare Effectiveness Data & Information Set | National Committee for Quality Assurance (NCQA) |
| Measures Not Included in PCDH Framework | Not applicable | Utilization: Use of any dental or oral health service | Oral Health by Age 13 Years | National Committee for Quality Assurance (NCQA) |
| Measures Not Included in PCDH Framework | Not applicable | Utilization: Use of any dental or oral health service | Oral Health by Age 18 Years | National Committee for Quality Assurance (NCQA) |
| Measures Not Included in PCDH Framework | Not applicable | Utilization: Use of any dental or oral health service | Oral Health by Age 2 Years | National Committee for Quality Assurance (NCQA) |
| Measures Not Included in PCDH Framework | Not applicable | Utilization: Use of any dental or oral health service | Oral Health by Age 6 Years | National Committee for Quality Assurance (NCQA) |
| PATIENT- AND FAMILY-CENTERED | Cultural competence | Accommodating of patient preferences | Evaluates patient population demographics/communication preferences/health literacy to tailor development and distribution of patient materials | National Committee for Quality Assurance (NCQA) |
| PATIENT- AND FAMILY-CENTERED | Cultural competence | Assesses and addresses the language needs of patients | Assesses the language needs of its population | National Committee for Quality Assurance (NCQA) |
| PATIENT- AND FAMILY-CENTERED | Cultural competence | Provider training in cultural competency | Identifies and addresses population-level needs based on the diversity of the practice and the community | National Committee for Quality Assurance (NCQA) |
| PATIENT- AND FAMILY-CENTERED | Effective communication with patients | Provider communication about treatment | Assesses understanding and provides education, as needed, on new prescriptions for more than 50 percent of patients/families/caregivers | National Committee for Quality Assurance (NCQA) |
| PATIENT- AND FAMILY-CENTERED | Effective communication with patients | Provider communication about treatment | Provides a written care plan to the patient/family/caregiver for patients identified for care management | National Committee for Quality Assurance (NCQA) |
| PATIENT- AND FAMILY-CENTERED | Equitable care | Assesses and addresses access and care disparities | Achieves improved performance on at least one measure of disparities in care or service | National Committee for Quality Assurance (NCQA) |