The National Committee for Quality Assurance (NCQA) designed its recognition process for the patient-centered medical home (PCMH) to help practices define the standards for PCMH structure and articulate the necessary change processes. Many practices and organizations choose to evolve into PCMHs to capitalize on opportunities for compensation, as several private payers and state Medicaid programs recognize and reward medical homes through care coordination fees, increased payment for evaluation and management services, or quality and outcome bonuses. Process changes must take place for workflow and increased efficiency, but culture change also is pivotal, including:

  • A transition from physician-oriented focus to a patient-centric focus
  • Activating patients’ engagement with their health and wellness
  • Establishing the primary care provider as a first point of contact for care

Adoption of this model requires visionary leadership, communication with and education of the staff, management of the practice’s entire patient population and, most importantly, the ability to manage change as a team. Our NCQA-PCMH Certified Content Experts guide this transformation, regardless of a practice’s starting point. HealthTeamWorks is uniquely qualified to offer a specially designed learning series for practices and organizations interested in pursuing NCQA recognition.

St. James Healthcare in Butte, Montana received level 3 NCQA Patient-Centered Medical Home (PCMH) Recognition for using evidence-based, patient-centered processes that focus on highly coordinated care.

read more
on 30 Sep 2016 12:00 AM
  • PCMH
  • NCQA