NCQA Patient Centered Medical Home Recognition

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:

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.

The PCMH Recognition Learning Program includes:

 

NCQA Patient Centered Specialty Practice Recognition

Providing specialty practices the tools, experience, and capacity to make the changes necessary to improve patient care and outcomes

HealthTeamWorks has provided coaching services, resources and support to practices, groups and networks with the goals of achieving National Committee for Quality Assurance (NCQA) recognition and providing the tools and capacity to help practices make the changes necessary to improve patient care and outcomes.

The National Committee for Quality Assurance (NCQA) initially designed its recognition process for the patient-centered medical home (PCMH) to help define the standards to improve quality to thousands of practices. This recognition has been extended to the many active specialist physicians, who previously were not eligible, but have a similar commitment and should be recognized for providing high quality patient-centered care.

Specialty practices choose to receive the NCQA Patient-Centered Specialty Practice (PCSP) recognition to capitalize on opportunities for compensation, such as achieve the Merit-based Incentive Payment System (MIPS) requirements, which can impact potential MIPS incentives and penalties for eligible physicians applied to Medicare Part B payments. Additionally, NCQA PCSP Recognition is qualified as an approved improvement activity and recognized practices will automatically earn full-credit under the composite performance score (CPS) component.

HealthTeamWorks provides practices seeking PCSP recognition extremely quality personnel, a highly responsive approach to managing the many deliverables required by NCQA, and proven tools and services including:

 

HealthTeamWorks Solutions Center

Your Go To for How To

A platform to convene a community of like-minded people for collaborative learning and innovation to advance healthcare transformation. In the Solutions Center, you are a learner, a teacher, an innovator, and a leader. Join us on our journey to healthier communities. Here you will find tools, resources and evidence examples to help guide you on your journey to NCQA recognition.