PCMH 2025 questions well answered
graded A+ updated
What is TC - correct answer ✔✔team-based care and practice organization
What is the definition of TC? - correct answer ✔✔the practice provides continuity of care,
communicates roles and responsibilities of the medical home to Patient / family / caregivers,
and organizes and trained staff to work to the top of their license and provide effective team-
based care.
What is TC 01 (core) PCMH Transformation Leads? - correct answer ✔✔the practice designates
a clinician lead of the medical home and a staff person to manage the pcmh transformation and
medical home activities. the clinician lead must be a clinician, the pcmh transformation
manager does not have to be. The clinician lead and the transformation manager may be the
same person.
what is the evidence for TC 01 (core) PCMH Transformation Leads? - correct answer ✔✔details
about the clinician lead and details about the pcmh manager
what is TC 02 structure and staff responsibilities? - correct answer ✔✔the practice defines the
practices organizational structure and staff responsibilities / skills to support key pcmh
functions. the practice provides an overview of practice staff, and outline of duties the staff are
expected to execute as part of the medical home, and how these the practice will support and
trained staff to complete these duties. Structured task and stated staff responsibilities enable a
practice to ensure that staff for providing efficient medical care and have training for the skills
necessary to support medical home functions.
What is the evidence for TC 02 (core) Structure and Staff Responsibilities? - correct answer
✔✔staff structure overview and a description of Staff roles, skills and responsibilities.
, what is TC 03 (1 credit): external collaborations? - correct answer ✔✔the practice is involved in
external pcmh - oriented collaborative activities (example of federal state initiatives, health
information exchanges). the practice demonstrates involvement in at least one state or federal
initiative example CPC plus, care Management learning collaborative left by the state, two-way
data exchange with a local information exchange, population - based care or learning
collaborative or participate in a health information exchange. The practice recognizes the value
of participating in external collaboration and has the support of leadership to implement
collaborative activities.
What is the evidence for TC 03 (1 credit) External PCMH Collaborations? - correct answer
✔✔description of involvement in external collaborative activity.
what is TC 04 (2 credits) patient / family / caregivers involvement in governance - correct
answer ✔✔patient / family / caregivers are involved in the practices government structure or
on a stakeholder committee. The practice demonstrates involvements by giving patient /
family / caregivers a role in the practices government structure or board of directors. Organizing
a patient & Family advisory Council.
what is the evidence of TC 04 (2 credits) patients / families / caregivers involvement in
governance? - correct answer ✔✔documented process and evidence of implementation.
What is TC 05 (2 credits) Certified EHR System? - correct answer ✔✔the practice uses a certified
electronic health record technology system. The practice interest the name of the electronic
system implemented in the practice only systems the practices actively using should be entered
what is the evidence for TC 05 (2 credits) certified EHR system? - correct answer ✔✔certified
electronic health record system name
what is TC 6 (Core) individual patient care meeting / communication? - correct answer ✔✔the
practice has regular patient care team meetings or a structured communication process focused
on individual patient care. The practice maintains a structured communication process, sharing
information about patients, care needs, concerns for the day and other information that
graded A+ updated
What is TC - correct answer ✔✔team-based care and practice organization
What is the definition of TC? - correct answer ✔✔the practice provides continuity of care,
communicates roles and responsibilities of the medical home to Patient / family / caregivers,
and organizes and trained staff to work to the top of their license and provide effective team-
based care.
What is TC 01 (core) PCMH Transformation Leads? - correct answer ✔✔the practice designates
a clinician lead of the medical home and a staff person to manage the pcmh transformation and
medical home activities. the clinician lead must be a clinician, the pcmh transformation
manager does not have to be. The clinician lead and the transformation manager may be the
same person.
what is the evidence for TC 01 (core) PCMH Transformation Leads? - correct answer ✔✔details
about the clinician lead and details about the pcmh manager
what is TC 02 structure and staff responsibilities? - correct answer ✔✔the practice defines the
practices organizational structure and staff responsibilities / skills to support key pcmh
functions. the practice provides an overview of practice staff, and outline of duties the staff are
expected to execute as part of the medical home, and how these the practice will support and
trained staff to complete these duties. Structured task and stated staff responsibilities enable a
practice to ensure that staff for providing efficient medical care and have training for the skills
necessary to support medical home functions.
What is the evidence for TC 02 (core) Structure and Staff Responsibilities? - correct answer
✔✔staff structure overview and a description of Staff roles, skills and responsibilities.
, what is TC 03 (1 credit): external collaborations? - correct answer ✔✔the practice is involved in
external pcmh - oriented collaborative activities (example of federal state initiatives, health
information exchanges). the practice demonstrates involvement in at least one state or federal
initiative example CPC plus, care Management learning collaborative left by the state, two-way
data exchange with a local information exchange, population - based care or learning
collaborative or participate in a health information exchange. The practice recognizes the value
of participating in external collaboration and has the support of leadership to implement
collaborative activities.
What is the evidence for TC 03 (1 credit) External PCMH Collaborations? - correct answer
✔✔description of involvement in external collaborative activity.
what is TC 04 (2 credits) patient / family / caregivers involvement in governance - correct
answer ✔✔patient / family / caregivers are involved in the practices government structure or
on a stakeholder committee. The practice demonstrates involvements by giving patient /
family / caregivers a role in the practices government structure or board of directors. Organizing
a patient & Family advisory Council.
what is the evidence of TC 04 (2 credits) patients / families / caregivers involvement in
governance? - correct answer ✔✔documented process and evidence of implementation.
What is TC 05 (2 credits) Certified EHR System? - correct answer ✔✔the practice uses a certified
electronic health record technology system. The practice interest the name of the electronic
system implemented in the practice only systems the practices actively using should be entered
what is the evidence for TC 05 (2 credits) certified EHR system? - correct answer ✔✔certified
electronic health record system name
what is TC 6 (Core) individual patient care meeting / communication? - correct answer ✔✔the
practice has regular patient care team meetings or a structured communication process focused
on individual patient care. The practice maintains a structured communication process, sharing
information about patients, care needs, concerns for the day and other information that
