PCMH CCE EXAMS SCRIPT QUESTIONS AND ANSWERS
GRADED A+
✔✔Electronic Quality
Measures (eCQM)
Reporting - ✔✔uses a curated list of 35 electronic clinical quality measures
relevant for primary care practices. Practices must submit measures in the industry
standard
QRDA III format. This program will evolve over the years to include actual performance
results demonstrating excellence and/or meaningful improvement. Distinction will be
awarded for one year to PCMH practice sites that submit, for each clinician in the
practice, at
least 6 measures from our list of 35. This approach is consistent with MIPS reporting
requirements.
✔✔Patient Experience
Reporting - ✔✔to gather feedback on
patient experiences using HEDIS®2 specifications for the Clinician and Group
Consumer
Assessment of Healthcare Providers and Systems (CG CAHPS®*
3 3.0), with or without the
PCMH Supplemental Item Set, known by NCQA as the "HEDIS Survey for PCMH." The
collection and reporting of data from the HEDIS Survey for PCMH is voluntary.
✔✔Attributes that contribute to PCMH success - ✔✔1. Financial assistance, technical
assistance, or both, to help create and sustain the transformation.
Practices value practical examples and support for meeting requirements, and worry
about
maintaining their financial viability.
2. Organization leadership, a team-based approach, health information technology and
delegating self-management education and proactive care reminders to non-physician
team members.
3. Involving patients and families in practice improvement efforts through advisory
committees,
ombudsmen or navigators.
4. A systems approach to QI that results in data, standard measurements, technical
assistance,
leadership and personnel
✔✔QPASS - ✔✔Quality Performance Assessment Support System
✔✔To be a multisite, practices must be able to answer yes to the following: - ✔✔an your
organization sign one PCMH program agreement to cover all sites applying for
recognition?
, • Do all the practice sites applying for recognition share and use in the same way, a
practice management system, registry or EHR to document patient care for
administration and billing?
• Do all the practice sites applying for recognition operate under at least some of the
same policies and procedures?
✔✔Representative is assigned.... - ✔✔after legal agreements are signed electronically
and payment is submitted through QPASS
✔✔NCQA representative - ✔✔helps practice coordinate its schedule and navigate
resources and is the liaison between the practice and NCQA.
✔✔# Of Core & Elective Criteria - ✔✔40, 60
✔✔Goals of the 2017 updates - ✔✔1. drive achievement of the triple aim 2. focus on
outcomes instead of processes 3. accommodating a spectrum of practices 4. detecting
true practice transformation
✔✔1967 - ✔✔american academy of pediatrics introduced the medical home concept
✔✔2003 - ✔✔ncqa launched physician practice connections, a pcmh precursor
program
✔✔2004 - ✔✔family medicine called for all patients to have a personal medical home
✔✔2007 - ✔✔leading primary care associations released Joint PCMH principles
✔✔2008 - ✔✔NCQA launched first PCMH program
✔✔2011/14 - ✔✔updates to PCMH recognition
✔✔2017 - ✔✔redesign
✔✔Behavioral health distinction - ✔✔calls for a care team in primary care that can
manage the broad needs of patients with behavioral health related conditions. The
expectation of this model is integration of behavioral health expertise including staff to
enhance the care provided in a primary care setting and to improve access, clinical
outcomes and patient satisfaction.
✔✔Electronic Quality Measures Reporting - ✔✔ses a curated list of 35 electronic clinical
quality measures relevant for primary care practices. Practices must submit measures
in the industry standard QRDA III format. This program will evolve over the years to
include actual performance results demonstrating excellence and/or meaningful
improvement. Distinction will be awarded for one year to PCMH practice sites that
GRADED A+
✔✔Electronic Quality
Measures (eCQM)
Reporting - ✔✔uses a curated list of 35 electronic clinical quality measures
relevant for primary care practices. Practices must submit measures in the industry
standard
QRDA III format. This program will evolve over the years to include actual performance
results demonstrating excellence and/or meaningful improvement. Distinction will be
awarded for one year to PCMH practice sites that submit, for each clinician in the
practice, at
least 6 measures from our list of 35. This approach is consistent with MIPS reporting
requirements.
✔✔Patient Experience
Reporting - ✔✔to gather feedback on
patient experiences using HEDIS®2 specifications for the Clinician and Group
Consumer
Assessment of Healthcare Providers and Systems (CG CAHPS®*
3 3.0), with or without the
PCMH Supplemental Item Set, known by NCQA as the "HEDIS Survey for PCMH." The
collection and reporting of data from the HEDIS Survey for PCMH is voluntary.
✔✔Attributes that contribute to PCMH success - ✔✔1. Financial assistance, technical
assistance, or both, to help create and sustain the transformation.
Practices value practical examples and support for meeting requirements, and worry
about
maintaining their financial viability.
2. Organization leadership, a team-based approach, health information technology and
delegating self-management education and proactive care reminders to non-physician
team members.
3. Involving patients and families in practice improvement efforts through advisory
committees,
ombudsmen or navigators.
4. A systems approach to QI that results in data, standard measurements, technical
assistance,
leadership and personnel
✔✔QPASS - ✔✔Quality Performance Assessment Support System
✔✔To be a multisite, practices must be able to answer yes to the following: - ✔✔an your
organization sign one PCMH program agreement to cover all sites applying for
recognition?
, • Do all the practice sites applying for recognition share and use in the same way, a
practice management system, registry or EHR to document patient care for
administration and billing?
• Do all the practice sites applying for recognition operate under at least some of the
same policies and procedures?
✔✔Representative is assigned.... - ✔✔after legal agreements are signed electronically
and payment is submitted through QPASS
✔✔NCQA representative - ✔✔helps practice coordinate its schedule and navigate
resources and is the liaison between the practice and NCQA.
✔✔# Of Core & Elective Criteria - ✔✔40, 60
✔✔Goals of the 2017 updates - ✔✔1. drive achievement of the triple aim 2. focus on
outcomes instead of processes 3. accommodating a spectrum of practices 4. detecting
true practice transformation
✔✔1967 - ✔✔american academy of pediatrics introduced the medical home concept
✔✔2003 - ✔✔ncqa launched physician practice connections, a pcmh precursor
program
✔✔2004 - ✔✔family medicine called for all patients to have a personal medical home
✔✔2007 - ✔✔leading primary care associations released Joint PCMH principles
✔✔2008 - ✔✔NCQA launched first PCMH program
✔✔2011/14 - ✔✔updates to PCMH recognition
✔✔2017 - ✔✔redesign
✔✔Behavioral health distinction - ✔✔calls for a care team in primary care that can
manage the broad needs of patients with behavioral health related conditions. The
expectation of this model is integration of behavioral health expertise including staff to
enhance the care provided in a primary care setting and to improve access, clinical
outcomes and patient satisfaction.
✔✔Electronic Quality Measures Reporting - ✔✔ses a curated list of 35 electronic clinical
quality measures relevant for primary care practices. Practices must submit measures
in the industry standard QRDA III format. This program will evolve over the years to
include actual performance results demonstrating excellence and/or meaningful
improvement. Distinction will be awarded for one year to PCMH practice sites that
