PCMH-QI Questions with complete
solutions graded A+
What is QI Concept? - correct answer ✔✔Performance Measurement and Quality Improvement
(QI) The practice establishes a culture of data-driven performance improvement on clinical
quality, efficiency and patient experience, and engages staff and patient/families/caregivers in
quality improvement activities.
What is the criteria for QI Competency A: Measuring Performance QI 01-QI 08? - correct answer
✔✔The practice measures to understand current performance and to identify opportunities for
improvement.
What is the criteria for QI-01 (Core) Clinical Quality Measures:Monitors at least five clinical
quality measures across the four categories (must monitor at least one measure of each type:
A) Immunization
B) Other preventive care measures
C) Chronic or acute care clinical measures
D) Behavioral health measures - correct answer ✔✔Measuring and reporting clinical quality
measures helps practices deliver safe, effective, patient-centered and timely care.; The practice
shows that is monitors at least five clinical quality measures, including at least:
1 immunization measure
1 preventive care measure (not including immunizations)-a measure in oral health counts as
preventive clinical quality measure
1 chronic or acute care clinical measure
1 behavioral health measure
The data must include the measurement period, the number of patients represented by the
data, the rate and the measure source (e.g., HEDIS, NQF#, measure guidance).
, What is the evidence required for QI-01 Clinical Quality Measures? - correct answer ✔✔Report
NOT SHAREABLE ACROSS PRACTICE SITES
What is the criteria for QI-02 (Core) Resource Stewardship Measures: Monitors at least two
measures of resource stewardship (must monitor at least one measure of each type):
A) Measures related to care coordination
B) Measures affecting health are costs. - correct answer ✔✔The practice reports at least two
measures related to resource stewardship, including a measure related to health care cost and a
measure related to care coordination. When pursuing high-quality, cost-effective outcomes, the
practice has a responsibility to consider how it uses resources.
What is the evidence required for QI-02 (Core) Resource Stewardship Measures? - correct
answer ✔✔Report
NOT SHAREABLE ACROSS PRACTICE SITES
What is the criteria for QI-03 (Core) Appointment Availability Assessment: Assesses
performance on availability of major appointment types to meet patient needs and preferences
for access? - correct answer ✔✔Patients who cannot get a timely appointment with their
primary care provider may seek out-of-network care, facing potentially higher costs and
treatment from a provider who does not know their medical history. The practice consistently
reviews the availability of major appointment types (e.g., urgent care, new patient, routine
exams, follow-up) to ensure that it meets the needs and preferences of its patient, and adjusts
appointment availability, if necessary (e.g., seasonal changes, shifts in patient needs, practice
resources).
A common approach to measuring appointment availability against standards is to determine
the third next available appointment for each appointment type.
What is the evidence required for QI-03 (Core) Appointment Availability Assessment? - correct
answer ✔✔Documented Process AND Report.
DOCUMENTED PROCESS IS SHAREABLE ACROSS PRACTICE SITES
solutions graded A+
What is QI Concept? - correct answer ✔✔Performance Measurement and Quality Improvement
(QI) The practice establishes a culture of data-driven performance improvement on clinical
quality, efficiency and patient experience, and engages staff and patient/families/caregivers in
quality improvement activities.
What is the criteria for QI Competency A: Measuring Performance QI 01-QI 08? - correct answer
✔✔The practice measures to understand current performance and to identify opportunities for
improvement.
What is the criteria for QI-01 (Core) Clinical Quality Measures:Monitors at least five clinical
quality measures across the four categories (must monitor at least one measure of each type:
A) Immunization
B) Other preventive care measures
C) Chronic or acute care clinical measures
D) Behavioral health measures - correct answer ✔✔Measuring and reporting clinical quality
measures helps practices deliver safe, effective, patient-centered and timely care.; The practice
shows that is monitors at least five clinical quality measures, including at least:
1 immunization measure
1 preventive care measure (not including immunizations)-a measure in oral health counts as
preventive clinical quality measure
1 chronic or acute care clinical measure
1 behavioral health measure
The data must include the measurement period, the number of patients represented by the
data, the rate and the measure source (e.g., HEDIS, NQF#, measure guidance).
, What is the evidence required for QI-01 Clinical Quality Measures? - correct answer ✔✔Report
NOT SHAREABLE ACROSS PRACTICE SITES
What is the criteria for QI-02 (Core) Resource Stewardship Measures: Monitors at least two
measures of resource stewardship (must monitor at least one measure of each type):
A) Measures related to care coordination
B) Measures affecting health are costs. - correct answer ✔✔The practice reports at least two
measures related to resource stewardship, including a measure related to health care cost and a
measure related to care coordination. When pursuing high-quality, cost-effective outcomes, the
practice has a responsibility to consider how it uses resources.
What is the evidence required for QI-02 (Core) Resource Stewardship Measures? - correct
answer ✔✔Report
NOT SHAREABLE ACROSS PRACTICE SITES
What is the criteria for QI-03 (Core) Appointment Availability Assessment: Assesses
performance on availability of major appointment types to meet patient needs and preferences
for access? - correct answer ✔✔Patients who cannot get a timely appointment with their
primary care provider may seek out-of-network care, facing potentially higher costs and
treatment from a provider who does not know their medical history. The practice consistently
reviews the availability of major appointment types (e.g., urgent care, new patient, routine
exams, follow-up) to ensure that it meets the needs and preferences of its patient, and adjusts
appointment availability, if necessary (e.g., seasonal changes, shifts in patient needs, practice
resources).
A common approach to measuring appointment availability against standards is to determine
the third next available appointment for each appointment type.
What is the evidence required for QI-03 (Core) Appointment Availability Assessment? - correct
answer ✔✔Documented Process AND Report.
DOCUMENTED PROCESS IS SHAREABLE ACROSS PRACTICE SITES
