8/17/17 1 NCQA PCMH 2014 – Tips for the Final Weeks Kentucky Primary Care AssociaEon August 17, 2017 Summary of Tips – For Today l NCQA PMCH 2014 RecogniEon l Updated 11.21.2016 l Submit by 9.30.17 l Common mistakes l Tips to be successful l A few details about 2017 standards CompleEon-Check Steps l Do you have the applicaEon and ISS purchased from NCQA? l If not, you cannot proceed with 2014 l ApplicaEon (submit now) l Via NCQA RecogniEon Portal l InteracEve Survey System l Providers l EvaluaEon box checked l Document Library (3 documents/element) l Support Text Notes l Print/save lFinal Due Date: September 30, 2017 Must Pass Elements & CriEcal Factors l 6 Must Pass Elements (50%+ to pass at all) l 1A PaEent Centered Appointment Access l 2D The PracEce Team l 3D Use Data for PopulaEon Management l 4B Care Planning and Self-Care Support l 5B Referral Tracking and Follow-Up l 6D Implement ConEnuous Quality Improvement l CriEcal Factors (9) l Impact scoring l 1A1, 4A6, 5A12, 5B8 you have to pass to get any points for that element
l DateofimplementaEonl Aminimumof90daysbeforeyousubmitl 9.30.17submit(alldatedprior6.30.17)
l FullyoperaEonalattheclinic
l 3documentsperelement(notfactor!)
Reviewer–anothersetofeyesl ExternaltoyourpracEce
l Reviewdocumentsforaccuracyl Alldocumentsthatarerequiredl CheckthattheMPEareallmetat50%+l ReviewISS
l RevieweratyourpracEce
l NCQAReviewer–literall MayaskforclarificaEon
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NCQAToolsl RecordReviewWorkbook(RRWB)
l 4A6universe,followinstrucEonsfor30paEentselecEonl Audit30paEentrecordsforfactorsin3C,4B,4Cl Screenshotsofeachfactor
l QualityMeasurementImprovementWorksheet(QMI)l 1A6:showimprovement,PDSA,no-showscommonl 6D&6E;basedon:
l 36Ameasures–showimprovementonatleast2l 16Bmeasurel 16Cmeasurel AvulnerablepopulaEonmeasure
Renewalvs.Conversion
l 2011to2014orrenewing2014
l 11ElementsrequireDocumenta?onforStreamlinedRenewal:1A,2D,3C,3D,4A,4B*,4C,5B,6B,6D,6E
l 15ElementsrequireABesta?onforStreamlinedRenewal
l StreamlinedRenewalRecogni?onisfor3years.Whenthe3yearrecogniEonexpiresapracEceiseligibletosubmitforrecogniEonunderNCQA'snewsustainingmodel.
l Conversion:PCMH2011pracEcesthathaveachievedLevel3canusetheconversionprocesspriortoyourexpiraEondateandnolaterthan9/30/2017.
OtherRemindersl Threedocuments/element
l Outstandingissuesform(OIF)status–NCQAgoesbacktopracEceformoreinfo
l IfrenewaloldP/PincludedifchangeP/Pfornewsubmission
l Audits:anyfactorsthatwerescoredasyesintheindividualpracEcesitesurveytoolissubjecttobeingreviewedinrealEme.Anyelementandfactoryouaoestedtowillbesubjecttobeingauditedaswell.
l LostID&password:providethefullpracEcesite,5digitlicensenumber(ifyouhaveit),mailingaddress,previouscontactname,andnewcontactemailaddress.
l Updateyourprovidersintheproviderdirectory.
l PaEents–dotheyknowaboutPCMH,doyouinvolvethem?Includethem!
