CCE Notes: A Refresher on PCMH 1, Element C

Tweet about this on TwitterShare on LinkedIn0Share on Facebook0Share on Google+0Email this to someone

NCQA Certified Content Experts (CCE) play a significant role in helping NCQA meet its Recognition Objectives. We periodically keep them up to date with reminders and refreshers like this one.

PCMH 1, Element C Refresher

With the Modified Stage 2 Final Rule released in October 2015, there have been changes to the documentation NCQA accepts. PCMH 1, Element C was significantly affected. Here’s a refresher:

Factor 1

·    Practices must submit a report showing that more than 50% of patients have timely online access to their health information.

·    Practices are not required to demonstrate access within 4 business days; it’s up to the practice to define “timely.”

Factor 2

·    Practices may now submit a report or an example demonstrating capability.

·    If a practice submits a report, no percentage threshold is required.

Factor 3

·    Practices must submit a report or example of a de-identified clinical summary to demonstrate capability.

·    If a practice submits a report, no percentage threshold is required.

Factor 4

·    Practices may now submit a report or an example demonstrating capability.

·    If a practice submits a report, no percentage threshold is required.

Factor 5 ·    Practices must demonstrate that their electronic system has the capability to both send and receive secure messages.
Factor 6 ·    Practices are not required to show all 4 functionalities stated in the factor (requesting appointments, prescription refills, referrals and test results). Practices can receive credit for demonstrating at least 2 functionalities.

Check out detailed information on PCMH and its redesigned process coming in 2017.

Matt Brock
Matt Brock is the Director of Communications at NCQA. After more than two decades working in broadcast journalism, Matt now leads NCQA’s efforts to develop unique content that engages and informs consumers as well as providers, plans and policymakers via this blog, our website, NCQA.org and numerous social media platforms. Matt’s goal is to educate consumers and to direct them to the best resources when considering quality in their health care decisions.

Leave a Reply

Your email address will not be published. Required fields are marked *