CCE Notes: A Refresher on PCMH 1, Element C

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.

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