PCMH Recognition Redesign: A Progress Report

PCMH Recognition Redesign. It was all the talk at the PCMH Congress in Chicago.

What will the newly designed process for earning Patient-Centered Medical Home (PCMH) recognition look like? Is it really a simplified process? Will it require less paperwork?  Less time to compile information and report?

The answers: It will look significantly different from the current process to earn recognition and most of the reporting work happens online. Yes, there will be less paperwork. Yes, it should take less of the valuable time you’d rather spend with patients.

“What else can you tell us?”

There are more questions to answer. So, we called on Dr. Michael Barr, our executive vice president leading a team of dozens to overhaul the whole process. PCMH Congress in Chicago seemed the perfect place to ask for a progress report. There is a lot to share. Watch for yourself.

Make sure to check out all the latest information, including PCMH 2017 pricing, on the NCQA Web site.

4 thoughts on “PCMH Recognition Redesign: A Progress Report

  1. Will individual physician practices be able to qualify?

    Many practices have been PCMHs for years, but the current processes to qualify are convoluted, complex and extremely time consuming to even get a foot hold without having an army of staff devoted to a process that may not do anything for the practice or its’ patients.

    Thank You.

  2. Hi Dr. Levine! I asked Dr. Barr to respond to your comment. Here’s his reply:

    Dr. Levine:

    Thank you for your comment. The issues you’ve identified are exactly why NCQA decided it was time to redesign the recognition process – particularly with small/medium-sized practices in mind. Whereas large practices probably have dedicated staff to support the logistics of the recognition process, small practices typically do not. That is one of the main reasons we introduced the idea of the NCQA Representative – a person who will connect with the key members of each practice to help stage the initial recognition process. We also have significantly reduced the paperwork and documentation required and will provide an option for practices to show evidence via web-based screen sharing instead of submitting documentation. Another key change will reduce the uncertainty involved in the process. For initial recognition, the NCQA Representative will help a practice schedule live check-ins with an official NCQA Reviewer. Through review of previously submitted documentation and the web-based screen sharing, the Reviewer will be able to let the practice know exactly where it stands with respect to achieving recognition. Combined with a new web-based platform designed with tips and guides, we hope that practices will experience less rework, more reasonable documentation requirements, and spend less time documenting what they are already doing routinely.

    Once a practice achieves its initial PCMH recognition, it will not have to go through the entire process again. Instead, we are introducing the annual check-in – a very slimmed down program focused on a few options in each of the standards so the practices can demonstrate that they are still operating according to the PCMH principles. Much of this new annual process will rely on attestation (with the potential for audit) to help minimize the work required. We are also introducing the option for practices to submit electronic clinical quality measure results (eCQMs) from a set of measures aligned with both the main measurement sets (CMS/AHIP, CPC+, PQRS) and technical specifications as issued by CMS.

    In addition to the redesign effort, the new PCMH 2017 standards will reflect considerable feedback from small practices. The NCQA advisory committee recently reviewed the public comments received on the draft standards and the NCQA Board of Directors will review the final version in December. Look for a pre-release publication of the new standards in January. I believe you’ll see changes that will are responsive to your concerns – more flexibility, more relevant expectations, and less documentation requirements.

    Again, thank you for your comment!

    Michael S. Barr, MD, MBA, MACP

Leave a Reply

Your email address will not be published.