Connect with NCQA

twitter linkedin facebook google+ youtube pinterest

Report an Error

Use NCQA’s Feedback Form to report a broken link, or content error.

PCMH 2014 Annual Data Submission Requirements

PCMH 2014 Standard/Element Documentation
3D: Use Data for Population Management (MUST-PASS)
  1. At least two different preventive care services.
  2. At least two different immunizations.
  3. At least three different chronic or acute care services.
  4. Patients not recently seen by the practice.
  5. Medication monitoring or alert.

Initial & renewal submissions
  • One measurement (no more than 12 months prior to survey submission); continue annually.

Note: Renewing practices are expected to be conducting proactive outreach at least annually

6A: Measure Clinical Quality Performance
  1. At least two immunization measures.
  2. At least two other preventive care measures.
  3. At least three chronic or acute care clinical measures.
  4. Performance data stratified for vulnerable populations (to assess disparities in care).

Initial submissions
  • One measurement (no more than 12 months prior to survey submission); continue annually
Renewals
  • Attestation* if Level 2 or 3 that the practice has collected at least two years of data (at least one measurement in the 12 months prior to survey submission and at least one measurement prior to that 12 month period)
  • Note: If a renewing practice has not collected at least two years of data, it must respond “no” to the applicable factors
6B: Measure Resource Use and Care Coordination
  1. At least two measures related to care coordination. NEW
  2. At least two utilization measures affecting health care costs.

Initial submissions
  • One measurement (no more than 12 months prior to survey submission); continue annually
Renewals
  • Factor 1:  one measurement (no more than 12 months prior to survey submission); continue annually. 
  • Factor 2:  at least two years of data (at least one measurement in the 12 months prior to survey submission and at least one measurement prior to that 12 month period) 
  • Note: For factor 2, if a practice did not report utilization measures in its previous PCMH survey, it may submit one measurement from within the 12 months prior to survey submission for each of the utilization measures and should continue to measure annually.
6C: Measure Patient/Family Experience
  1. The practice conducts a survey (using any instrument) to evaluate patient/family experiences on at least three of the following four categories: Access, Communication, Coordination, Whole person care/self-management support.
  2. The practice uses the PCMH version of the CAHPS Clinician & Group Survey Tool.
  3. The practice obtains feedback on experiences of vulnerable patient groups.
  4. The practice obtains feedback from patients/families through qualitative means.
Initial submissions
  • One measurement (no more than 12 months prior to survey submission); continue annually
Renewals
  • Attestation* if Level 2 or 3 that the practice has collected at least two years of data (at least one measurement in the 12 months prior to survey submission and at least one measurement prior to that 12 month period) 
  • Note: If a renewing practice has not collected at least two years of data, it must respond “no” to the applicable factors

*Practices attesting "yes" to the factors in elements available for attestation do not need to provide documentation; however, they must be able to provide documentation in the case of an audit.