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Patient-Centered Connected Care™ Recognition: Recognizing Trusted Partners for Patient Care 

Now, more than ever, patients can choose how—and where—they receive care. They can find it at an urgent care center, a retail clinic or a worksite clinic, or with a provider who treats them for an episodic illness, but is not their primary care provider.

While this choice has resulted in convenience for patients, coordination of care often suffers. As the health care system moves to improve and reward integration, providers must build trust with each other by demonstrating a commitment to fully integrated, patient-centered care.

NCQA’s Patient-Centered Connected CareTM Recognition program supports clinical integration and communication, creating a roadmap for how sites delivering intermittent or outpatient treatment—but do not act as the primary care provider for a majority of its patients—can effectively communicate and connect with primary care and fit into the medical home “neighborhood.” The recognition program:

  • Supports use of evidence-based guidelines in treating patients.
  • Provides a consensus-driven framework for how non-PCMH and non-specialty sites fit within the medical home neighborhood and how they connect to primary care.
  • Helps providers become a part of the medical home neighborhood, resulting in better outcomes and improved patient experience.
  • Improves trust among providers.
  • Helps reduce waste in the health care system, such as duplication of procedures and unnecessary readmissions or hospitalizations.

Contact an NCQA representative to learn more about the program, or purchase the Patient-Centered Connected Care standards.

Program Requirements

Sites that want to become recognized must meet a minimum score across five different standards. Within the standards there are a number of elements and factors that must be met. Some of these elements are “must-pass” elements, meaning a site must receive a minimum score on them to gain recognition.

To order the Standards & Guidelines, visit store.ncqa.org.

The five standards look at:

Connecting with primary care: The site connects with and shares information with patients’ primary care providers and helps them find a primary care provider if they do not have one.

Identifying patient needs: The site directs patients to appropriate providers, when necessary.

Patient care and support: The site uses evidence-based decision support in care delivery, collaborates with patients to make care decisions and delivers culturally and linguistically appropriate services.

System capabilities: The site uses electronic systems to collect data and execute specific tasks.

Measure and improve performance: The provider systematically monitors performance and carries out activities to improve clinical outcomes and patient experience.

Eligible Entities

Clinics or practices that provide outpatient health consultation or treatment of acute/episodic illness are eligible for NCQA Patient-Centered Connected Care Recognition.

Site Function

NCQA Program

Examples of Eligible Entities

Does your site act as a primary care practice for most of its patients?

You are most likely not eligible for Patient-Centered Connected Care Recognition, but are eligible for NCQA Patient-Centered Medical Home Recognition.

• Family medicine

• Internal medicine

• Pediatric medicine

Does your site provide specialty care and is it staffed by board-certified specialists?

You are most likely not eligible for Patient-Centered Connected Care Recognition, but are eligible for NCQA Patient-Centered Specialty Practice Recognition.

• Specialty represented by American Board of Medical Specialties

• Behavioral Health/Mental Health

Does your site provide some primary or episodic care, but does not serve as the primary care practice for most of your patients?

You are most likely eligible for Patient-Centered Connected Care Recognition.

• Onsite employee health clinics

• Retail clinics

• Urgent care centers

• School-based clinics

Does your site provide outpatient services not described above?

You are most likely eligible for Patient-Centered Connected Care Recognition.

• Physical therapy

• Podiatry

• Optometry

• Chiropractic

Become a trusted partner for delivering patient-centered care. Contact an NCQA representative to learn more about the program, or purchase the Patient-Centered Connected Care standards.