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Patient-Centered Specialty Practice (PCSP)

Multi-Site Multi-Specialty Documentation Requirements

[6 standards, 22 elements, 143 factors]  Documentation
Multi-Site -- Multi-Specialty Practices
 PCSP 1: Track and Coordinate Referrals Document Once Provide for Each Practice Site
 Element A: Referral Process and Agreements X  
 Element B: Referral Content X  
 Element C: Referral Response   X (by Specialty)*
 PCSP 2: Provide Access and Communication    
 Element A: Access X  
 Element B: Electronic Access X  
 Element C: Specialty Practice Responsibilities X  
 Element D: Culturally & Linguistically Appropriate Services (CLAS) X  
 Element E: The Practice Team   X (by Specialty)*
 PCSP 3: Identify and Coordinate Patient Populations    
 Element A: Patient Information X  
 Element B: Clinical Data X  
 Element C: Coordinate Patient Populations   X (by Specialty)*
 PCSP 4: Plan and Manage Care    
 Element A: Care Planning and Support Self-Care   X (by Specialty)*
 Element B: Medication Management   X (by Specialty)*
 Element C: Use Electronic Prescribing X  
 PCSP 5: Track and Coordinate Care    
 Element A: Test Tracking and Follow-up X  
 Element B: Referral Tracking and Follow-up   X (ONCE for each site) 
 Element C: Coordinate Care Transitions   X (by Specialty)*
 PCSP 6: Measure and Improve Performance    
 Element A: Measure Performance   X (by Specialty)**
 Element B: Measure Patient/Family Experience    X (ONCE for each site)
 Element C: Implement & Demonstrate Continuous QI   X (by Specialty)*
 Element D: Report Performance X  
 Element E: Use Certified EHR Technology X  
 TOTAL 12 Elements 10 Elements
  • 8 elements by Specialty
  • 2 elements across each Site

Documentation by specialty:

  • *For practices with two (2) specialties at one (1) site, documentation must be provided for both specialties.**
    Each specialty must submit a report for 6A, Factor 1 that includes data for 3 clinical measures.
  • *For practices with three (3) or more specialties at one site, documentation must be provided for three (3) specialties including 1) largest specialty, represented by the number of patient visits and 2) behavioral health, if included in the types of specialties.
    **Each specialty must submit a report for 6A, Factor 1 that includes data for 3 clinical measures.
  • A documented process that is the same for all specialties at the site may be provided once to NCQA.