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PCMH 2014 Scoring

Scoring Summary

Recognition Levels

Required Points

Must-Pass Elements

Level 1

35–59 points

  • 6 of 6 elements are required for each level
  • Score for each Must-Pass element must be ≥ 50%

Level 2

60–84 points

Level 3

85–100 points

100 Points, 27 Elements, 6 Must-Pass Elements

Points

Standard/Element

Must-Pass = 50% Score

10

PCMH 1: Patient-Centered Access

4.5

Element A    Patient-Centered Appointment Access

3.5

Element B    24/7 Access to Clinical Advice

 

2

Element C    Electronic Access

 

 

12

PCMH 2: Team-Based Care

3

Element A    Continuity

 

2.5

Element B    Medical Home Responsibilities

 

2.5

Element C    Culturally and Linguistically Appropriate Services (CLAS)

 

4

Element D    The Practice Team

 

20

PCMH 3: Population Health Management

3

Element A    Patient Information

 

4

Element B    Clinical Data

 

4

Element C    Comprehensive Health Assessment

 

5

Element D    Use Data for Population Management

4

Element E    Implement Evidence-Based Decision Support

 

 

20

PCMH 4: Care Management and Support

4

Element A    Identify Patients for Care Management

 

4

Element B    Care Planning and Self-Care Support

4

Element C    Medication Management

 

3

Element D    Use Electronic Prescribing

 

5

Element E    Support Self-Care and Shared Decision Making

 

 

18

PCMH 5: Care Coordination and Care Transitions

6

Element A    Test Tracking and Follow-Up

 

6

Element B    Referral Tracking and Follow-Up

6

Element C    Coordinate Care Transitions

 

Points

Standard/Element

Must-Pass = 50% Score

20

PCMH 6: Performance Measurement and Quality Improvement

3

Element A    Measure Clinical Quality Performance

 

3

Element B    Measure Resource Use and Care Coordination

 

4

Element C    Measure Patient/Family Experience

 

4

Element D    Implement Continuous Quality Improvement

3

Element E    Demonstrate Continuous Quality Improvement

 

3

Element F    Report Performance

 

Not Scored

Element G    Use Certified EHR Technology