The American Academy of Pediatrics introduced the medical home concept in 1967, and in 2007 leading primary care-oriented medical professional societies released the Joint Principles of the PCMH. The next year, NCQA released its PCMH Recognition program, the first evaluation program in the country based on the PCMH model. It has grown to be the country’s most widely-used PCMH program. As of March 2017, more than 12,000 primary care practices (with more than 60,000 clinicians) have been recognized as patient-centered medical homes by NCQA and 43 states have embraced the PCMH model.
Overview of PCMH
Today, NCQA’s PCMH Recognition program has evolved to feature a set of six concepts that make up a medical home. Underlying these concepts are criteria (activities for which a practice must demonstrate adequate performance to obtain NCQA PCMH Recognition) developed from evidence-based guidelines and best practices.
Benefits of PCMH
Research shows NCQA PCMH Recognition improves patient care and reduces costs. In addition, the PCMH model is associated with happier staff and happier patients. Find out how.
Payer and Medical Board Support
Many payers – government and private – offer incentives or enhanced reimbursement for becoming an NCQA recognized PCMH. In addition, some clinicians in NCQA-recognized practices may be eligible to receive maintenance of certification (MOC) credits towards their board-level certifications. Learn more about these programs.
HIT Prevalidation Program
As the health care system expects health care providers to provide more value by achieving the “Triple Aim”— better quality, lower costs and improved patient experience—there is also a need for technology that helps practices provide better, more patient-centered care. This is where NCQA’s prevalidation program can help. It identifies electronic health record (EHR) systems, advanced registries, population health management tools and other related technology solutions that have functionality that helps practices meet NCQA PCMH or PCSP Recognition requirements. See if your HIT solution is prevalidated by NCQA.
PCMH Education and Training
NCQA courses cover a variety of topics—from the PCMH Recognition process, to getting the most out of your referral network and developing strong care transitions. There are courses on the Six Sigma approach to process improvement and on quality measurement and improvement. Many are archived online: Watch them at your own pace and on your own time. Courses will help your practice sustain and improve PCMH Recognition. Learn more about the educational resources to help your practice.