No. The practice needs to demonstrate that they collect both quantitative and qualitative data to meet the requirement.
FAQ Directory
Here are some of the most frequently asked questions about NCQA’s various programs. If you don’t see what you are looking for in one of the entries below, you can ask a question through My NCQA.
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5.29.2018 QI 04 Can the practice choose to show reports from either quantitative data or qualitative data?
5.29.2018 CC 08 What is an example of an informal agreement?
An informal agreement could be a few sentences in a referral form, e-mail or other method of communication containing expectations for the specialist, including, but not limited to, the time frame for reporting to the primary care physician and specifying lab or test results that should be included in the report. This information is essential to clarify the relationship between the primary care provider and specialist.
This applies to the following Programs and Years:
PCMH 20175.29.2018 QI 08 May “improve performance” be a stated performance goal?
5.29.2018 CC 14 Do hospitalization and ED visit data from the health plan meet the requirements of this criterion?
A practice may use health plan data to identify patients if it is provided at least weekly and if at least 75 percent of the patient population is represented by the health plan. The practice may use data from more than one health plan as long as the plans collectively represent at least 75 percent of the practice population.
This applies to the following Programs and Years:
PCMH 20175.29.2018 QI 15 May a practice with one clinician provide the same evidence for both clinicians and staff in QI 15?
5.29.2018 QI 06 Is CAHPS a requirement for this measure?
No. Any standardized (non-proprietary) survey administered through measurement initiatives providing benchmark analysis external to the practice organization may be used to meet QI 06. Please note that the practice must administer the entire standardized survey (not just sections) so that it can be compared to available benchmarks.
This applies to the following Programs and Years:
PCMH 20175.29.2018 QI 11 May practices focus on improving results of a specific question in a patient experience survey?
5.29.2018 QI 15 & QI 16 Is it acceptable to demonstrate only how reports from QI 01 are shared with staff, the public and patients?
5.29.2018 CC 08 Our practice is part of an integrated health system. Do we need to show agreements between primary care providers and specialists?
Yes. Practices must have an agreement or documented process outlining the responsibilities of the referring provider and the specialist, even in an integrated system. It is essential that each provider understands the expectations and responsibilities of the referral, including the frequency and methods of communication.
This applies to the following Programs and Years:
PCMH 20175.29.2018 QI 05 How can practices stratify data for vulnerable populations?
Practices select a vulnerable population for measurement using fields that are available in their practice system. Practices may use categories such as race, age, ethnicity, language needs, education, income, type of insurance, disability or health status to identify specific populations that may experience disparities in care.
This applies to the following Programs and Years:
PCMH 20175.24.2018 KM 14 Can the same report be used if the practice does medication reconciliation at least annually? How is KM 14 different from KM 15?
Yes. Medication reconciliation (KM 14) includes the process to check for drug and condition interactions in addition to confirming the list of medications with the patient (KM 15). The evaluator may probe for the practice’s process to confirm the same report can be used.
This applies to the following Programs and Years:
PCMH 20175.24.2018 QI 02A What are care coordination measures?
Measures of care coordination address communication regarding patient referrals and care transitions.
For example, a practice refers a patient to another provider or a community resource. A care coordination measure might assess whether the referral was completed (i.e., the practice receives the referral report, follows up with the resource or patient to assess use or patient experience).
