Patient-Centered Medical Home (PCMH)
NCQA’s Patient-Centered Medical Home (PCMH) Recognition program is the most widely adopted PCMH evaluation program in the country. Approximately 13,000 practices (with 67,000 clinicians) are recognized by NCQA. More than 95 organizations support NCQA Recognition through providing financial incentives, transformation support, care management, learning collaboratives or MOC credit.
The patient-centered medical home is a model of care that puts patients at the forefront of care. PCMHs build better relationships between patients and their clinical care teams.
Research shows that PCMHs improve quality and the patient experience, and increase staff satisfaction—while reducing health care costs. Practices that earn recognition have made a commitment to continuous quality improvement and a patient-centered approach to care.
The PCMH model emphasizes team-based care, communication and coordination, which has been shown to lead to better care.
Align With Payers
Many payers acknowledge PCMH Recognition as a hallmark of high-quality care. As a result, many payers provide incentives for NCQA-Recognized practices.
Improve Staff Satisfaction
The PCMH model is associated with better staff satisfaction. One analysis found implementation of NCQA PCMH Recognition to increase staff work satisfaction while reported staff burnout decreased by more than 20%.1
Improve Patient Experience
A Hartford Foundation study found that the PCMH model resulted in a better experience for patients, with 83% of patients saying being treated in a PCMH improved health.1>
Better Manage Chronic Conditions
The PCMH model has been shown to help better manage patients’ chronic conditions.
Align With State/Federal Initiatives
As more emphasis is placed on value-based care, many state and Federal programs are embracing the patient-centered model of care.
Lower Health Care Costs
PCMH Recognition is associated with lower overall health care costs.
Improve Patient-Centered Access
PCMHs emphasize the use of health information technology and after-hours access to improve overall access to care when and where patients need it.
PCMH Distinction Programs
Distinction in Behavioral Health Integration
NCQA’s Distinction in Behavioral Health Integration recognizes primary care practices that put resources, protocols, tools and quality measures in place to support the broad needs of patients with behavioral health related conditions.