FAQ Directory: Patient-Centered Medical Home (PCMH)

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5.24.2018 QI 02A May practices submit a measure for completed mammograms as a care coordination measure?

A measure evaluating completed mammograms qualifies as a care coordination measure if the practice is evaluating the rate of mammography results received (numerator) to mammography’s ordered (denominator). For QI 02A, NCQA wants to evaluate gaps in communication or coordination between members of the care team (providers and patients). Measuring the practice’s mammography rates does not meet the intent of a care coordination measure, but measuring timely receipt of results of a referral meets the intent.

PCMH 2017