www.centerpriseinc.com

Presentation Title: PCMH Summit 2017Date: 9.12.17-9.13.17

Prepared by: Centerprise, Inc.Prepared for: Wyoming Primary Care Association

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

• Objectives• Understand the current PCMH environment and cultural changes• Understand 2017 PCMH terminology• Understand the 2017 NCQA Application Process based on your current PCMH

status• Understand key competency changes

Session 1: Review of Key Changes in PCMH Process- 2014-2017

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

PCMH: The Evolution

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

Why PCMHNCQA 2014: a way of organizing primary care that emphasizes care coordination and communication to transform primary care into “what patients want it to be”. Medical homes can lead to higher quality and lower costs, and can improve patients’ and providers’ experience of care.

CTP 2014: A way of organizing primary care that practices accessibility, coordination, effective processes that transform primary care into what the population needs. Medical homes will lead to higher quality and lower costs, and will improve a population’s health and provider’s experience of care (as defined by Centerprise, Inc)

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

Why PCMH 2017NCQA 2017: “The new patient-centered medical home promotes flexibility and incremental achievements in patient access to care, health IT use, population health management, and other key quality initiatives to provide healthcare organizations with a measured, standardized framework leading to comprehensive practice transformation.”…”This improved process makes the PCMH program more manageable for practices and concentrates on performance and quality improvement.” (https://healthitanalytics.com/news/ncqa-revamps-patient-centered-medical-home-to-ease-adoption)

CTP: “Your PCMH recognition demonstrates you have the core capability to put into effect efficient and effective processes that will result in a specifiedimpact on the health of a population when in practice and sustainable”.

Transformation of Capability to Sustainable Practice

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

Welcome to 2017• They brought the PATIENT to the PCMH model

And….

• Terminology• Process• Evidence

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

PCMH 2017 GlossaryConcept :(2014 equivalent = Standard)

• 6 Concepts:• Team Based Care• Knowing and Managing your Populations• Access• Care Management• Care Coordination and Care Transitions• Quality Improvement

Competencies: (2014 equivalent= Element)• Must Pass competencies do not exist in 2017 (See Criteria below)• Not scored by Element like in 2014

Criteria: (2014 Equivalent= Factor)• Core- Required for Recognition (40)• Elective- Practice may select for recognition (25 credits required across at least 5/6 Concepts)

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

Concept. Competency. Criteria. (Standard. Element. Factor.)

https://www.ncqa.org/Portals/0/Programs/Recognition/Intro_to_PCMH_2017.pdf?ver=2017-06-09-202905-513

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

Core: Required Criteria for recognition. (2014 comparison- while a Critical Factor was required to pass an element, each CORE criteria is required for recognition). 40 totalElective: Transformation Criteria that is available for selection by the practice. Must pass 25 credits for recognition (Must spread 5/6 concepts)Evidence: (2014 equivalent= Documentation Required)

• 2017 proof of transformation • Report• Source• Workbook• Worksheet• List• Evidence of Implementation: demonstrated proof of transformation (live or static)

PCMH 2017 Glossary

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

Concept # Competencies # Core Criteria # Elective Criteria # Criteria New to 2017

Team Based Care (TC) 3 5 4 (7 credits) 4

Knowing and Managing your Populations (KM)

6 10 18 (20 credits) 13

Patient-Centered Access and Continuity (AC)

2 7 7 (8 credits) 4

Care Management and Support (CM)

2 4 5 (6 credits) 2

Care Coordination and Care Transitions (CC)

3 5 16 (24 credits) 5

Performance Measurement and Quality Improvement (QI)

3 9 10 (16 credits) 3

Core vs. Elective by Competency

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

The Application Process

Commit Transform SustainSucceed

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

1. Enroll sites in Q-pass www.qpass.ncqa.org2. Complete Guided Assessment3. Develop recognition schedule with NCQA4. Identify support and resources:

1. TC 01 and TC 02 are core criteria requiring you to select a Clinician lead for PCMH and a staff lead to manage the PCMH Transformation

COMMIT. Transform. Succeed.

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

QPASS: qpass.ncqa.org

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

How do I Proceed Based on my Current Status?

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

Who Are You? How will you Proceed?

New Recognition

• Full Transformation• All documentation

and check-in• Annual check-in (30

days prior to expiration)

2014 Level 1 or Level 2

• Accelerated Renewal• Attestation and

Evidence/Check-in

2014 Level 3

• Sustainability/Annual Reporting• Annual Check in

(beg. Year of current expiration)

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

Check in (Virtual Review): Interactive review to gauge progress and discuss next steps in evaluation.Annual Assessment: Required demonstration that your practice has continued to align with recognition requirements-post recognitionQ-Pass: NCQA online platform through which you will conduct all transformation and recognition activitiesPre-validation: Letter from your EMR vendor establishing pre-validation criteria for which you can get auto-credit

PCMH 2017 Glossary

www.centerpriseinc.comCo

nfide

ntia

lity

Not

ice:

This

docu

men

tis

confi

dent

ial

and

cont

ains

prop

rieta

ryin

form

atio

nan

din

telle

ctua

lpro

pert

yof

Cent

erpr

ise,I

nc.N

eith

erth

isdo

cum

ent

nor

any

ofth

ein

form

atio

nco

ntai

ned

here

inm

aybe

repr

oduc

edor

disc

lose

dun

der

any

circ

umst

ance

sw

ithou

tth

eex

pres

sw

ritte

npe

rmiss

ion

ofCe

nter

prise

,Inc

.Pl

ease

beaw

are

that

disc

losu

re,

copy

ing,

dist

ribut

ion

orus

eof

this

docu

men

tand

the

info

rmat

ion

cont

aine

dth

erei

nis

stric

tlypr

ohib

ited.

New Recognition 2014 Level 1 or Level 2

2014 Level 3 NOTES

1. Select ClinicalPCMH Champion (Provider)

X X X Required

2. Select Non-Clinical PCMH Champion

X X X Required

3. Create PCMH Core Team

X X X RecommendedProvider, clinical and non clinical

staff, Operations, IT/EMR/Analytics,

QI, (finance)

4. Perform Self Assessment on Core Criteria

X X X Recommended

Where do I start and Where do I go?

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

New Recognition 2014 Level 1 or Level 2 (or 2011

recognized practices)

2014 Level 3 NOTES

5. Perform Self Assessment on Elective Criteria

X X X Recommended

6. Select 25 elective Criteria

X X Required

7. Prioritize WorkPlan

X X Recommended

8. Enrollment- EnterOrganization Information into Q-Pass within 12 months recognition

X X (w/in 4-6 months of expiration of

recognition)

X (within 3 months of expiration)

Recommended

Where do I Start and Where do I Go?

www.centerpriseinc.comCo

nfide

ntia

lity

Not

ice:

This

docu

men

tis

confi

dent

ial

and

cont

ains

prop

rieta

ryin

form

atio

nan

din

telle

ctua

lpro

pert

yof

Cent

erpr

ise,I

nc.N

eith

erth

isdo

cum

ent

nor

any

ofth

ein

form

atio

nco

ntai

ned

here

inm

aybe

repr

oduc

edor

disc

lose

dun

der

any

circ

umst

ance

sw

ithou

tth

eex

pres

sw

ritte

npe

rmiss

ion

ofCe

nter

prise

,Inc

.Pl

ease

beaw

are

that

disc

losu

re,

copy

ing,

dist

ribut

ion

orus

eof

this

docu

men

tand

the

info

rmat

ion

cont

aine

dth

erei

nis

stric

tlypr

ohib

ited.

New Recognition 2014 Level 1 or Level 2 (or 2011

recognized practices)

2014 Level 3 NOTES

9. Have initial call with NCQA Rep

X X X Required

10. Conduct 3 check-ins with NCQA Rep

X (As needed based on call)

Required

11. Submit all additional documentation

X X (attestation vs. evidence as

needed)

Required

12. Ensure payment has been received/HRSA code entered

X X X Required

13.Recognition Received

X X X HOPEFULLY!!!

Where do I start and Where do I go?

www.centerpriseinc.comCo

nfide

ntia

lity

Not

ice:

This

docu

men

tis

confi

dent

ial

and

cont

ains

prop

rieta

ryin

form

atio

nan

din

telle

ctua

lpro

pert

yof

Cent

erpr

ise,I

nc.N

eith

erth

isdo

cum

ent

nor

any

ofth

ein

form

atio

nco

ntai

ned

here

inm

aybe

repr

oduc

edor

disc

lose

dun

der

any

circ

umst

ance

sw

ithou

tth

eex

pres

sw

ritte

npe

rmiss

ion

ofCe

nter

prise

,Inc

.Pl

ease

beaw

are

that

disc

losu

re,

copy

ing,

dist

ribut

ion

orus

eof

this

docu

men

tand

the

info

rmat

ion

cont

aine

dth

erei

nis

stric

tlypr

ohib

ited.

New Recognition 2014 Level 1 or Level 2 (or 2011 recognized

practices)

2014 Level 3 NOTES

14. Download Annual Reporting Phase (Annual Assessment)

X X X Required

15. Collect documentation and evidence for required annual reporting

X X X Required

16. Collectdocumentation and evidence for optional reporting requirements

X X X Required

17. Complete annual reporting 30 days prior to expiration

X X X RequiredCan be submitted any

time during year

18. COMPLETE SUSTAINABILITYASSESSMENT/REPORTING INTERNALLY

X X X Recommended.Ensures compliance

and outcomes

How do I Sustain?

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

• The PCMH process is intended to create a medical home that is convenient, efficient and effective for you and the patient

• 2017 provides less restrictive guidelines on “how to demonstrate” allowing you to be innovative, efficient and effective

• 2017 provides you the ability to determine what is important to you and your patients

• This means understanding your population

Why all the Changes?

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

How will I Manage the Process Over Time?2017 PCMH Centerprise Tracker

Drop down list

Totals points, based on

dropdown chosen

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

2017 PCMH Centerprise Tracker

www.centerpriseinc.comCo

nfide

ntia

lity

Not

ice:

This

docu

men

tis

confi

dent

ial

and

cont

ains

prop

rieta

ryin

form

atio

nan

din

telle

ctua

lpro

pert

yof

Cent

erpr

ise,I

nc.N

eith

erth

isdo

cum

ent

nor

any

ofth

ein

form

atio

nco

ntai

ned

here

inm

aybe

repr

oduc

edor

disc

lose

dun

der

any

circ

umst

ance

sw

ithou

tth

eex

pres

sw

ritte

npe

rmiss

ion

ofCe

nter

prise

,Inc

.Pl

ease

beaw

are

that

disc

losu

re,

copy

ing,

dist

ribut

ion

orus

eof

this

docu

men

tand

the

info

rmat

ion

cont

aine

dth

erei

nis

stric

tlypr

ohib

ited.

2017 PCMH Centerprise

Tracker

Drop Down Options

• Yes• No• NA• Approved

Will Calculate based on Yes, NA and Approved drop down selections below

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

• Red-Do not have evidence required; progress not being made• Yellow-Progress being made; evidence not finalized• Green-Progress complete; evidence meets requirements• Blue – Progress completed and approved by Reviewer• Communicate revisions and concerns• Use for self assessment

How to Use the Tracker/Tips and Tricks

www.centerpriseinc.comConfidentiality Notice: This document is confidential and contains proprietary information and intellectual property of Centerprise, Inc. Neither this document norany of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of Centerprise, Inc. Pleasebe aware that disclosure, copying, distribution or use of this document and the information contained therein is strictly prohibited.

BREAK