Helping Organizations Achieve Medical Home Status

The patient-centered medical home is an important strategy for establishing a strong quality process within any practice, ultimately improving health, lowering costs, and improving the patient experience. Quality Insights is a key advisor to practices seeking to obtain recognition under the NCQA standards.

Overview

The patient-centered medical home (PCMH) is a bottom-up approach to establishing a quality improvement infrastructure and outcomes measurement capacity within every primary care practice. The model assures access to timely, appropriate, cost-effective, evidence-based, and safe care. It also serves to improve the health outcomes of a defined at-risk population or community.

Practices seeking this esteemed recognition will ultimately improve quality and efficiency of care and also be eligible for many economic incentives. While beneficial, becoming a PCMH is a learning process, taking 12 to 18 months to transform a practice, according to recent literature.

Our Assistance

Quality Insights helps practices with the entire medical home recognition process from planning to ongoing support.
 
  • Strategic Planning and Leadership Development. We help assess and secure organizational support necessary for successful completion of the process.
  • Quality Improvement Process Development. We help practices develop measures, capture data, assess workflow, and create and implement policies and procedures to address NCQA standards.
  • Documentation of Care Processes to Meet NCQA Standards. We offer online and face-to-face learning sessions to help staff understand the requirements and documentation process. Our flexibility means we fit into a practice’s busy schedule.
  • Survey Preparation. After all systems and documentation are in place, we help prepare staff for the survey process. This includes administering sample surveys.
  • Ongoing Support and Quality Management Services. Once practices receive recognition, we provide information about incentives and opportunities to continue improving care delivery and outcomes. This includes coaching practices to continue monitoring, measuring, and modifying their quality improvement plans and making them aware of opportunities to demonstrate improvements or enhance reimbursement.

Our Experience

We recently assisted a consortium of 27 community health centers representing 700 practitioners. To date, we have helped more than 350 practitioners achieve recognition by NCQA as patient centered medical homes.

Additionally, through our Health Information Technology Regional Extension Center (REC) work in three states, we assisted more than 7,000 physician practices in the adoption and meaningful use of information technology, which is a cornerstone of medical home survey criteria.