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- NCQA PC-MH Application
- Main Application
- Supporting Documents
- NCQA PC-MH Applications Documents for Each Standard, Element, Data Point
- NCQA PPC-1
- NCQA PPC-1 Element A 1
- NCQA PPC-1 Element A 2,3,5,6
- NCQA PPC-1 Element A 2,4
- NCQA PPC-1 Element A 4
- NCQA PPC-1 Element A 7,8
- NCQA PPC-1 Element A 9,10
- NCQA PPC-1 Element A 12
- NCQA PPC-1 Element B 1,2,3,4,5
- NCQA PPC-2
- NCQA PPC-3
- Element A
- Element B & C
- Element D
- NCQA PPC-3 Element D 2,3,4,5
- NCQA PPC-3 Element D General
- NCQA PPC-3 Element D 11
- NCQA PPC-3 Element D 1
- NCQA PPC-3 Element D 2
- NCQA PPC-3 Element D 2,3 plan of care and treatment plan for dyslipidema
- NCQA PPC-3 Element D 2, 3 Plan of Care Treatment Plan Hypertension
- NCQA PPC-3 Element D 2,3 plan of care and treatment plan for diabetes
- NCQA PPC-3 Element D 6,7,8,9,10
- NCQA PPC-3 Element D Coordination of Care document
- NCQA PPC 3 Element D audit
- Element E
- NCQA PPC-4
- NCQA PPC-5
- NCQA PPC-6
- NCQA PPC-7
- NCQA PPC-8
- NCQA PPC-9
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As previously noted, NCQA publishes HEDIS measures each year. NCQA also has published the requirements for recognition as a Patient-Centered Medical Home. It is NCQA which requires a practice to report internally to healthcare providers and externally to health plans on at least 10 NQF-endorsed measures.
NCQA has nine standards for measuring the qualification of a practice as a Medical Home. Each standard has multiple elements and each element has as many as 18 specific measures. NCQA recognizes three levels of Medical home depending upon how many standards, elements and measures the practice meets. SETMA will submit an application for Medical Home recognition early in 2010. We began the steps to prepare for this application’s submission in February 2009.
All applicants are required to report their performance on three major conditions for Medical Home recognition. SETMA has chosen diabetes care, hypertension care and cholesterol care as our three conditions. In addition, because the core of Medical Home is the "care coordination" function, SETMA will provide a document to our patients at the time-of-service which summarizes the steps taken by SETMA to coordinate that patient’s care. Also, that document will summarize for the patient their HEDIS and NQF measures status, with a list of the measures which have not yet been met. This report care to the patient on the provider performance will also function as a report to the patient of what is missing in their care. This data will also be reported to this section of our website
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