History of PCMH
PCMH Concepts
PCMH General
PCMH General
PCMH at Grand River
100

This year marked the official launch of the NCQA Patient-Centered Medical Home recognition program.

What is 2008

100

This concept ensures that the practice collects and uses data to understand the needs of its patient population.

What is Knowing and Managing Your Patients?

100

Practices must earn at least 25 of these by implementing advanced care strategies beyond the core requirements.

What are Credit points?

100

NCQA PCMH recognition is valid for this period before a practice must renew its status.

What is one year?

100

What year did Grand River Clinic receive their first PCMH recognition?

What is 2017?

200

NCQA's PCMH program was developed in collaboration with this large primary care physician organization, known for first defining the medical home concept in 2007.

What is the American Academy of Family Physicians?

200

Under this concept, a practice must demonstrate that it provides enhanced access to care, such as extended hours or telehealth services.

What is Patient-Centered Access and Continuity?

200

A practice can earn credit for providing non-traditional services such as group visits or alternative communication channels under this concept.

What is Patient-Centered Access?

200

This federal healthcare program promotes the PCMH model as a way to improve quality and reduce costs for beneficiaries.

What is Medicare?

200

This is Grand River's designated PCMH contact?

Malinda West

300

This organization is responsible for accrediting and recognizing Patient-Centered Medical Homes.

What is the National Committee for Quality Assurance?

300

The PCMH model requires practices to provide comprehensive care management for patients with complex needs under this concept.

What is Care Management and Support?

300

PCMH-recognized practices must provide individualized care plans for patients with these types of conditions, which require ongoing management and coordination.

What are chronic conditions?

300

These are the three C's of PCMH

What are Concepts, Criteria and Competencies

300

This is the route to take within the Grand River Clinics folder to find/save PCMH related material and reports. 

Grand River Clinics-Clinic Quality-PCMH

400

The NCQA PCMH model was designed to shift healthcare from episodic care to this type of care approach.

What is comprehensive, coordinated, and patient-centered care?

400

A practice must measure, analyze, and improve its clinical performance and patient experience to meet the requirements of this concept.

What is Performance Measurement and Quality Improvement?

400

To achieve PCMH recognition, a practice must track and follow up on this type of care, which occurs outside of the primary care setting, such as specialist visits and hospital discharges.

What is referrals and transitions of care?

400

What annual document contains the NCQA PCMH Recognition program requirements. 

What is the PCMH standards and guidelines document?

400

These RN's Patient Care Plans were used as evidence for Rifle Clinic reporting in 2024.

Who is Lisa Locke and Christina Maness?

500

The first major revision of the PCMH standards occurred in this year, incorporating a greater emphasis on team-based care and continuous quality improvement.

What is 2011?

500

These six concept areas serve as the foundation for NCQA PCMH recognition.

What are Team-Based Care and Practice Organization, Knowing and Managing Your Patients, Patient-Centered Access and Continuity, Care Management and Support, Care Coordination and Care Transitions, and Performance Measurement and Quality Improvement?

500

PCMH requires practices to use this type of data to monitor and improve patient care, including clinical quality measures and patient experience surveys.

What is performance data or quality metrics?

500

A key component of PCMH care plans, this process ensures that patients and providers work together to make informed healthcare decisions based on patient values, preferences, and medical evidence.

What is shared decision-making?

500

This is the first and last name of our most recent NCQA reviewer.

Who is Mona Hanson?