Practice Transformation

Practice Transformation and NCQA Recognition

The National Committee for Quality Assurance (NCQA) works to improve health care quality through the administration of evidence-based standards, measures, programs, and accreditation. The private, nonprofit organization operates on a formula of measure, analyzation, and improvement, and aims to build consensus across the industry by working with policymakers, employers, doctors, and patients, as well as health plans. The NCQA first developed the Patient-Centered Medical Home (PCMH) recognition program at the request of, and in collaboration with, four key medical professional societies – the American Academy of Pediatrics (AAP), the American College of Physician (ACP), the American Osteopathic Association (AOA) and the American Academy of Family Physicians, (AAFP). The effort was a response to a growing demand from employers and payers for the means to identify practices that were delivering care aligned with the Joint Principles of the Patient-Centered Medical Home developed by these same societies.

NCQA released its PCMH recognition program in 2008, and is now the most widely adopted PCMH evaluation program in the country. Approximately 13,000 practices (with 67,000 clinicians) are recognized by NCQA. Adhering to NCQA’s six concepts of the PCMH ensures quality of care for patients.[3] These concepts are:

• Team-Based Care and Practice Organization: Helps structure a practice’s leadership, care team responsibilities and how the practice partners with patients, families and caregivers.
• Knowing and Managing Your Patients: Sets standards for data collection, medication reconciliation, evidence-based clinical decision support and other activities.
• Patient-Centered Access and Continuity: Guides practices to provide patients with convenient access to clinical advice and helps ensure continuity of care.
• Care Management and Support: Helps clinicians set up care management protocols to identify patients who need more closely-managed care.
• Care Coordination and Care Transitions: Ensures that primary and specialty care clinicians are effectively sharing information and managing patient referrals to minimize cost, confusion and inappropriate care.
• Performance Measurement and Quality Improvement: Improvement helps practices develop ways to measure performance, set goals and develop activities that will improve performance.

The four primary care clinics at Meharry (Pediatrics, Family Medicine at Skyline, Family Medicine at Meharry and Family Medicine at Total Health) have transformed their practices towards PCMH and received NCQA recognition on August 12, 1019.

In order to further ensure quality of care in 2019:
– Point of Care HbA1C machines have been bought to make real time decisions for patients with Diabetes mellitus;
– Three care coordinators have been hired

 

[3] https://www.ncqa.org/about-ncqa/