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Overview

Data monitoring, from the highest level down to the patient level is critical to identifying trends, gaining insights, and communicating transparently with staff and stakeholders. Data monitoring approaches such as dashboarding are used to display data in a simple and intuitive way, allowing a snapshot of performance on selected measures to see changes or areas for improvement. Business intelligence systems such as population health management analytics allows for the monitoring of the health of a whole patient population, stratified by various characteristics, thereby supporting care planning, resource allocation, and training opportunities. Resources in this section include tools to begin dashboarding, considerations for taking the next step with population health management and guidance on how to navigate the many factors of any data monitoring approach.

Monitoring and Communicating with Data
Patient-Centered Medical Home Recognition (PCMH)

Patient-Centered Medical Home Recognition (PCMH)

2017 Standards

 

The redesigned PCMH 2017 requirements focus on assessing a practice’s transformation into a medical home and specify goals for improvement. There is a new recognition requirement structure: concepts, competencies, and criteria.

  • Concepts are the foundation on which a practice builds a medical home.
  • Competencies organize the criteria in each concept area.
  • Criteria are the individual structures, functions, and activities that indicate a practice is operating as a medical home.

The levels of recognition, points, and must-pass elements have been eliminated. To achieve recognition under PCMH 2017, health centers must 1) meet all core criteria and 2) earn 25 credits in elective criteria across 5 of 6 concepts. This ensures a minimum set of capabilities and gives practices the flexibility to focus on activities that not only mean the most to their patient population, but are feasible to accomplish with existing resources and the resources of the community.

Read all about it in this issue brief from NCQA, or read the preview of the 2017 changes on their site here.

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Acknowledgements

This resource collection was compiled by the HITEQ Center staff with guidance from HITEQ Advisory Committee members and collaborators of the HITEQ Center.

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The Quadruple Aim
Quadruple Aim

A Conceptual Framework

Improving the U.S. health care system requires four aims: improving the experience of care, improving the health of populations, reducing per capita costs and improving care team well-being. HITEQ Center resources seek to provide content and direction aligned with the goals of the Quadruple Aim

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