Preview: 2017 PCMH Recognition Standards

The National Committee for Quality Assurance (NCQA) is releasing new PCMH standards on April 3, 2017. Curious about what to expect? Take an exclusive look at the standards before they come out!

NCQA is holding a preview webinar on Wednesday, January 25, at 2:30 p.m. EST, to:

Provide an overview of the redesigned recognition process.

Highlight the 2017 standards, including changes in criteria and updated scoring.

Discuss the new standards with a roundtable of experts that includes physicians, consultants and NCQA staff.

The webinar is for practices thinking about NCQA PCMH Recognition for the first time and for recognized practices deciding about renewal. Attendees will receive a document with an overview of the standards. 

Register here!


Tricia Barrett, Vice President, Product Design and Support, NCQA

Yul Ejnes, MD, MACP, Internist, Coastal Medical

Deborah Johnson Ingram, BA, NCQA PCMH CCE, Program Director, Primary Care Development Corporation.

Suzanne Berman, MD, FAAP, Pediatrician, Plateau Pediatrics

Cari Miller, MSM, NCQA PCMH CCE, Horizon Blue Cross Blue Shield of New 

Before and during the webinar, join the conversation on Twitter at #PCMH2017.

Instructions for Obtaining NCAQ Value Set Spreadsheet

NCQA Corner: Congratulatins to East Greenwich Family Medicine

The Care Transformation Collaborative of Rhode Island would like to wish our participating practice, East Greenwich Family Medicine, congratulations on earning NCQA Level 3 PCMH Recognition!

NCQA Corner: Developing and Implementing Care Plans

Primary care practices are often challenged with developing centralized care plans that both practice teams and patients can use together to improve care.  Both OHIC and NCQA have established care planning assessment and interventions standards.    CTC-RI created a “Care Plan Crosswalk” document  that practices can use to better assure that the care plan templates built within the electronic health records address the recommended care plan elements (click here to view the Care Plan Elements NCQA and OHIC). 

NCQA Corner: Update on 2017 Draft Standards

NCQA has recently released a Frequently Asked Questions (FAQ) Document on the 2017 recognition redesign for patient centered medical home recognition.  Practices will want to review this important document as it contains links to the proposed documentation reporting requirements and options for practices that are presenting recognized under the 2011 and 2014 standards.

NCQA Corner: Updates on 2014 Policies and Standards and Looking Ahead to 2017 Standards

NCQA recently released the updates to the 2014 Policies and Standards  and a 2014 Frequently Asked Questions document. Practices are encouraged to review these documents to ensure that practices are using the most update to date interpretation of information and resources.

Many thanks are extended to the CTC sub-committee members that met on July 12, 2016 to provide CTC project management staff with feedback on the draft 2017 NCQA standards and elements. CTC submitted feedback to NCQA on the Draft 2017 Standards with the following key recommendation themes:

  • Outcome pathways: Increase practice options to “pass” based on the practice outcomes  and demonstrated performance, and  reduce the number of process measures;
  • Small practice pathways: Consider creating  pathways for small practices to achieve recognition;
  • Structured field requirements: Elements that would require practices to upgrade their electronic health record systems to capture added fields (such as socio-economic factors) should be classified as “advanced”:
  • Delivery of care through care coordination: Allow practices to provide added services such as  dental and medication assisted therapy through compacts ; did not recommend approval of requirements that practices track community referrals;
  • Patient voice: Increase emphasis on elements that capture patient voice directly and recommend consideration of “How’s Your Health” as a vehicle for capturing patient voice and identifying patients in need of care management services .
  • Need for information on scoring and how elements will be “grouped” for distinction: Feedback was requested on elements in the absence of the scoring framework and description of element expectations.

Our Mission

The mission of the Care Transformation Collaborative is to lead the transformation of primary care in Rhode Island in the context of an integrated health care system; and to improve the quality of care, the patient experience of care, the affordability of care, and the health of the populations we serve.