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2020 MIPS IA_PCMH: Implementation of Patient-Centered Medical Home model

Activity ID

IA_PCMH

Activity Weighting

N/A

Subcategory Name

NA

Activity Description

Implementation of the patient-centered medical home model to continually improve comprehensive care coordination and accessibility within the primary care setting. This may include implementing a wide range of practice and patient focused standards that pertain to the care coordination, patient-centeredness, comprehensiveness of care, systems based on safety and quality, among others.

Validation

Performance of standards and expectation that pertain to the patient-centered medical home model

Suggested Documentation

1) Documented implementation of patient-centered medical home activities and improvements that pertain to care coordination, patient-centeredness, or comprehensiveness of care, among others; and
2) Documented recognition as a patient-centered medical home from a regional or state program, private payer or other body that certifies at least 500 or more practices for patient-centered medical home accreditation or comparable specialty practice certification; and
3) Documentation of continual improvements.

Examples of Additional Activities that Qualify for Attestation

Completing these alternate activities can fulfill the requirements of this Improvement Activity; and Notes

NOTE: A practice is certified or recognized as a patient-centered medical home if it meets any of the following criteria:
(A) The practice has received accreditation from a nationally recognized program.
(B) The practice is participating in a Medicaid Medical Home Model or Medical Home Model.
(C) The practice has received certification or accreditation from other certifying bodies that have certified a large number of medical organizations and meet national guidelines, as determined by the Secretary. The Secretary must determine that these certifying bodies must have 500 or more certified member practices, and require practices to include the following:
                (1) Have a personal physician/clinician in a team-based practice.
                (2) Have a whole-person orientation.
                (3) Provide coordination or integrated care.
                (4) Focus on quality and safety.
                (5) Provide enhanced access.   

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