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Patient Centered Medical Home Resources

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Browse this page for improvement tips, current medical home initiatives, helpful tools, change resources and NCQA information. For educational options and tools, please visit our Training Opportunities page.

"The Science of Improvement...On a Whiteboard!"
Institute for Healthcare Improvement Open School 
These short videos offer instuction on improvement tools using visual examples. Taught by Robert Lloyd, Director of Performance Improvement at IHI.

Additonal Resource Contents:                                                               
-National Committee for Quality Assurance (NCQA)
-Community Care of North Carolina (CCNC)
-Institute for Healthcare Improvement
-Maine Quality Counts
-Safety Net Medical Home Initiative
-American Academy of Family Physicians (AAFP)
-American College of Physicians (ACP)
-General Practice Improvement Articles

National Committee for Quality Assurance (NCQA)

New NCQA guidelines are due to come out March 24th, 2014. Stay tuned to our site as we'll include information from NCQA as it comes out.

2014 Standards Preview Webinar
March 10 – 9:30 to 10:30 am

NCQA is releasing updated Patient-Centered Medical Home Recognition
standards March 24th. NCQA President Margaret E. O’Kane, will host this
webinar and provide an overview of the updates, explain why specific
elements were included and detail how NCQA PCMH Recognition fits
into the healthcare landscape. Click here for more information

Specific discussion topics include:

  • Alignment with Meaningful Use Stage 2 (MU2)
  • Enhanced emphasis on team-based care
  • Care management focus on high-need populations
  • Alignment of quality improvement activities with the Triple Aim

PCMH 2011 Standards and Guidelines

"Before | I'm Considering": Information for practices to use prior to applying for NCQA recognition including eligibility, processes and training.

FAQ: NCQA Recognition Programs is implementing a question and answer portal where customers questions are submitted, tracked, and answer through the web. The portal should be up and running sometime in early 2014

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Community Care of North Carolina (CCNC)

CCNC Resources: detailed how to workbook for practices, list of training webinars, policy and procedure cheat sheet, and a scoring spreadsheet
detailing point totals needed and accumulated for each standard.

PCMH Recognition Checklist 2011 (.pdf)

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Institute for Healthcare Improvment (IHI) 

IHI Website

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Maine Quality Counts

Quality Counts Website

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Safety Net Medical Home Initiative

Practice Transformation Resources: A helpful resource page with information about assessment, coaching, empanelment and quality improvement.

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Topics including PCMH, change management and practice level care management.

TransforMED Resources: A collection of trainings and publications TransforMED has put together for PCMH topics. 

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American Academy of Family Physicians (AAFP)

Family Practice Management: articles touching on access to care, staffing, EMR's and other PCMH components.

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American College of Physicians (ACP)

Resources about consumer role, policy and researcher information.

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General Practice Improvement Articles

Full Resource List
    -Bodenheimer High Performing Clinic - New England Journal of Medicine
    -Bodenheimer Transforming Primary Care - Health Affairs
    -Huddles Improve Efficiency -American Academy of Family Physicians
    -Specialists/Subspecialists and the Patient Centered Medical Home- CHEST

    -Implementing the Patient Centered Medical Home Model -
     Saftey Net Medical Home Initiative

    -Buy In Versus Ownership -
    -The Emerging Primary Care Workforce - Academic Medicine


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