Patient Centered Medical Home

About the Perogram

The NCQA Patient Centered Medical Home Recognition program focuses on Concepts, Criteria and Competencies.  There are six concepts that align with aspects of a medical home.  These concepts have replaced the standards that were included in the previous NCQA PCMH Recognition process. To obtain NCQA PCMH Recognition a practice must demonstrate satisfactory performance of these concepts through 40 core criteria via activities that are established through evidenced-based guidelines and best practices.  In addition, 25 credits of elective criteria that reaches across the concept areas must be achieved.  This criteria permit the final aspect of PCMH Recognition, competencies. 

Concepts Areas

Patient-Centered Access: Accommodate patients’ needs during and after hours, provide medical home information, and offer team-based care

Team-Based Care: Engage all team members by providing medical home information, meet cultural and linguistic needs of patients, and offer team-based care

Population Health Management: Proactive management of patient data for population management

Care Management and Support: Use evidence-based guidelines for preventive, acute and chronic care management

Care Coordination and Care Transitions: Track and coordinate tests, referrals and care transitions

Performance Measurement and Quality Improvement: Use performance and experience data for continuous improvement

American Academy of Pediatrics Georgia Chapter