Table 3

Quantitative PCMH Evaluation Measures: Examples of Meta-Measures

Measurement ToolDomainsSource, Version, Purpose, Availability
Physician Practice Connections – Patient-Centered Medical Home (PPC-PCMH)9 Standards: access and communication, patient tracking and registry functions, care management, self-management support, electronic prescribing, test tracking, referral tracking, performance reporting and improvement, advanced electronic communicationNCQA revised standards for January 1, 2014. Most commonly used measure of PCMH accreditation
http://www.ncqa.org/Programs/Recognition/Practices/PatientCenteredMedicalHomePCMH.aspx
Meaningful Use3 Core areas: data capture and sharing, advancing clinical processes, achieving improved patient outcomesStandards defined by the CMS Incentive Programs to regulate use of electronic health records. Eligible providers and hospitals earn incentive payments by meeting criteria
http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Meaningful_Use.html
Medical Home Implementation Quotient (MHIQ)9 Modules: patient-centered medical home, practice management, health information technology, quality and safety, practice-based team care, care coordination, practice-based services, access to care and information, care managementTransforMED. Self-assessment tool to help a practice learn more about the medical home model and gauge status within the medical home continuum
http://www.transformed.com/mhiq/welcome.cfm
Patient-Centered Medical Home Assessment (PCMH-A)8 Change concept areas: engaged leadership, quality improvement strategy, empanelment, continuous team-based healing relationships, organized, evidence-based care, patient-centered interactions, enhanced access, care coordinationMacColl Center for Healthcare Innovation. Helps practices gauge progress implementing PCMH change concepts. Tested by 65 sites participating in the Safety Net Medical Home Initiative
http://bsmod.dom.wustl.edu/documents/PCMH-A_SNMHI_080410.pdf
  • CMS = Centers for Medicare & Medicaid Services; NCQA = National Committee for Quality Assurance; PCMH = patient-centered medical home.