Table 3

Annual Cost Per PCMH Standard Per FTE Clinician

PCMH Standards and Elements	Annual Cost per FTE Clinician, $
PCMH Standards and Elements	Utah Practices	Colorado Practices	All Study Practices
1. Enhance Access and Continuity	25,658	30,059	28,076
After-hours, same-day access, urgent care, electronic access, practice care team
2. Identify and Manage Populations	5,603	5,688	5,646
Comprehensive health assessment, proactive outreach, use data/registries for population management
3. Plan and Manage Care	31,935	38,431	35,248
Previsit planning/huddles, implement evidence-based guidelines, identify high-risk patients, care management, medication reconciliation
4. Provide Self-Care Support and Community Resources	5,710	14,124	10,172
Support self-care processes (self-management, activation, education), provide referrals to community resources
5. Track and Coordinate Care	10,503	18,602	14,663
Referral and test tracking, follow-up, care transitions/coordination
6. Measure and Improve Performance	12,884	8,990	10,994
Measure, report performance; measure patient, family experience; implement continuous quality improvement; report externally
Total annual cost per clinician FTE	92,293	115,894	104,799

FTE = full-time equivalent; PCMH = patient-centered medical home.
Notes: Not all practices reported costs for each of the Factors for each of the Standards. Because average cost calculations are sensitive to the denominator used, in computing the average cost at the NCQA Standard level we excluded Factors for which no costs were reported to ensure that only actual practice costs incurred in support of each Standard were reflected in the results. Annual costs per FTE clinician for all study practices are therefore not means of Utah and Colorado practices.