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Patient Centered Medical Home program: 3 facts providers should know

May 20, 2020

Our leading EHR solution, CGM APRIMA offers a uniquely fast, flexible, and powerful EHR designed to complement and simplify your workflow, not hinder it.

Happy doctors who rely on CGM APRIMA EHR and Practice Management

If you're a primary care practice and you aren't already part of the Patient Centered Medical Home (PCMH) program from the National Committee for Quality Assurance (NCQA) then it's probably time you were financially rewarded for the superior performance you provide.

Qualifying for NCQA PCMH recognition may seem daunting. Many practices are already spread thin with value-based care programs such as Medicare Incentive Payment System (MIPS). However, practices that use CGM eMDs or CGM APRIMA, have an advantage in earning PCMH recognition since CGM eMDs or CGM APRIMA v18 is one of a handful of products that have earned NCQA PCMH Pre-validation. 

NCQA PCMH Pre-validation is designed to help practices identify health IT solutions that reduce the administrative burdens of meeting NCQA PCMH program requirements. CGM eMDs and CGM APRIMA was awarded this designation following a rigorous evaluation of our solution’s functionality, including a thorough review of reporting functions and screenshots, and a live demonstration.

Here are three facts you need to know about becoming an NCQA-recognized Patient Centered Medical Home:

Your practice likely meets many Patient Centered Medical Home criteria

NCQA simply defines a PCMH as “a model of care that puts patients at the forefront of care.” There are both core and elective PCMH criteria. If you use CGM eMDs or CGM APRIMA, you will likely find you're already able to check off many boxes. At the time of this writing, CGM APRIMA v18 was pre-validated by NCQA to fully meet:

  • Seven required Core Criteria in the areas of knowing and managing your patients, Patient-centered access and continuity, Care coordination and care transitions, and performance measurement and quality improvement.
  • Eight credits of elective criteria in the areas of team-based care and practice organization, knowing and managing your patients, patient- centered access and continuity, and performance measurement and quality improvement.
  • Nine additional criteria for support in the areas of knowing and managing your patients, and care coordination and care transitions.

What this means is that practices that are actively using CGM eMDs or CGM APRIMA v18 or higher to fulfill PCMH criteria have a lower administrative burden of providing supporting documentation, saving time and using technology that helps the practice provide better, more patient-centered care.

Our leading EHR solution, CGM APRIMA offers a uniquely fast, flexible, and powerful EHR designed to complement and simplify your workflow, not hinder it.
CGM eMDs is an award-winning, integrated system that increases productivity, offers a superior clinical experience, and drives positive patient care outcomes.

Efficient documentation is a must

It will come as no surprise that earning and maintaining NCQA PCMH recognition requires rigorous documentation and reporting. With CGM eMDs or CGM APRIMA, workflows are streamlined and highly automated to help you meet these requirements without slowing down providers.

Our platform is among the most flexible in the industry, allowing providers to customize the system and document using their preferred method instead of accommodating to the EHR. CGM APRIMA lowers the administrative burden of providing supporting documentation for PCMH recognition in two important ways:

  • Practices do not have to submit documentation for factors that have been awarded auto credit as part of the NCQA Pre-validation process.
  • CGM APRIMA and CGM eMDs include dozens of dashboard reports that provide the documentation required for the PCMH recognition process. These reports are standard and allow practices to quickly produce the documentation they need.

Patient communication and care access are crucial for the Patient Centered Medical Home program

With "patient centered" in its name, it will come as no surprise that the Patient Centered Medical Home program recognition emphasizes the patient experience. One area where practices can optimize patient experience is by making it easier for them to communicate with providers, access care, and their chart information.

  • The appointment scheduler in CGM APRIMA supports the Access and Continuity standard for providing same-day appointment slots for routine and urgent care needs, and for routine and urgent care slots outside of regular business hours.
  • CGM APRIMA includes our Patient Portal and can be used for secure, two-way communication between patients and staff.

Whether your practice is seeking NCQA PCMH recognition status for the first time or working to maintain or upgrade your existing PCMH status, CGM APRIMA is an ideal solution that provides simple workflows and easy-to-use tools for demonstrating your PCMH accomplishments.

CGM APRIMA has been supporting our customers’ efforts to achieve patient-centered medical home (PCMH) status since 2010, when our client, Potomac Physicians became the first practice in the country to achieve NCQA PCMH Level 3 status.

Margaret E. O’Kane, NCQA President
By providing software that helps physician practices build the patient-focused, coordinated care infrastructure expected of NCQA patient centered medical homes, CompuGroup Medical is helping practices be part of modern healthcare's most important transformations. Medical homes are the way of the future, and CGM is helping practices get there.

Margaret E. O’Kane, NCQA President

At CompuGroup Medical we see PCMH practices as the way of the future, especially as the industry seeks to find ways to keep patients healthy, reduce costly complications and improve the quality of outcomes. That's why we continue to make it easy for practices to earn PCMH recognition.

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