PCMH Transformation

After you have received PCMH recognition, there are strategies and tools your practice can use to sustain the work accomplished and continue to improve. 

Laying the Foundation    Building Relationships 
Quality Improvement (QI) Strategy   Empanelment
Continuous and Team-Based Healing Relationships
Changing Care Delivery   Reducing Barriers to Care
Patient-Centered Interactions Enhanced Access
Organized, Evidence-Based Care Care Coordination
Change Concepts for Practice Transformation and 2014 NCQA PCMH Recognition Standards: A Crosswalk Oral Health Integration in the Patient-Centered Medical Home (PCMH) Environment (September 2012)

Organized Evidence-Based Care Behavioral Health Integration (Fall 2014)  
PCMH Sustainability Toolkit - 2016 | Excel | Source: Primary Care Development Corporation. This tool contains nine sheets of data entry that encompass three sections: process, performance, and outcomes.   Meaningful Use Core and Menu Set Measures Quick Links - 2012 | PDF | Source: CMS, Modified by Primary Care Development Corporation. User friendly menu of links to view or download measures. This resource will save time by providing easy access.
Care Coordination Manual - 2014 | Source: Primary Care Development Corporation   Assessing the Ability of Federally Qualified Health Centers to Serve as Patient-Centered Medical Homes | Source: The Commonwealth Fund
NVPCA has not vetted or endorsed the documents listed above; they are open source documents.
Tools for Building a Patient Centered Medical Home