NCQA Accreditation

The PPC-PCMH Recognition Program

Formed in 1990 with support from the Robert Wood Johnson Foundation, the National Committee for Quality Assurance (NCQA) is a private, non-profit organization that is widely recognized for quality improvement – particularly with U.S. policymakers. NCQA is well known for its extensive work with health plans seeking Healthcare Effectiveness Data and Information Set (HEDIS) accreditation. In 2008, NCQA started the Physician Practice Connections® (PPC) to recognize practices that use "systematic processes and IT to improve quality of care."

Through PPC and working with ACP, AAFP, AAP and AOA, NCQA created the PPC-PCMH™ recognition program, releasing the standards on January 2, 2008. The PPC-PCMH™ recognition is provided by individual site and not the clinic itself. Sites that receive this voluntary recognition receive a copy of the survey results, a certification of achievement, letter of recognition and a sample press release with marketing instructions to promote the site's status. After three years of offering this recognition program, NCQA has seen participation skyrocket to include more than 7,600 practitioners at more than 1,500 locations across the country.

Since launching its program in 2008, NCQA has merged the Stage 1 Meaningful Use requirements into its latest PCMH standards – NCQA 2011 PCMH Recognition Program. The 2011 PCMH standards allow health organizations and primary care providers to reengineer using health IT to accomplish 2 pivotal milestones essential to positioning for health care reform under the Affordable Care Act. By adopting certified EHR technology in compliance with the Meaningful Use criteria, and expanding health IT adoption to receive PCMH recognitions, primary care providers can position as a value prospect with Accountable Care Organizations (ACOs) and reimbursement differential payments arising in many states to support the PCMH delivery model.