| Category | Definition | Examples |
|---|---|---|
| Nonpersonnel costs | Expenses to cover supplies and other fees not related to staff time | Application fees, website updates, software purchases (eg, Adobe Acrobat, patient satisfaction survey software) |
| Development phase | Staff time required to develop new PCMH processes | Developing new report in EHR, creating or writing policies or job descriptions, creating new documents or procedures |
| Implementation phase | Staff time required for implementing new processes | Staff training, incorporating new process such as previsit prevention planning; medication reconciliation; standing orders for flu vaccines, labs, etc.; quality improvement meetings; conducting patient satisfaction surveys; providing enhanced or new care management services |
| Maintenance phase | Staff time required to maintain new activities after application submitted | Logging after hours patient calls, care management visits, quality improvement meetings |
| Application document preparation | Time required to create application documents such as screenshots | Taking screenshots to provide evidence of activities, redacting patient health information from examples, annotating to demonstrate compliance with requirements |
| External consultant | Services provided by staff not on the practice payroll | Consultant time to complete chart review workbook, coach time guiding practice through the NCQA application process |
EHR, electronic health record; NCQA, National Committee for Quality Assurance; PCMH, patient-centered medical home.