Graphium QCDR · 2026 Improvement Activity · Care Coordination
IA_CC_15 · PSH Care Coordination
Subcategory: Care Coordination
Activity Description: Participation in a Perioperative Surgical Home that provides a patient-centered, physician-led, interdisciplinary, team-based system of coordinated patient care from pre-procedure assessment through the acute care episode, recovery, and post-acute care. The clinician must perform one or more of:
- Coordinate with care managers or navigators in the preoperative clinic to plan and implement a comprehensive post-discharge plan of care;
- Deploy perioperative clinic and care processes to reduce post-operative visits to emergency rooms;
- Implement evidence-informed practices and standardize care across the entire spectrum of surgical patients; or
- Implement processes to ensure effective communication and education of patients' post-discharge instructions.
Validation documentation: At least one of: documented conversations with care managers or navigators; documentation of evidence-informed perioperative care processes implemented to standardize care (workflow diagrams, written policies); documented processes for communicating discharge instructions accounting for literacy level, language preference, and functional impairment.
Remember the ground rules: generally at least 90 consecutive days unless the activity specifies otherwise. For group attestation, at least 50% of the clinicians must perform the same activity, but their periods do not need to overlap. Retain documentation for six years after submission. Details on the activities overview.
CMS references
For the 2026 performance year. Use current CMS guidance alongside these Graphium educational materials.