Potential Measures for Clinical-Community Relationships

A-1. CCRM Measurement framework

Appendix Table A-1. Clinical-community relationships measurement framework 

Type of measures in measurement domain Element Relationship
Clinic/ clinician Patient Community resource Clinic/ clinician- patient Clinic/ clinician- community resource Patient- community resource
Structure domains Information technology infrastructure
Service capacity
Accessibility
Training
Delivery system design
Organizational infrastructure
Information technology infrastructure
Capacity for self-management
Ability to access primary care
Ability to access the community resource
Health literacy
Information technology infrastructure
Service capacity
Accessibility
Training
Delivery system design
Organizational infrastructure
Proactive and ready clinician
Informed and activated patient
Nature and strength of the inter-organizational relationship Proactive and ready community resource
Informed and activated patient
Process domains Readiness for behavior change
Outreach to obtain knowledge of and familiarity with community resources
Readiness for behavior change
Outreach to obtain knowledge of and familiarity with community resources
Readiness for behavior change
Marketing of services
Referral process
Assessment and goal setting
Self-management support
Shared decision- making
Referral process
Feedback and communication
Timeliness
Referral process
Assessment and goal setting
Self-management support
Communication and follow- through/follow-up
Outcome domains Stage of behavior change
Knowledge of and familiarity with community resources
Stage of behavior change
Knowledge of and familiarity with community resources
Stage of behavior change
Marketing results
Patient experience
Cost/efficiency
Delivery of service
Patient- centeredness
Clinician experience
Community resource experience
Cost/efficiency
Patient experience
Cost/efficiency
Delivery of service
Patient- centeredness
Page last reviewed October 2013
Internet Citation: A-1. CCRM Measurement framework. October 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/prevention-chronic-care/resources/ccrm-atlas-suppl/ccrm-apptaba-1.html