Potential Measures for Clinical-Community Relationships

A-16. Measure 13: Clinician discussion of treatment plan with patients or family caregivers (ASCP Physician Survey)

Appendix Table A-16. CCRM Atlas Measure 13: Clinician discussion of treatment plan with patients or family caregivers (ASCP Physician Survey)

Domain: Assessment and goal setting Element/
relationship:
Clinic/clinician-patient
Instrument: Alzheimer's Service Coordination Program (ASCP) Physician Survey
Purpose: Physicians are asked whether they reviewed or discussed treatment plan with patients or family caregivers while participating in the program.
Format/data source: Health Professional Survey
Measure type: Process Date: 1997
Preventive service/ USPSTF: Other – Mental Health*
Clinical practice: Primary Care – Family Practice; Primary Care – Internal Medicine
Denominator: Clinicians in the area who have at least six dementia patients and who referred family caregivers diagnosed with dementia to a service coordinator and responded to question (Q2). Must have answered “Yes” (a or b) to (Q1) as well.
Numerator: Number of clinicians responding “Yes”
Development & testing: Tested versions of the survey with academic general internists for clarity and brevity before the instrument was fielded.
Past or validated application:  
Citation(s): Fortinsky, R.H., Unson, C.G., and Garcia, R.I. Helping family caregivers by linking primary care physicians with community-based dementia care services: The Alzheimer's Service Coordination Program. Dementia: The International Journal of Social Research and Practice (2002) 1(2), 227-240.
Notes: Please be aware that this measure is using only a selected section of an entire survey instrument. Therefore, this individual measure may need to undergo further reliability and validation testing to ensure that it can be applied in a clinical-community relationship setting.

* This is a measure that was originally applied in a mental health setting, but it could be adapted for a primary care setting.

Page last reviewed October 2013
Internet Citation: A-16. Measure 13: Clinician discussion of treatment plan with patients or family caregivers (ASCP Physician Survey). October 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/prevention-chronic-care/resources/ccrm-atlas-suppl/ccrm-apptabA-16.html