Potential Measures for Clinical Community Relationships

A Supplement to the Clinical-Community Relationships Measures Atlas

Appendix Table A-3. List  of Measures from the CCRM Atlas

#Measure name
1Patient recall of referral to local agencies (Safety Check Parental/Guardian Post-Visit Survey)
2Parental interest in following up on the local agency referral (Safety Check Parental/Guardian Post-Visit Survey)
3Parental confidence in being able to use a local agency referral (Safety Check Parental/Guardian Post-Visit Survey)
4Clinician recall of referral to a local agency (Safety Check Practitioner Post-Visit Survey)
5Clinician perception of parent interest in referral (Safety Check Practitioner Post-Visit Survey)
6Clinician confidence in ability to instruct patient/family in proper use of local agency referral (Safety Check Practitioner Post-Visit Survey)
7Information about area (community) resources is offered by clinician (Wrap-Around Observation Form-2)
8Plan of care includes at least one public and/or private community service/resource (Wrap-Around Observation Form-2)
9Physician satisfaction with service coordination (Alzheimer’s Service Coordination Program [ASCP] Physician Survey)
10Changes in clinicians’ knowledge of available services in the local community (ASCP Physician Survey)
11Whether or not a clinician would refer any family caregiver to intervention in the future (ASCP Physician Survey)
12Clinician receipt of treatment plan from the service coordinator (ASCP Physician Survey)
13Clinician discussion of treatment plan with patients or family caregivers (ASCP Physician Survey)
14Patients referred to a community health educator referral liaison (CHERL)
15Patient engagement with CHERL
16CHERL referrals to community resources
17Referral rate for intensive counseling from a community program
18Rate of patients that were ready to improve a targeted behavior
19Connection to resource (Continuity of Care Practices Survey – Practice Level [CCPS-P])
20Coordination of care (CCPS-P)
21The effectiveness of communication between practice and community resource (GP-LI)
22The quality of the service provided by community resource to a practice (GP-LI)
Page last reviewed October 2013
Internet Citation: Potential Measures for Clinical Community Relationships: A Supplement to the Clinical-Community Relationships Measures Atlas. October 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/prevention-chronic-care/resources/ccrm-atlas-suppl/ccrm-apptabA-3.html