Potential Measures for Clinical-Community Relationships

Community Resource Element

 Community Resource Element 

Potential Measure S
Item Description
Title Accessibility of community resources
Description This measure assesses whether relevant community resources are accessible within a community.
Domain Accessibility (community resource)
Data source Audit – A standardized evaluation form would be used to assess a community resource’s attributes to determine how accessible the community resource is.
Calculation method This measure may be reported as the percentage of community resources within a community that are accessible. Attributes of accessibility could include: open scheduling, open hours, proximity to various modes of transportation, etc.
Notes A supplementary data source could include a database that lists all available community resources within a community. This information may be gathered from various sources including Web sites and the Community Information and Referral Systems: http://www.airs.org/i4a/pages/index.cfm?pageid=3301

Similar to measure B in clinic/clinician element

 

Potential Measure T
Item Description
Title Community resource delivery system infrastructure
Description This measure assesses whether community resources have office/administrative systems and workflow processes to support the delivery of preventive services to patients.
Domain Delivery system design (community resource)
Data source Community resource self-assessment tool
Calculation method This measure may be assessed at the level of an individual community resource or as the percentage of community resources in a community that have the office/administrative systems and workflow processes to support the delivery of preventive services to patients.
Notes Principles of this measure may be derived from the Assessment of Chronic Illness Care (ACIC) Quality Improvement tool: Section 5: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1434662/

Similar to measure C in clinic/clinician element

 

Potential Measure U
Item Description
Title Community resource capacity to deliver preventive services
Description This measure assesses whether the preventive services offered by community resources are sufficient to meet a community’s needs.
Domain Delivery system design (community resource)
Data source Community assessment - An auditor would use a standard rubric to assess the capacity of the community resources in a community to meet the need for the delivery of preventive services.
Calculation method This measure may be assessed at the level of a single community resource organization or as a descriptive report of a particular community determining whether the services offered sufficiently meet a community’s needs.
Notes N/A

 

 

Potential Measure V
Item Description
Title Community resource appropriate use of health information technology
Description This measure assesses whether community resources in a community use health information technology appropriately to support the delivery of preventive services and help patients achieve prevention goals. Appropriate use of health information technology may be defined in terms of CMS Meaningful Use objectives, or other ways of using technology to improve quality, reduce health disparities, or engage patients and family.
Domain Information technology infrastructure (community resource)
Data source Audit – An auditor would use a standardized evaluation form to indicate whether a community resource has access to health information technology and assess whether it uses the health information technology appropriately to support the delivery of clinical preventive services and help patients achieve prevention goals.
Calculation method This measure may be assessed at the level of a single community resource organization or as the percentage of community resource organizations within a community that use health information technology appropriately to support the delivery of clinical preventive services and help patients achieve prevention goals.
Notes Types of health information technology could include: electronic health records, personal health records, health information exchanges, or referral systems. Principles for this measure may be adapted from the meaningful use objectives:
http://www.healthit.gov/providers-professionals/meaningful-use-definition-objectives

The meaning of “appropriate” use of health information technology depends on context, setting, and the particular evaluation goals of any study that uses the measure.

Similar to measure D in clinic/clinician element

 

 

Potential Measure W
Item Description
Title Availability of community resource marketing plans
Description This measure assesses whether community resources have an adequate marketing plan guiding how they will advertise and promote their available preventive services to clinics/clinicians and to the public.
Domain Marketing of services (community resource)
Data source Audit – Review of administrative management data and/or organizational policies and procedures
Calculation method This measure may be assessed at the level of a single community resource organization or as the percentage of community resource organizations within a community that have an adequate marketing plan.
Notes N/A

 

 

Potential Measure X
Item Description
Title Effectiveness of community resource marketing
Description This measure assesses awareness and interest by patients and/or clinic/clinicians in utilizing community resource services after a marketing plan is implemented.
Domain Marketing results (community resource)
Data source Patient and/or clinic/clinician survey
Calculation method This measure may be assessed for a particular community resource or for community resources in a community as a whole. This measure will be reported as the percentage of the target population for the marketing effort that is aware of the services provided by a community resource and intends to or already has utilized them.
Notes This measure will need to consider the target audience of the community resource marketing to determine the appropriate population to assess.

Besides surveys, web analytics and/or social media tracking could be used as supplementary data sources.

 

 

Potential Measure Y
Item Description
Title Financial sustainability (community resource)
Description This measure is a qualitative assessment of the financial sustainability of community organizations that can provide applicable clinical preventive services, taking into account financial performance, governance, organizational affiliations, and contractual arrangements.
Domain Organizational infrastructure (community resource).
Data source Audit - An auditor would conduct a review of relevant financial and organizational documents, and gather information from organizational leaders to assess financial sustainability.
Calculation method This measure may be assessed for a particular community organization, or for relevant organizations in the community as a whole. A report may be developed describing the degree to which community resources are supported by sustainable business models and governance structures.
Notes Similar to measure E of clinic/clinician element



Potential Measure Z
Item Description
Title Community resource readiness to change
Description This measure assesses whether community resources in a community are ready to make the changes necessary to participate in clinical-community relationships.
Domain Readiness for behavior change (community resource)
Data source Community resource survey
Calculation method This measure assumes that most community resources are not already participating in clinical-community relationships for prevention. This measure may be reported as the percentage of community resources in a community willing to participate in clinical-community relationships for prevention.
Notes Principles for this measure may be adapted from Prochaska’s Transtheoretical mode5.

Similar to measure G of clinic/clinician element

 

Potential Measure AA
Item Description
Title Infrastructure to maintain relationships with clinic(s)
Description This measure assesses whether community resources in a community have the infrastructure to maintain clinical-community relationships with a clinic(s).
Domain Service capacity (community resource)
Data source Community resource survey
Calculation method This measure may be assessed for a particular community resource or for community resources in a community as a whole. This measure may be reported as the percentage of community resources within a community that have infrastructure to maintain clinical-community relationships with a clinic(s).
Notes Relevant infrastructure includes staffing, technology, and training. Similar to measure H of clinic/clinician element.

 

Potential Measure BB
Item Description
Title Progress through the stages of organizational behavior change (community resource)
Description This measure assesses how well community resources have been able to initiate and sustain organizational changes needed to support clinical community relationships.
Domain Stage of behavior change (community resource)
Data source Community resource survey
Calculation method This measure may be assessed for a particular community resource or for community resources in a community as a whole. This measure may be reported as the percentage of community resources that have been able to initiate and sustain relevant organizational changes over time.
Notes Measure should consider principles from Prochaska’s Transtheoretical model5.

Similar to measure I of clinic/clinician element and R of patient element

 

Potential Measure CC
Item Description
Title Staff competency in providing preventive health services (community resource)
Description This measure assesses the level of community resource staff competency in providing relevant preventive health counseling services to patients.
Domain Training (community resource)
Data source Audit - An auditor would use a standard rubric to indicate the level of competency the staff of a community resource has in providing various preventive health services.
Calculation method This measure may be assessed at the level of an individual community resource organization or as the percentage of community resources in a community that have achieved competency in providing preventive health counseling to patients.
Notes This measure applies to USPSTF-recommended preventive counseling services provided by community resources.

Similar to measure J of clinic/clinician element
Page last reviewed October 2013
Internet Citation: Community Resource Element. October 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/prevention-chronic-care/resources/ccrm-atlas-suppl/ccrm-atlas3-3.html