Potential Measures for Clinical-Community Relationships

Clinic/Clinician-Community Resource Relationships

Community Resource Element: Clinic/Clinician-Community Resource Relationships


Potential Measure JJ
Item Description
Title Utility of “bridging resources” / informational tools used by clinicians to foster relationships with community resources
Description This measure assesses clinicians’ perceived value from the use of bridging resources/tools to facilitate referrals to community resources.
Domain Clinician experience (clinic/clinician-community resource).
Data source Clinic/clinician survey.
Calculation method This measure may be reported as the percentage of clinics/clinicians who report that the bridging resources/informational tools they use to make referrals to community resources in a community are useful.
Notes Measure may also collect qualitative information on ease of use, utility of resource, quality of information, or other aspects of usefulness relevant to the measurement goals.

Measure responses may be compared to perspective of community resources.

Similar to measure LL of clinic/clinician-community resource relationship


Potential Measure KK
Item Description
Title Value of clinical-community resource relationship
Description This measure assesses the level of perceived value of clinical-community resource relationships from the perspective of community resources.
Domain Community resource experience (clinic/clinician-community resource)
Data source Community resource survey
Calculation method This measure may be reported the average level of perceived value of clinical-community resource relationships reported by community resources in a community.
Notes N/A



Potential Measure LL
Item Description
Title Utility of “bridging resources”/informational tools used by community resources to foster relationship with clinic/clinicians
Description This measure assesses community resources’ perceived value from the use of bridging resources/tools to facilitate referrals from clinicians.
Domain Community resource experience (clinic/clinician-community resource)
Data source Community resource survey
Calculation method This measure may be reported as the percentage of community resources in a community that report that the bridging resources/informational tools they use to complete referrals from a clinic/clinician are useful.
Notes Measure may also collect qualitative information on ease of use, utility of resource, quality of information, or other aspects of usefulness relevant to the measurement goals.
Measure responses may be compared to perspective of clinics/clinicians.

Similar to measure JJ of clinic/clinician-community resource relationship


Potential Measure MM
Item Description
Title Costs to the clinic/clinician and a community resource to establish a clinical-community relationship
Description This measure assesses the costs associated with establishing a relationship between a clinic/clinician and community resource organization.
Domain Cost/efficiency (clinic/clinician-community resource).
Data source Audit – Using administrative management data to determine costs of establishing clinical-community relationships for both the clinicians and the community resources
Calculation method This measure may report as the cost associated with establishing a particular clinical-community relationship.
Notes Measure may consider various start-up costs including staff time, staff salaries, hiring costs, training time, technology infrastructure costs, opportunity costs, etc.


Potential Measure NN
Item Description
Title Costs to the clinic/clinician and a community resource to maintain a clinical-community relationship
Description This measure assesses the costs associated with maintaining a relationship between a clinic/clinician and community resource organization.
Domain Cost/efficiency (clinic/clinician-community resource)
Data source Audit – Using administrative management data to determine costs of maintaining clinical-community relationships for both the clinicians and the community resources
Calculation method This measure may report the costs associated with maintaining a particular clinical-community relationship.
Notes Measure should consider new compensation policy for delivering preventive services and using community resources to do so.

Measure may consider various costs including staff time, staff salaries, opportunity costs, licensing, etc.


Potential Measure OO
Item Description
Title Strength of a clinical-community resource relationship
Description This measure assesses the strength of a relationship between a particular community resource and a particular primary care clinic/clinical practice
Domain Nature and strength of the inter-organizational relationship (clinic/clinician-community resource)
Data source Audit – A standardized evaluation form would be used to assess a clinical-community relationship’s attributes and determine how strong the relationship is.
Calculation method This measure may be reported on an ordinal scale that includes rating of elements such as networking, coordinating, cooperating, and collaborating. While this measure applies to a particular clinical-community relationship, it might also be of interest to assess all of the relationships that an organization engages in or all the relationships within a community to understand how the relationships differ.
Notes Principles for this measure may be adapted from Himmelman’s model of collaboration for a change:
http://depts.washington.edu/ccph/pdf_files/4achange.pdf

The audit would need to consider/evaluate both the clinic/clinician and the community resource.


Potential Measure PP
Item Description
Title Percentage of referrals to a community resource that are actionable
Description This measure reports the percentage of referrals that a community resource receives that include all necessary information for the community resource to take action.
Domain Referral process (clinic/clinician-community resource)
Data source Audit – Auditor would review administrative clinical data to determine whether referrals are actionable by a community resource.
Calculation method This measure may be assessed for a particular community resource or for all community resources in a community. It may be targeted to community resources participating in a clinical-community relationship or be reported more generally. This measure may be reported as the percentage of referrals received that include all necessary information for the community resource to begin the process of delivering services.
Notes A referral may be actionable even if the service is not actually delivered.


Potential Measure QQ
Item Description
Title Time to provide preventive services by a community resource
Description This measure assesses the time it takes a community resource to provide preventive services once the community resource receives a referral from a clinic/clinician.
Domain Timeliness (clinic/clinician-community resource)
Data source Audit – A review of administrative or clinical data at the community resource to determine the amount of time it takes the community resource to provide preventive services once it receives referrals from clinic/clinicians
Calculation method This measure may be reported for individual community resource organizations or community resource organizations within a defined community as a whole. It may be targeted to community resources participating in a clinical-community relationship or be reported more generally. It may be reported as the average amount of time between the receipt of a referral and the delivery of the service averaged across all referrals for which the service is delivered.
Notes This is related to measure VV, the percentage of referrals from a clinician to a community resource that result in the delivery of the preventive service.
Page last reviewed October 2013
Internet Citation: Clinic/Clinician-Community Resource Relationships. Content last updated October 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/prevention-chronic-care/resources/ccrm-atlas-suppl/ccrm-atlas3-5.html