Clinical-Community Relationships Measures (CCRM) Atlas

Exhibit 5-13. Measure 13: Clinician discussion of treatment plan with patients or family caregivers (ASCP Physician Survey)

Domain:Assessment and goal settingElement/ 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:ProcessDate: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.

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Current as of March 2013
Internet Citation: Clinical-Community Relationships Measures (CCRM) Atlas: Exhibit 5-13. Measure 13: Clinician discussion of treatment plan with patients or family caregivers (ASCP Physician Survey). March 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/prevention-chronic-care/resources/clinical-community-relationships-measures-atlas/ccrm-atlas-ex513.html