Clinical-Community Relationships Measures (CCRM) Atlas

Exhibit 5-5. Measure 5: Clinician perception of parent interest in referral (Safety Check Practitioner Post-Visit Survey)

Domain:Informed and activated patientElement/ relationship:Clinic/ clinician-patient
Instrument:Safety Check Practitioner Post-Visit Survey
Purpose:Clinicians in the Pediatric Research in Office Settings program were trained on providing violence prevention-related community referrals. This measures the clinicians' perception of their patient's interest in the local agency referral.
Format/data source:Health professional survey
Measure type:StructuralDate:2006
Preventive service/ USPSTF:Other–Mental Health*
Clinical practice:Primary care–Pediatrics
Denominator: Number of respondents to practitioner post-visit survey (Q5)
Numerator:Number of respondents who selected "Interested" or "Very interested" in following up on the local agency referral (Q5d)
Development & testing: 
Past or validated application: 
Citation(s):Barkin, S., Ip, E. H., Finch, S., et al. Clinician practice patterns: linking to community resources for childhood aggression. Clinical Pediatrics (2006) 45:750-756.

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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Page last reviewed March 2013
Internet Citation: Clinical-Community Relationships Measures (CCRM) Atlas: Exhibit 5-5. Measure 5: Clinician perception of parent interest in referral (Safety Check Practitioner Post-Visit 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-ex55.html