Care Coordination Accountability Measures for Primary Care Practice
Table C-2. Priority Groups of Pediatric Primary Care Survey Measures Based on Feasibility and Degree of Focus on Care Coordination
|Survey Length||Degree of Focus on Care Coordination|
|Minimal (50% map)||Strong (≥50% map)|
|Short (≤50 items)||Priority Group 1: 5, 7a, 7b, 16a, 16b, 18, 19, 20, 27, 34, 44, 45, 46, 50||Priority Group 3: 4c (core only), 4c (full), 31, 41|
|Long (>50 items)||Priority Group 2: 11a, 11b, 17a, 17c, 17d, 64||Priority Group 4: 16c, 36|
- The Care Coordination Measurement Tool (measure #5) is an audit tool rather than a survey and thus feasibility cannot be assessed in the same manner of tallying the number of items and percent of items related to care coordination domains. The instrument consists of a form to be completed by pediatric primary care office personnel as care is provided. The form collects information about the purpose, mode, and nature of encounters, time spent, and outcomes associated with patient encounters. As it was designed to be completed by busy clinicians as part of their work processes, it has face validity for feasibility, and remains in our group of potentially feasible and relevant measures. It is listed in the table above in the highest priority group because we have no basis upon which to rank it lower.
- The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Child Primary Care instrument (measure #4c) consists of two components. The core survey contains 31 items and may be used by itself. An additional supplemental survey contains items that may be used in conjunction with the core instrument. Because inclusion of the supplemental items is optional, we assessed feasibility and degree of focus on care coordination separately for the core-only and full (core plus supplement) versions of the CAHPS® measure.