Care Coordination Accountability Measures for Primary Care Practice

Table C-4. High Priority Measures for Pediatric Accountability/Recognition Measure Set

Care Coordination Activities Measurement Perspective
Patient/Family Health Care Professional(s) System Representative(s)
Establish accountability or negotiate responsibility 11a, 17a, 45, 64 5, 7a, 7b, 11b, 18, 20, 46 16a, 16b
Communicate 11a, 17a, 45 5, 7a, 7b, 11b, 17d, 46 16a, 16b, 17c, 34
Interpersonal communication 11a, 17a, 45, 64 7a, 7b, 11b, 17d, 18 17c
Information transfer 11a, 17a, 45 5, 11b, 17d, 18, 20, 27 16a, 17c, 34, 44, 50
Facilitate transitions      
Across settings 17a, 64 5, 17d, 27 16a, 17c, 50
As coordination needs change 11a 11b 16a, 16b
Assess needs and goals 11a, 17a, 45, 64 5, 11b, 17d, 20, 27, 46 16a, 16b, 17c, 44
Create a proactive plan of care 11a 5, 7b, 11b, 27 16a, 16b
Monitor, follow-up, and respond to change 11a, 17a, 45, 64 5, 11b, 17d, 20 17c, 19, 44
Support self-management goals 11a, 17a, 64 5, 11b, 17d, 20 16a, 17c, 19, 34
Link to community resources 11a, 64 5, 11b, 17d, 27 16a, 17c, 44
Align resources with patient and population needs 11a, 17a 5, 11b, 17d, 20 16a, 16b, 17c, 19

Note: Measures in bold are highest priority (group 1). Measures in plain font are in priority group 2.

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Page last reviewed October 2014
Internet Citation: Care Coordination Accountability Measures for Primary Care Practice: Table C-4. High Priority Measures for Pediatric Accountability/Recognition Measure Set. October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpacctabc4.html