Care Coordination Accountability Measures for Primary Care Practice

Table C-9. Adult Primary Care Measures Applicable to Patients with General Chronic Conditions*

Atlas Measure # Atlas Measure Title
1 Assessment of Chronic Illness Care (ACIC)
2 ACOVE-II Quality Indicators: Continuity and Care Coordination
4a—full** Consumer Assessment of Healthcare Providers and Systems (CAHPS®)—Adult Primary Care
4a—core only** Consumer Assessment of Healthcare Providers and Systems (CAHPS®)—Adult Primary Care
6 Client Perceptions of Coordination Questionnaire (CPCQ)
7a Collaborative Practice Scale (CPS): Nurse Scale
7b Collaborative Practice Scale (CPS): Physician Scale
9a Care Transitions Measure (CTM-3)
9b Care Transitions Measure (CTM-15)
10 Patient Assessment of Chronic Illness Care (PACIC)
13 Primary Care Assessment Survey (PCAS)
16a Medical Home Index (MHI-LV)
16b Medical Home Index (MHI-SV)
17b Primary Care Assessment Tool-Adult Edition (PCAT-AE)
17c Primary Care Assessment Tool-Facility Edition (PCAT-FE)
17d Primary Care Assessment Tool-Provider Edition (PCAT-PE)
18 Physician-Pharmacist Collaboration Instrument (PPCI)
19 Patient Centered Medical Home Survey of the Structural Capabilities of Primary Care Practice Sites
20 Family Medicine Medication Use Processes Matrix (MUPM)
21 Resources and Support for Self-Management (RSSM)
26 Oncology Patients Perceptions of the Quality of Nursing Care Scale (OPPQNCS)
31 Korean Primary Care Assessment Tool (KPCAT)
32 Primary Care Multimorbidity Hassles for Veterans with Chronic Illnesses
33 Primary Care Satisfaction Survey for Women (PCSSW)
34 Personal Health Records (PHR)
36 Physician Office Quality of Care Monitor (QCM)
37 Patient Perceptions of Care (PPOC)
38a PREPARED (Patient Version)
38b PREPARED (Carer Version)
38c PREPARED (Residential Care Staff Version)
38d PREPARED (Community Service Provider Version)
38e PREPARED (Medical Practitioner Version)
38f PREPARED (Modified Medical Practitioner Version)
39 Health Tracker Household Survey
41 Ambulatory Care Experiences Survey (ACES)
42 Patient Perceptions of Continuity Instrument (PC)
43 Psychometric Properties of An Attitude Scale Measuring Physician-Nurse Collaboration
44 Clinical Microsystems Assessment Tool (CMAT)
45 Components of Primary Care Index (CPCI)
46 Relational Coordination
47 Fragmentation of Care Index (FCI)
50 Degree of Clinical Integration Measures
52 Mental Health Professional HIV/AIDS Point Prevalence and Treatment Experiences Survey Part II
54 Cardiac Rehabilitation Patient Referral from an Outpatient Setting
57 Reconciled Medication List Received by Discharged Patients
58 Transition Record with Specified Elements Received by Discharged Patients (Inpatient Discharges)
59 Timely Transmission of Transition Record
60 Transition Record with Specified Elements Received by Discharged Patients (Emergency Department Discharges)
62 Team Survey for Program of All-Inclusive Care for the Elderly (PACE)
63 Medication Reconciliation in Ambulatory Care

* Also included are measures that are not condition specific or for which patient condition is not applicable.
** 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.

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Page last reviewed October 2014
Internet Citation: Care Coordination Accountability Measures for Primary Care Practice: Table C-9. Adult Primary Care Measures Applicable to Patients with General Chronic Conditions*. October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpacctabc9.html