| Domain | Element/Relationship | |||||
|---|---|---|---|---|---|---|
| Clinic/clinician | Patient | Community resource | Clinic/clinician—patient | Clinic/clinician—community resource | Patient—community resource | |
| Ability to access primary care | * | ** | * | * | * | * |
| Ability to access community resource | * | (1) 3** |
* | * | * | * |
| Accessibility | ** | * | ** | * | * | * |
| Assessment and goal setting | * | * | * | (1) 13** |
* | ** |
| Capacity for self-management | * | ** | * | * | * | * |
| Clinician experience | * | * | * | * | (3) 9,11,21** |
|
| Communication and follow through/follow-up | * | * | * | * | * | ** |
| Community resource experience | * | * | * | * | ** | * |
| Cost/efficiency | * | * | * | ** | ** | ** |
| Delivery of service | * | * | * | ** | * | ** |
| Delivery system design | ** | * | ** | * | * | * |
| Feedback and communication | * | * | * | * | (2) 12,20** |
* |
| Health literacy | * | ** | * | * | * | * |
| Information technology infrastructure | ** | ** | ** | * | * | * |
| Informed and activated patient | * | * | * | (1) 5** |
* | ** |
| Knowledge of and familiarity with community resources | (2) 10,22** |
** | * | * | * | * |
| Marketing of services | * | * | ** | * | * | * |
| Marketing results | * | * | ** | * | * | * |
| Nature and strength of the inter-organizational relationship | * | * | * | * | ** | * |
| Organizational infrastructure | ** | * | ** | * | * | * |
| Outreach to obtain knowledge of and familiarity with community resources | ** | ** | * | * | * | * |
| Patient-centeredness | * | * | * | ** | * | ** |
| Patient experience | * | * | * | ** | * | ** |
| Proactive and ready clinician | * | * | * | (2) 6,7** |
* | * |
| Proactive and ready community resource | * | * | * | * | * | ** |
| Readiness for behavior change | ** | (2) 2,18** |
** | * | * | * |
| Referral process | * | * | * | (7) 1,4,8, 14,15,17, 21** |
** | (1) 16** |
| Self-management support | * | * | * | ** | * | ** |
| Service capacity | ** | * | ** | * | * | * |
| Shared decision making | * | * | * | ** | * | * |
| Stage of behavior change | ** | ** | ** | * | * | * |
| Timeliness | * | * | * | * | ** | * |
| Training | ** | * | ** | * | * | * |
Notes:
*Indicates that the domain does not apply to the element or relationship.
**Indicates that the domain does apply to the element or relationship. A blank cell indicates that no measures currently exist for the domain. The numbers in parentheses indicate the total existing measures for a specific domain and element/relationship. The measure names can be found in Table 5-1.
