Potential Measures for Clinical-Community Relationships

A-4. Measure 1: Patient recall of referral to local agencies

Table of Contents

Appendix Table A-4.  CCRM Atlas Measure 1: Patient recall of referral to local agencies (Safety Check Parental/Guardian Post-Visit Survey)

Domain: Referral process Element/
Instrument: Safety Check Parental/Guardian Post-Visit Survey
Purpose: Clinicians in the Pediatric Research in Office Settings program were trained on providing violence prevention related community referrals. This measure tracks patient recall of referrals to local agencies.
Format/data source: Patient/Individual Survey
Measure type: Process Date: 2006
Preventive service/ USPSTF: Other – Mental Health*
Clinical practice: Primary care – Pediatrics
Denominator: Number of respondents to parent/guardian post-visit survey (Q2)
Numerator: Number of respondents who selected “Yes” to local agency referral (Q2d)
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.

Page last reviewed October 2013
Page originally created October 2013
Internet Citation: A-4. Measure 1: Patient recall of referral to local agencies. Content last reviewed October 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/prevention-chronic-care/resources/ccrm-atlas-suppl/ccrm-apptabA-4.html