Care coordination has been recognized as an important aspect of high quality, patient-centered care. Measures of care coordination processes can be used to generate evidence about care coordination and its outcomes; evaluate current practices; design, implement, and assess improvement activities; and support payment initiatives that target care coordination.
In support of these activities, in 2011 the Agency for Healthcare Research and Quality (AHRQ) published the Care Coordination Measures Atlas, a compendium of existing measures of care coordination. Now, recognizing a particularly urgent need for measures for assessing or recognizing care coordination as it is carried out by primary care practices, AHRQ has funded development of Care Coordination Accountability Measures for Primary Care Practice.
This report presents measures selected systematically from the Atlas that are well suited for use by health plans and insurers to assess the quality of coordination in primary care practices and by primary care practices themselves to assess their own performance.
Prepared by: Stanford University Center for Primary Care and Outcomes Research.
Kathryn M. McDonald, M.M.
Ellen Schultz, M.S.
Noelle Pineda, B.A.
Julia Lonhart, B.S., B.A.
Tamara Chapman, M.A.
Sheryl Davies, M.A.
290-04-0020 (AHRQ SQI-II)
Introduction and Purpose
Care Coordination Accountability Measures for Primary Care Practice
Measure Sets for Additional Perspectives
Measure Development Gaps and Recommendations
Appendix A. Atlas Perspective and Domain Definitions
Appendix B. Full Details of Methods
Appendix C. Results of Measure Selection Process
We thank Jan Genevro, David Meyers, and Mamatha Pancholi of the Agency for Healthcare Research and Quality for their guidance, engaging discussions, and support. We wish to acknowledge the efforts of those who developed the measures on which this work relies. We especially wish to thank those measure developers who have provided information or materials to our team over the course of our measure reviews for this work and earlier work on the Care Coordination Measures Atlas.