Measure Specifications
2024 The Comprehensiveness of Care Measure
Comprehensiveness of Care is one of the pillars of a high functioning health care system and a defining characteristic of primary care. It fosters more coordinated care, improved utilization and better patient-clinician relationships.
Comprehensiveness is the extent to which primary care practitioners offer a broad range of primary care services, which can help reduce or avoid referrals to specialists and other forms of health care (e.g., specialty care, hospital care).
Alone, delivering comprehensive care can improve access and coordination, while reducing costs. Taken together, comprehensive care and consistent doctor-patient relationships over time improve health outcomes and utilization. It is especially important for access in rural areas.
Continuity of Care Measure Specifications
This is a process measure evaluating primary care physicians; for each physician, their denominator is all of the patients they saw during the evaluation period who had at least 2 PCP visits (could include visits to other PCPs), and the numerator is the number of those patients whose Bice-Boxerman Continuity of Care Index is >= 0.7. The Bice-Boxerman index is a validated measure of patient-level care continuity that ranges from 0 to 1; 0 reflects completely disjointed care (a different provider for each visit) and 1 reflects complete continuity with the same provider for all visits.
2022 Person Centered Primary Care Measure Specifications
The Person-Centered Primary Care Measure Patient Reported Outcome Performance Measure (PCPCM PRO-PM) uses the PCPCM Patient Reported Outcome Measure (PROM) a comprehensive and parsimonious set of 11 patient-reported items – to assess the broad scope of primary care. Unlike other primary care measures, the PCPCM PRO-PM measures the high value aspects of primary care based on a patient’s relationship with the clinician or practice.
