Measuring Primary Care
Clinical Quality Measures in a Post-Pandemic World: Measuring What Matters in Family Medicine
Jill C. Shuemaker, RN, CPHIMS
Robert L. Phillips Jr, MD, MSPH
Warren P. Newton, MD
COVID-19 altered the way the American public lived their lives; the way they worked, ate, socialized, traveled, and ultimately received their health care. Family Medicine largely closed its doors to face-to-face preventive and chronic care visits and made a large shift to telephone and online video visits…
Continuity of Care
The Lost Pillar: Does Continuity of Care Still Matter?
David Loxterkamp, MD
Continuity of care has long held a hallowed place in the halls of family medicine. Indeed, it is one of the 4 pillars of an ideal family practice, along with first contact, comprehensive, and coordinated care…
Higher Primary Care Physician Continuity is Associated with Lower Costs and Hospitalizations
Andrew Bazemore, MD, MPH
Stephen Petterson, PhD
Lars E. Peterson, MD, PhD
Richard Bruno, MD, MPH
Yoonkyung Chung, PhD
Robert L. Phillips Jr, MD, MSPH
Continuity of care is a defining characteristic of primary care associated with lower costs and improved health equity and care quality. However, we lack provider-level measures of primary care continuity amenable to value-based payment, including the Medicare Quality Payment Program (QPP)…
The Impact of Interpersonal Continuity of Primary Care on Health Care Costs and Use: A Critical Review
Mingliang Dai, PhD, MS
Denise Pavletic, RD, MPH
Jill C. Shuemaker, RN, CPHIMS
Craig A. Solid, PhD
Robert L. Phillips Jr, MD, MSPH
Care continuity is foundational to the clinician/patient relationship; however, little has been done to operationalize continuity of care (CoC) as a clinical quality measure. The American Board of Family Medicine developed the Primary Care CoC clinical quality measure as part of the Measures That Matter to Primary Care initiative.
Measuring the Value Functions of Primary Care: Physician-Level Continuity of Care Quality Measure
Mingliang Dai, PhD, MS
Jill Shuemaker, RN, CPHIMS
Lars Peterson, MD, PhD
Robert Phillips, MD, MSPH
YoonKyung Chung, PhD
Care continuity is foundational to the clinician/patient relationship; however, little has been done to operationalize continuity of care (CoC) as a clinical quality measure. The American Board of Family Medicine developed the Primary Care CoC clinical quality measure as part of the Measures That Matter to Primary Care initiative.
Continuity of Care bibliography
Zachary Merenstein
Pre-Med Student, University of Maryland
What exactly is continuity of care, and why is it important? From their own individual experiences,
most people would likely agree on the importance of developing close relationships…
Continuity of Care Bibliography Expansion
Emerson Frizzell
MPH Candidate, The Dartmouth Institute for Health Policy and Clinical Practice
Led by a trained research librarian, we searched the online PubMed database for all papers from inception of the database through present (July 20th, 2022.)…
Person Centered Primary Care Patient Reported Outcome Performance Measure
A New Comprehensive Measure of High-Value Aspects of Primary Care
Rebecca S. Etz, PhD
Stephen J. Zyzanski, PhD
Martha M. Gonzalez
Sarah R. Reves, MSN, FNP-C
Jonathan P. O’Neal
Kurt C. Stange, MD, PhD
To develop and evaluate a concise measure of primary care that is grounded in the experience of patients, clinicians, and health care payers…
Comprehensiveness of Care
More Comprehensive Care Among Family Physicians is Associated with Lower Costs and Fewer Hospitalizations
Andrew Bazemore, MD, MPH
Stephen Petterson, PhD
Lars E. Peterson, MD, PhD
Robert Phillips, MD, MSPH
Comprehensiveness is lauded as 1 of the 5 core virtues of primary care, but its relationship with outcomes is unclear. We measured associations between variations in comprehensiveness of practice among family physicians and healthcare utilization and costs for their Medicare beneficiaries…
Comprehensiveness–The Need to Resurrect a Sagging Pillar of Primary Care
Tracey L. Henry MD, MPH, MS
Eugene C. Rich, MD
Andrew Bazemore MD, MPH
The COVID-19 pandemic highlighted both the importance of primary care and the fragility of its current infrastructure in the United States (US). Within its first 2 months, stark reminders of racial injustice, unaddressed health disparities, and grossly inequitable access to healthcare further underscored the current lack and future importance of universal access to high-performing primary care…
Medicare Beneficiaries with More Comprehensive Primary Care Physicians Report Better Primary Care
Ann S. O’Malley, MD, MPH
Eugene C. Rich, MD
Arkadipta Ghosh, PhD
Maya Palakal, MS
Tyler Rose, BS
Kaylyn Swankoski, PhD
Deborah Peikes, PhD, MPA
Nancy McCall, ScD
Medicare beneficiaries with more comprehensive PCPs rate overall care from their PCPs and staff higher than those with less comprehensive PCPs…
Defining Comprehensiveness in Primary Care: A Scoping Review
Derek Baughman
Rafay Nasir
Lynda Ngo
Andrew Bazemore A
This scoping review unified the interrelatedness of comprehensiveness’s main aspects – whole-person care, range of services, and referral to specialty care – framing a working, evidence-based definition: managing most medical care needs and temporarily complementing care with special integrated services in the context of patient’s values, preferences, and beliefs.
Physician Trust Patient Reported Outcome Performance Measure
Measuring Trust in Primary Care: Assessment, Improvement, and Policy Opportunity
Zach Merenstein, MS
Jill Shuemaker, RN, CPHIMS
Robert Phillips, MD, MSPH
Trust is a fundamental aspect of any human relationship, and medical care is no exception. An ongoing, trusting relationship between clinicians and patients has shown demonstrable value to primary care. However, there is currently no measure of trust in general use, and none endorsed for use by most value-based payment programs. This review searched the literature for any existing measures of patient trust in primary care clinicians and assessed their potential to be implemented as a patient-reported outcome measure.
