Definitions of Measures Used to Evaluate the PCR Model
| Measure (Source) | Definition |
|---|---|
| Access (EHR schedule data) | |
| Total patient appointments | Total office visits scheduled per month |
| New patient appointments | Total office visits scheduled with new patients per month |
| New patient appointments within 2 days | Number of new patient visits that are scheduled within 2 business days of initial request to schedule |
| Clinical quality metrics (discrete EHR data) | |
| Hypertension control | Percentage of patients aged 18-85 years with hypertension on problem list with a blood pressure at last visit <140/90 mm Hg |
| Colorectal cancer screening | Percentage of patients aged 50-75 years with completed appropriate colorectal screening (colonoscopy, flexible sigmoidoscopy, FOBT) |
| Retinal examination (diabetes process measure) | Percentage of patients aged 18-75 years with diabetes on problem list with a completed documented retina examination in the last 13 months |
| Foot examination (diabetes process measure) | Percentage of patients aged 18-75 years with diabetes on problem list with a documented mono-filament examination in the last 13 months |
| Nephropathy screening (diabetes process measure) | Percentage of patients aged 18-75 years with diabetes on problem list with a completed documented uro-microalbumin test in the last 13 months or with an ACE or ARB on the active medication list |
| Diabetes: blood pressure control | Percentage of patients aged 18-75 years with diabetes on problem list with a blood pressure at last visit <140/90 mm Hg |
| HbA1c >9% | Percentage of patients aged 18-75 years with diabetes on problem list with last HbA1c of >9% |
| Staffing (hospital human resources data) | |
| MA availability | Total hours all MAs logged in Kronos system per month divided by total expected hours when practice is fully staffed |
| Staff hours per visit | Total hours all staff logged in to Kronos system per month divided by all visits with a schedule status of “arrived” per month |
ACE = angiotensin-converting enzyme inhibitor; ARB = angiotensin receptor blocker; EHR = electronic health record; FOBT = fecal occult blood testing; HbA1c = glycated hemoglobin; MA = medical assistant; PCR = Primary Care Redesign.