Quantitative PCMH Evaluation Measures: Practice, Clinician, and Staff Survey Instruments
| Measurement Tool | Domains | Source, Version, Purpose, Availability |
|---|---|---|
| Baseline Practice Survey45 | Demographics and practice information | Original NDP questionnaire (96 items). Adapted questionnaire by BPCTI (27 items). Provides information for NCQA and meaningful use. No cost Supplemental Appendix 1, http://www.annfammed.org/content/13/2/168/suppl/DC1 |
| PCMH Implementation Survey45,46 | Change capacity: teamwork, work environment, culture, trust, communication | Modified by BPCTI from 2 longer NDP scales: NDP Practice Adaptive Reserve (23 items), Modified Scale = 23 items (reflection item deleted and confidence item added), and Practice Environmental Checklist (123 items). Combined modified scale = 32 items. No cost Supplemental Appendix 2, http://www.annfammed.org/content/13/2/168/suppl/DC1 |
| Practice Demographic Questionnaire for clinicians | Demographics of individual practice clinicians | BPCTI (9 items). For physicians, NPs, and PAs. No cost Supplemental Appendix 3, http://www.annfammed.org/content/13/2/168/suppl/DC1 |
| Practice Demographic Questionnaire for staff | Demographics of individual practice staff | BPCTI (5 items). For nurses, medical assistants, receptionists, and other staff. No cost Supplemental Appendix 4, http://www.annfammed.org/content/13/2/168/suppl/DC1 |
| The Clinician Activation Measure assessment (CS-PAM) | Clinician support for and beliefs about patient activation and patient self-management | Validated tool from Insignia Health (13 items). Requires purchase of a license http://www.insigniahealth.com/solutions/clinician-activation-measure |
| Maslach Burnout Inventory47 | Measure of burnout: emotional exhaustion, depersonalization, personal accomplishment | MBI-HSS (22 items). For clinicians and staff. Available in 25 languages, free with purchase of license for English version. Website disclaimer gives no warranty for translation quality http://www.mindgarden.com/products/mbi.htm |
BPCTI = Brown Primary Care Transformation Initiative; MBI = Maslach Burnout Inventory; MBI-HSS = MBI-Human Services Survey; NCQA = National Center for Quality Assurance; NDP = National Demonstration Project; NP = nurse practitioner; PA = physician assistant; PCMH = patient-centered medical home.