Table 2

Proposals for Improved Quality Metrics and Reporting in Primary Care

Shared-decision reporting
Target ranges without absolute goals
Measure when physicians do not order tests or treatments
Measure other aspects of primary care capacity associated with better outcomes
 Comprehensiveness of services offered at the primary care center
 Physician-patient continuity
 Smaller practice size
 Rate of generic prescription writing
 Increased office visit time for complex patients
 Access to local clinic professionals 24/7
 Careful selection of referral specialists
De-emphasize measures of patient satisfaction
Measure outcomes more important to patients
Peer-led qualitative reviews of patterns of care