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The Person-Centered Primary Care Measure (PCPCM) is an 11-item patient-reported measure that assesses primary care aspects rarely captured yet thought responsible for primary care effects on population health, equity, quality, and sustainable expenditures. These include: accessibility, comprehensiveness, integration, coordination, relationship, advocacy, family and community context, goal-oriented care, and disease, illness, and prevention management.

PERSON-CENTERED

PRIMARY CARE MEASURE

 

BACKGROUND

The PCPCM is a validated measure that was developed by the Larry A. Green Center for the Advancement of Primary Health Care for the Public Good through a three-step process:

  • Crowd-sourced ~1,000 surveys among identified quality areas of greatest importance

  • Starfield Summit III: Meaningful Measures for Primary Care brought together 70 inter/national leaders for a 2½ day conference. 

  • These steps generated the 11-item patient-reported Person-Centered Primary Care Measure

CURRENT STATUS

The PCPCM is currently being fielded in PRIME, a platform that includes 4000 primary care clinicians to assess its use, utility, potential maintenance, and association with MACRA related and health system related outcomes.

It has been translated into more than 28 different languages and is fielding to validate in the 36 different OECD countries.

OPPORTUNITIES TO

COLLABORATE

Interested in working with us on the measure? There are many opportunities to collaborate.

PRIMARY CARE

MEASURES THAT MATTER

 

Measures matter. Done well, they reflect professionalism, ambition, and areas of greatest value. We are not there.

 

The pervasive use of measures in service of incentive-based programs is one of the great natural experiments of our time. Primary care is asked to report on hundreds of measures every year while the utility, capacity, and alignment of those measures with the heart of primary care is uncertain, if not questionable. What primary care does best cannot be assessed by disease-oriented measures alone. It requires attention to the integrating, prioritizing, and personalizing functions of primary care delivery. It requires attention to the experiences of front-line clinicians and to thoughtful focus on the development of a simple, brief, and meaningful set of measures for primary care.

Funded by: The American Board of Family Medicine Foundation and Family Medicine for America's Health.

PURPOSE

We need quality measures able to assess and value primary care while supporting continuous health and aspiration. This project:

  • Tests the usefulness of a rapid, low-cost, broadly-framed approach to grounded data collection
     

  • Defines a simple set of quality indicator areas as identified by primary care clinicians, patients, and other stakeholders
     

  • Assesses alignment of identified indicator areas with measurement sets and paradigms currently used in primary care

APPROACH

We used crowd-sourced surveys to identify quality areas of greatest importance to stakeholders: 525 primary care clinicians, 412 patients, and 85 employers. Our brief open-ended questions asked participants how they knew good quality care, and what about primary care was most important.

 

A multidisciplinary team analyzed over 9,000 individual responses. Once quality areas were identified and defined, findings were shared for member-checking among 232 survey participants.

WHY IT MATTERS

There is no US consensus regarding how best to measure primary care. Most approaches to solving the “measurement dilemma” are focused on reducing the number of measures used.

 

While important, measures not developed using a primary care framework will always fall short of valuing the full scope of primary care and the interests of those who go there. Sustaining, valuing, and advancing primary care requires development of measures suitable to that purpose.

 

STARFIELD III:

Meaningful Measures for Primary Care

WASHINGTON, D.C. — OCTOBER 4-6, 2017

The US system of primary care is rapidly transforming. While quality measures are necessary to achieve national health objectives, those in use are often costly, misaligned, and provide limited return.

 

Starfield Summits convene diverse stakeholders to enable discussions both for public consumption and for the advancement of primary care research, policy, and action. Starfield III: Meaningful Measures for Primary Care, was held October 4-6, 2017 in Washington, DC.

Funded by: The Agency for Healthcare Research and Quality (1R13HS025312-01), the American Board of Family Medicine Foundation, Family Medicine for America’s Health, the North American Primary Care Research Group, and Virginia Commonwealth University.

PURPOSE

Starfield III was a working conference that brought together a small yet powerful collective of experts and stakeholders.

 

Continued widespread dissatisfaction with measures is evidence of continued need for solution. Starfield III was intended to:

  • Begin/evolve a set of key criteria to inform measure development

  • Revise/refine a framework for primary care measures based on what matters most

  • Consider/advance a set of essential primary care measures

APPROACH

Seventy national and international leaders participated in a 2½ day conference. Prior to the Summit, participants read a series of conference briefs and publications to ensure knowledge held in common.

 

Participants were organized into ten working groups and held a series of focused discussions on previously shared quality areas and guidance for primary care measure development. The work of each group and the large group discussions were digitally recorded.

WHY IT MATTERS

We require new thinking and a unified vision across primary care settings and stakeholders. Development of meaningful measures will need to address the difference between what we know how to measure and what we need most to understand. Starfield III identified new ways of thinking, areas of critical measurement gaps, and prioritized avenues for solution.