Appendix Table A-6. CCRM Atlas Measure 3: Parental confidence in being able to use a local agency referral (Safety Check Parental/Guardian Post-Visit Survey)
| Domain: | Ability to access the community resource | Element/ relationship: |
Patient |
| Instrument: | Safety Check Parental/Guardian Post-Visit Survey | ||
| Purpose: | Clinicians in the Pediatric Research in Office Settings program were trained on providing violence prevention related community referrals. This measures the parents' confidence that they will be able to use the local agency referral. | ||
| Format/data source: | Patient/Individual Survey | ||
| Measure type: | Structural | Date: | 2006 |
| Preventive service/ USPSTF: | Other – Mental Health* | ||
| Clinical practice: | Primary care – Pediatrics | ||
| Denominator: | Number of respondents to parent/guardian post-visit survey (Q4) | ||
| Numerator: | Number of respondents who selected “Confident” or “Very confident” in following up on the local agency referral (Q4d) | ||
| Development & testing: | |||
| Past or validated application: | |||
| Citation(s): | Barkin, S., Ip, E.H., Finch, S., et al. Clinician practice patterns: linking to community resources for childhood aggression. Clinical Pediatrics (2006) 45:750-756. | ||
| Notes: | Please be aware that this measure is using only a selected section of an entire survey instrument. Therefore, this individual measure may need to undergo further reliability and validation testing to ensure that it can be applied in a clinical-community relationship setting. | ||
* This is a measure that was originally applied in a mental health setting, but it could be adapted for a primary care setting.
