Appendix Table A-3. List of Measures from the CCRM Atlas
| # | Measure name |
|---|---|
| 1 | Patient recall of referral to local agencies (Safety Check Parental/Guardian Post-Visit Survey) |
| 2 | Parental interest in following up on the local agency referral (Safety Check Parental/Guardian Post-Visit Survey) |
| 3 | Parental confidence in being able to use a local agency referral (Safety Check Parental/Guardian Post-Visit Survey) |
| 4 | Clinician recall of referral to a local agency (Safety Check Practitioner Post-Visit Survey) |
| 5 | Clinician perception of parent interest in referral (Safety Check Practitioner Post-Visit Survey) |
| 6 | Clinician confidence in ability to instruct patient/family in proper use of local agency referral (Safety Check Practitioner Post-Visit Survey) |
| 7 | Information about area (community) resources is offered by clinician (Wrap-Around Observation Form-2) |
| 8 | Plan of care includes at least one public and/or private community service/resource (Wrap-Around Observation Form-2) |
| 9 | Physician satisfaction with service coordination (Alzheimer’s Service Coordination Program [ASCP] Physician Survey) |
| 10 | Changes in clinicians’ knowledge of available services in the local community (ASCP Physician Survey) |
| 11 | Whether or not a clinician would refer any family caregiver to intervention in the future (ASCP Physician Survey) |
| 12 | Clinician receipt of treatment plan from the service coordinator (ASCP Physician Survey) |
| 13 | Clinician discussion of treatment plan with patients or family caregivers (ASCP Physician Survey) |
| 14 | Patients referred to a community health educator referral liaison (CHERL) |
| 15 | Patient engagement with CHERL |
| 16 | CHERL referrals to community resources |
| 17 | Referral rate for intensive counseling from a community program |
| 18 | Rate of patients that were ready to improve a targeted behavior |
| 19 | Connection to resource (Continuity of Care Practices Survey – Practice Level [CCPS-P]) |
| 20 | Coordination of care (CCPS-P) |
| 21 | The effectiveness of communication between practice and community resource (GP-LI) |
| 22 | The quality of the service provided by community resource to a practice (GP-LI) |
