| Domain: | Referral process | Element/ relationship: | Patient-community resource |
|---|---|---|---|
| Instrument: | N/A | ||
| Purpose: | This measure calculates the proportion of patients working with a CHERL who were referred to at least one community resource that provided assistance with one or more of the four unhealthy behaviors. | ||
| Format/data source: | Electronic health/medical record. A computerized support system was developed to collect patient data; track patient calls, dates of service, and clinician feedback; and guide the counseling. Patient-specific health behavior and demographic information was entered by the CHERL based on self-report by the patients. | ||
| Measure type: | Process | Date: | 2006 |
| Preventive service/ USPSTF: | Alcohol Misuse Counseling; Healthy Diet Counseling; Obesity Screening and Counseling—Adults; Tobacco Use Counseling and Interventions—Non-Pregnant | ||
| Clinical practice: | Primary Care—Family Practice; Primary Care—Internal Medicine | ||
| Denominator: | Number of eligible patients (those identified by the clinician as needing improvement in one or more unhealthy behavior): Patients eligible for improvement were those who had smoked one puff or more in past 7 days; had drunk two alcoholic drinks per one occasion most days in the past month; did not eat a low-fat diet or at least five total fruits and/or vegetables per day; and/or did not participate in moderate exercise at least 5 days per week, or vigorously at least 3 days per week. The patient must have completed a baseline call with the CHERL. | ||
| Numerator: | The number of clients who received at least one referral from the CHERL to a community resource. | ||
| Development & testing: | The Reach, Efficacy/Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) model provided the framework for the analysis of study results. | ||
| Past or validated application: | Adult patients at 15 practices selected for convenience in three Michigan communities were eligible for CHERL referral if a patient was identified by the clinician as needing improvement in one or more of the four unhealthy behaviors. | ||
| Citation(s): | Holtrop, J. S., Dosh, S. A., Torres, T., Thum, Y. M. The community health educator referral liaison (CHERL): A primary care practice role for promoting healthy behaviors. American Journal of Preventive Medicine (2008) 35:S365-S372. | ||
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Clinical-Community Relationships Measures (CCRM) Atlas
Exhibit 5-16. Measure 16: CHERL referrals to community resources
Table of Contents
- Clinical-Community Relationships Measures (CCRM) Atlas
- Introduction
- Acknowledgments
- 1. Why Was the Clinical-Community Relationships Measures Atlas Developed?
- 2. What Is a Clinical-Community Relationship?
- 3. What Is the Clinical-Community Relationships Measurement Framework?
- 4. How Do Existing Measures of Clinical-Community Relationships Align with the Measurement Framework?
- 5. What Are the Existing Measures of Clinical-Community Relationships?
- References
- Appendix A. USPSTF Clinical Preventive Services Included in the Measurement Framework
- Appendix B. National Quality Measures Clearinghouse™ Data Sources
- Appendix C. Environmental Scan Process
- Appendix D. Clinical-Community Relationships Measures Instruments
- Safety Check Practitioner Post-Visit Survey
- Wrap-Around Observation Manual—Second Version
- Continuity of Care Practices Survey—Practice Level [CCPS-P]
- Capacity for Chronic Disease Management in General Practice Research Study Practice Profile Interview—Linkages with External Organisations of Providers (GP-LI) 109
Publication: 13-0334-EF
Page last reviewed March 2013
Page originally created March 2013
Internet Citation: Exhibit 5-16. Measure 16: CHERL referrals to community resources. Content last reviewed March 2013. Agency for Healthcare Research and Quality, Rockville, MD.
https://www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-ex516.html
