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Clinical-Community Relationships Measures (CCRM) Atlas

Table 3-1. Clinical-Community Relationships Measures Framework

Categories of measurement domains Measurement Domains
Elements
Clinic/clinician Patient Community resource
Structure Domains
  • Information technology infrastructure.
  • Service capacity.
  • Accessibility.
  • Training.
  • Delivery system design.
  • Organizational infrastructure.
  • Information technology infrastructure.
  • Capacity for self-management.
  • Ability to access primary care.
  • Ability to access the community resource.
  • Health literacy.
  • Information technology infrastructure.
  • Service capacity.
  • Accessibility.
  • Training.
  • Delivery system design.
  • Organizational infrastructure.
Process Domains
  • Readiness for behavior change.
  • Outreach to obtain knowledge of and familiarity with community resources.
  • Readiness for behavior change.
  • Outreach to obtain knowledge of and familiarity with community resources.
  • Readiness for behavior change.
  • Marketing of services.
Outcome Domains
  • Stage of behavior change.
  • Knowledge of and familiarity with community resources.
  • Stage of behavior.
  • change.
  • Knowledge of and familiarity with community resources.
  • Stage of behavior change.
  • Marketing results.

 

 

Categories of measurement domains Measurement Domains
Relationships
Clinic/clinician-patient Clinic/clinician-community resource Patient-community resource
Structure Domains
  • Proactive and ready clinician.
  • Informed and activated patient.
  • Nature and strength of the inter-organizational relationship.
  • Proactive and ready community resource.
  • Informed and activated patient.
Process Domains
  • Referral process.
  • Assessment and goal setting.
  • Self-management support.
  • Shared decisionmaking.
  • Referral process.
  • Feedback and communication.
  • Timeliness.
  • Referral process.
  • Assessment and goal setting.
  • Self-management support.
  • Communication and follow through/follow-up.
Outcome Domains
  • Patient experience.
  • Cost/efficiency.
  • Delivery of service.
  • Patient- centeredness.
  • Clinician experience.
  • Community resource experience.
  • Cost/efficiency.
  • Patient experience.
  • Cost/efficiency.
  • Delivery of service.
  • Patient-centeredness.

Notes:

The table presents measurement domains within the CCRM Framework.

The elements (clinic/clinician, patient, and community resource) and the relationships among these elements form one dimension of the measurement framework.

Refer to Section 3.3.1 for more information.

Donabedian's structure-process-outcome model is the second dimension used to categorize measurement domains.

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Publication:
13-0334-EF

Page last reviewed March 2013
Page originally created March 2013

Internet Citation: Table 3-1. Clinical-Community Relationships Measures Framework. 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-table31.html

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