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Measuring the Value-Functions of Primary Care: Provider Level Continuity of Care Measure

CBE ID
3617
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
Next Maintenance Cycle
Spring 2027
1.3 Measure Description

This is a process measure evaluating primary care physicians; for each physician, their denominator is all of the patients they saw during the evaluation period who had at least 2 PCP visits (could include visits to other PCPs), and the numerator is the number of those patients whose Bice-Boxerman Continuity of Care Index is >= 0.7.
The Bice-Boxerman index is a validated measure of patient-level care continuity that ranges from 0 to 1; 0 reflects completely disjointed care (a different provider for each visit) and 1 reflects complete continuity with the same provider for all visits.

        • 1.14 Numerator

          The numerator is the number of patients with a continuity index of at least 0.7.

        • 1.15 Denominator

          The denominator is the total number of patients with continuous enrollment with at least 2 visits to any primary care physicians in the measurement period. The requirement of continuous enrollment ensures that all of the patient encounters will be captured in the data, and the requirement of at least 2 visits is necessary to calculate a Continuity of Care index (the notion of “continuity” isn’t applicable to someone who only has 1 physician visit, i.e., there needs to be at least 2 visits to determine if they consistently visit the same or different physicians).

        • Exclusions

          Since Continuity of Care is about seeing the same clinician, we did not consider patients with only one visit as an exclusion, therefore; we do not have any denominator exclusions.

        • 1.13a Data dictionary not attached
          No
        • Most Recent Endorsement Activity
          Endorsed Primary Care and Chronic Illness Spring Cycle 2021
          Initial Endorsement
          Last Updated
              • Risk adjustment approach
                Off
                Risk adjustment approach
                Off
                Conceptual model for risk adjustment
                Off
                Conceptual model for risk adjustment
                Off