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.
Measure Specs
General Information
Numerator
The numerator is the number of patients with a continuity index of at least 0.7.
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.
Measure Record
Point of Contact
None
Public Comments