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Quality Measures Database

Detailed Results


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Continuity of Provider Care Overall Rank: 158
Use of common administrative data based measures of concentration of care with different providers (e.g., Known provider continuity (K index), Modified Continuity Index (MMCI)).
Domain : Continuity
Services are offered as a coherent and coordinated succession of events in keeping with the health needs and personal context of patients. Health care is linked to other services to support successful treatment.
Rationale
Measure of concentration of care with different providers.
Modifies a simple count of the number of providers with the number of visits made.
Can be adapted as a visit based measure (k index) where k is 1 where known provider and 0 otherwise (Eriksson et al 1983).
Simple to calculate
Commonly used permitting comparisons across sites and studies.
Requires summary utilization data only (no. visits and providers).
Accounts for total number of visits.
Intuitively interpretable as the needs for information exchange between providers (in the same or different discipline) increases as the number of providers increases.
Primary Reference
Reid, R., Haggerty, J., Mackenzie, R. (2002). Defusing the confusion: Concepts & Measures of Continuity of Healthcare. Canadian Health Services Research Foundation.
Level of Evidence
IV: Evidence based on individual expert opinion.

Summarized CommentsAdd Comment
  • These are too simplistic, as indicators of continuity they can be misleading.
  • An expert panel should review/ validate/ recommend/ the particular index used.
  • I don't know this - could be good, but hard for me to rate when not familiar with it.
Variation in Results
Ratings-based Rank
Relevance 154
Actionability 158
Overall Importance 157
 
Stakeholder Rank
Academics 152
Clinicians 157
Consumers 152
Decision Makers 159
 
Special Group Rank
First Nations 151
Rural Areas 155
Federal Stakeholders 157
Regional Rank
BC AB SK MB ON QC NB NS PE NL YT NT NU
158 158 153 133 154 160 144 155 139 159 109 151 142
 
Overall Rank

      

158


SW04e (H788)

 
Distribution of Survey Respondent Ratings
Relevance
100
90
80
70
60
50
40
30
20
10
0
0.54 2.58 4.15 9.13 14.08 25.67 29.23 10.27 4.34
1 2 3 4 5 6 7 8 9
Low High
Actionability
100
90
80
70
60
50
40
30
20
10
0
1.08 2.4 8.42 8.99 15.55 31.27 20.81 7.33 4.16
1 2 3 4 5 6 7 8 9
Low High
Overall Importance
100
90
80
70
60
50
40
30
20
10
0
21.89 70.07 8.04
3 2 1

3 = can live without
2 = nice to have
1 = indispensable
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