Beyond the Clinic Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals Read Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals
Phoenix Newsletter - March 2025 President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty Read President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty
Home Research Research Library Measuring the Value Functions of Primary Care: Physician-Level Continuity of Care Quality Measure Measuring the Value Functions of Primary Care: Physician-Level Continuity of Care Quality Measure 2022 Author(s) Dai, Mingliang, Pavletic, Denise, Shuemaker, Jill C, Solid, Craig A, and Phillips, Robert L Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Measurement, Practice Innovations, and Quality Of Care Volume Annals of Family Medicine Source Annals of Family Medicine PURPOSE Care continuity is foundational to the clinician/patient relationship; however, little has been done to operationalize continuity of care (CoC) as a clinical quality measure. The American Board of Family Medicine developed the Primary Care CoC clinical quality measure as part of the Measures That Matter to Primary Care initiative.METHODS Using 12-month Optum Clinformatics Data Mart claims data, we calculated the Bice-Boxerman Continuity of Care Index for each patient, which we rolled up to create an aggregate, physician-level CoC score. The physician quality score is the percent of patients with a Bice-Boxerman Index ≥0.7 (70%). We tested validity in 2 ways. First, we explored the validity of using 0.7 as a threshold for patient CoC within the Optum claims database to validate its use for reflecting patient-level continuity. Second, we explored the validity of the physician CoC measure by examining its association with patient outcomes. We assessed reliability using signal-to-noise methodology.RESULTS Mean performance on the measure was 27.6%; performance ranged from 0% to 100% (n = 555,213 primary care physicians). Higher levels of CoC were associated with lower levels of care utilization. The measure indicated acceptable levels of validity and reliability.CONCLUSIONS Continuity is associated with desirable health and cost outcomes as well as patient preference. The CoC clinical quality measure meets validity and reliability requirements for implementation in primary care payment and accountability. Care continuity is important and complementary to access to care, and prioritizing this measure could help shift physician and health system behavior to support continuity. Read More ABFM Research Read all 2015 Family physicians’ ability to perform population management is associated with adoption of other aspects of the patient-centered medical home Go to Family physicians’ ability to perform population management is associated with adoption of other aspects of the patient-centered medical home 2025 The Association Between Residency Characteristics and Graduates Caring for Children: A Family Medicine Residency Outcomes Project Go to The Association Between Residency Characteristics and Graduates Caring for Children: A Family Medicine Residency Outcomes Project 2020 Continuing Board Certification: Seeing Our Way Forward Go to Continuing Board Certification: Seeing Our Way Forward 2020 Team Configurations, Efficiency, and Family Physician Burnout Go to Team Configurations, Efficiency, and Family Physician Burnout
Author(s) Dai, Mingliang, Pavletic, Denise, Shuemaker, Jill C, Solid, Craig A, and Phillips, Robert L Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Measurement, Practice Innovations, and Quality Of Care Volume Annals of Family Medicine Source Annals of Family Medicine
ABFM Research Read all 2015 Family physicians’ ability to perform population management is associated with adoption of other aspects of the patient-centered medical home Go to Family physicians’ ability to perform population management is associated with adoption of other aspects of the patient-centered medical home 2025 The Association Between Residency Characteristics and Graduates Caring for Children: A Family Medicine Residency Outcomes Project Go to The Association Between Residency Characteristics and Graduates Caring for Children: A Family Medicine Residency Outcomes Project 2020 Continuing Board Certification: Seeing Our Way Forward Go to Continuing Board Certification: Seeing Our Way Forward 2020 Team Configurations, Efficiency, and Family Physician Burnout Go to Team Configurations, Efficiency, and Family Physician Burnout
2015 Family physicians’ ability to perform population management is associated with adoption of other aspects of the patient-centered medical home Go to Family physicians’ ability to perform population management is associated with adoption of other aspects of the patient-centered medical home
2025 The Association Between Residency Characteristics and Graduates Caring for Children: A Family Medicine Residency Outcomes Project Go to The Association Between Residency Characteristics and Graduates Caring for Children: A Family Medicine Residency Outcomes Project
2020 Continuing Board Certification: Seeing Our Way Forward Go to Continuing Board Certification: Seeing Our Way Forward
2020 Team Configurations, Efficiency, and Family Physician Burnout Go to Team Configurations, Efficiency, and Family Physician Burnout