Patient-Centered Medical Home Measurement Tools


Name Source Respondent Domain Name (Joint Principles and Others) Domain Description # Items Availability Citation (Development/Validation) Citation (Peer-reviewed PCMH evaluation) Link
Accreditation Association for Ambulatory Health Care Medical Home Certification Accreditation Association for Ambulatory Health Care. Inc. Healthcare Professional/Practice Representative  "Medical Homeness" The certification process measures a practices performance on: patient rights and responsibilities, organizational governance and administration, the patient/care team relationship, comprehensiveness, continuity, and accessibility of care, clinical records and health information, quality of care. ? Not publicly available None None Link
BCBSM PCMH measure BCBS of Michigan Healthcare Professional "Medical Homeness" Patient-provider partnership, patient registry, performance reporting, individual care management, extended access, test results tracking and follow-up, e-prescribing, preventive services, linkage to community services, self-management support, patient web portal, coordination of care, specialist referral process.  128 Summary available Alexander, J. A., Paustian, M., Wise, C. G., Green, L. A., Fetters, M. D., Mason, M., & El Reda, D. K. (2013). Assessment and measurement of patient-centered medical home implementation: the BCBSM experience. The Annals of Family Medicine, 11(Suppl 1), S74-S81. Alexander, J. A., Paustian, M., Wise, C. G., Green, L. A., Fetters, M. D., Mason, M., & El Reda, D. K. (2013). Assessment and measurement of patient-centered medical home implementation: the BCBSM experience. The Annals of Family Medicine, 11(Suppl 1), S74-S81. Link
CAHPS C&G Survey with Patient-Centered Medical Home Item Set Agency for Healthcare Research and Quality Patient/Consumer "Medical Homeness" Assesses patient experience according to how consistently certain action were performed by providers.  Additional items in PCMH set address following topic areas: access to care, comprehensiveness, self-management support, shared decision-making, coordination of care, information about care and appointments.  37 + 18 (additional) Publicly available Scholle, S. H., Vuong, O., Ding, L., Fry, S., Gallagher, P., Brown, J. A., . . . Cleary, P. D. (2012). Development of and field test results for the CAHPS PCMH survey. Medical Care, 50 Suppl, S2-10. doi:10.1097/MLR.0b013e3182610aba [doi]  None Link
Joint Commission Primary Care Medical Home Self-Assessment Tool  Joint Commission Healthcare Professional/Practice Representative  "Medical Homeness" Allows practices to assess their performance on Joint Commission PCMH certification requirements 51 Publicly available  None None Link
Medical Home Implementation Quotient (3.0)  TransforMED Healthcare Professional/Practice Representative  "Medical Homeness" Measures practice against 9 components of TMED model: Patient-Centeredness, Practice Management, Health Information Technology, Quality and Safety, Access to Care and Information, Practice-Based Team Care, Continuity of Care Services, Care Management and Practice Services. Estimates NCQA PCMH recognition level.   129 Publicly available, but requires practice registration None None Link
Medical Home Index Center for Medical Home Improvement Healthcare Professional "Medical Homeness" Measures and quantifies medical "homeness" according to six domains: organizational capacity, chronic care management, care coordination, community outreach, data management, and quality improvement.  25 Publicly available Cooley, W. C., McAllister, J. W., Sherrieb, K., & Clark, R. E. (2003). The medical home index: Development and validation of a new practice-level measure of implementation of the medical home model. Ambulatory Pediatrics : The Official Journal of the Ambulatory Pediatric Association, 3(4), 173-180.  Cooley, W. C., McAllister, J. W., Sherrieb, K., & Kuhlthau, K. (2009). Improved outcomes associated with medical home implementation in pediatric primary care. Pediatrics, 124(1), 358-364.; Martsolf, G. R., Alexander, J. A., Shi, Y., Casalino, L. P., Rittenhouse, D. R., Scanlon, D. P., & Shortell, S. M. (2012). The Patient-Centered Medical Home and Patient Experience. Health services research, 47(6), 2273-2295. Link
Patient Centered Medical Home Assessment MacColl Center for Healthcare Innovation, Group Health Cooperative  Healthcare Professional/Practice Representative  "Medical Homeness" Based on eight PCMH change concepts: engaged leadership, quality improvement strategy, empanelment, continuous team-based relationships, evidence-based care, patient-centered interactions, enhanced access, care coordination.  33 Publicly available Daniel, D. M., Wagner, E. H., Coleman, K., Schaefer, J. K., Austin, B. T., Abrams, M. K., . . . Sugarman, J. R. (2013). Assessing progress toward becoming a patient-centered medical home: An assessment tool for practice transformation. Health Services Research, 48(6 Pt 1), 1879-1897. doi:10.1111/1475-6773.12111 [doi]  None Link
Patient Companion: Pediatric Medical Home Family Index  Center for Medical Home Improvement Patient/Consumer "Medical Homeness" Family perspective on patient services and supports actually received. See "Pediatric Medical Home Index" 25 Publicly available Cooley, W. C., McAllister, J. W., Sherrieb, K., & Clark, R. E. (2003). The medical home index: Development and validation of a new practice-level measure of implementation of the medical home model. Ambulatory Pediatrics : The Official Journal of the Ambulatory Pediatric Association, 3(4), 173-180.  Liem, R. I., O’Suoji, C., Kingsberry, P. S., Pelligra, S. A., Kwon, S., Mason, M., & Thompson, A. A. (2014). Access to Patient-Centered Medical Homes in Children with Sickle Cell Disease. Maternal and child health journal, 18(8), 1854-1862.;
McAllister, J. W., Sherrieb, K., & Cooley, W. C. (2009). Improvement in the Family-Centered Medical Home Enhances Outcomes for Children and Youth With Special Healthcare Needs. The Journal of ambulatory care management, 32(3), 188-196.;
Rankin, K. M., Cooper, A., Sanabria, K., Binns, H. J., & Onufer, C. (2009). Illinois medical home project: pilot intervention and evaluation. American Journal of Medical Quality.
Wood, D., Winterbauer, N., Sloyer, P., Jobli, E., Hou, T., McCaskill, Q., & Livingood, W. C. (2009). A longitudinal study of a pediatric practice-based versus an agency-based model of care coordination for children and youth with special health care needs. Maternal and child health journal, 13(5), 667-676.
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Performance Assessment Framework Specifications  Pennsylvania DOH/PAFP Chronic Care Initiative  Healthcare Professional "Medical Homeness" Practice performance (based on Participation Agreement): engagement, transformation, clinical performance improvement.  6 Not publicly available None None None
Physician Practice Connections-Patient Centered Medical Home National Committee for Quality Assurance Healthcare Professional/Practice Representative  "Medical Homeness" Based on PCMH Joint Principles 10 "must-pass" elements Available upon request None Many Link
Primary Care Assessment Tool- Adult Consumer/Client Survey  Johns Hopkins Primary Care Policy Center for Underserved Populations Patient/Consumer "Medical Homeness" Reflects Provider Edition content.  121 (68 short-version)  Available upon request Shi, L., Starfield, B., Xu, J. (2001). Validating the adult primary care assessment tool. J Fam Pract., 50(02), 161.  None Link
Safety Net Medical Home Scale Commonwealth Fund Safety Net Medical Home Initiative  Healthcare Professional/Practice Representative  "Medical Homeness" Self-assessment of access and communication, patient tracking and registry, care management, test and referral tracking 4 domains Publicly available  Birnberg JM, Drum ML, Huang ES et al. Development of a safety net medical home scale for clinics. J Gen Intern Med. 2011;26(12):1418–1425 Shi, L., Lock, D. C., Lee, D. C., Lebrun-Harris, L. A., Chin, M. H., Chidambaran, P., ... & Sripipatana, A. (2015). Patient-centered medical home capability and clinical performance in HRSA-supported health centers. Medical care, 53(5), 389-395. Link
URAC Patient Centered Medical Home, Version 2.0 URAC Healthcare Professional "Medical Homeness" Quality care management, patient-centered operations management, access and communications, testing and referrals, care management and coordination, patient capabilities, quality performance reporting, and improvement 39 Summary available; must apply for accreditation None None  Link
Solberg PCMH Transformation Tool  Leif Solberg, MD (Leif.I.Solberg@HealthPartners.com) Healthcare Professional "Medical Homeness"  PCMH transformation factors of quality improvement, organizational change, culture, leadership, information technology, finances, and patient  44 Not publicly available Solberg, L. I., Crain, A. L., Tillema, J. O., Fontaine, P. L., Whitebird, R. R., Flottemesch, T. J., ... & Crabtree, B. F. (2014). Challenges of medical home transformation reported by 118 patient-centered medical home (PCMH) leaders. The Journal of the American Board of Family Medicine, 27(4), 449-457. None Link
Diabetes Continuity of Care Scale Center for Evaluation of Medicines, McMaster University Patient/Consumer Access, Coordination of Care Five domains: access and getting care, care by doctor, care by other healthcare professionals, communication between healthcare professionals, and self-care 47 Available upon request Dolovich, L. R., Nair, K. M., Ciliska, D. K., Lee, H. N., Birch, S., Gafni, A., et al. (2004). The diabetes continuity of care scale: The development and initial evaluation of a questionnaire that measures continuity of care from the patient perspective. Health & Social Care in the Community, 12(6), 475-487. doi:HSC517 [pii]  None None
Consultation Quality Index John G.R. Howie (john.howie2@btopenworld.com)  Patient/Consumer Continuity, Quality and Safety Measures holistic quality of general practice consultations based on patient enablement, continuity of the care and consultation length. 15 Available upon request 1.Howie, J.G.R., Heaney, D.J., Maxwell, M., Walker, J.J., Freeman, G.K. (2000). Developing a 'consultation quality index' (CQI) for use in general practice. Family Practice, 17(6), 455-461. None None
Consultation Quality Index-2 Stewart W. Mercer, John G.R. Howie  Patient/Consumer Continuity, Quality and Safety CQI-2 combines CQI and CARE Measures to assess empathy, enablement, continuity and consultation length. 6 Publicly available  Mercer, S. W., & Howie, J. G. (2006). CQI-2—a new measure of holistic interpersonal care in primary care consultations. British Journal of General Practice, 56(525), 262-268. None Link
General Practice Assessment Questionnaire (adapted version of PCAS) University of Cambridge/University of Manchester Patient/Consumer Continuity, Quality and Safety Patient views: reception, appointments, opening times, communication, continuity of care, enablement. 40 Publicly available Roland, M., Roberts, M., Rhenius, V., & Campbell, J. (2013). GPAQ-R: Development and psychometric properties of a version of the general practice assessment questionnaire for use for revalidation by general practitioners in the UK. BMC Family Practice, 14, 160-2296-14-160. doi:10.1186/1471-2296-14-160 [doi] None Link
Assessment of Chronic Illness Care (3.5) MacColl Center for Healthcare Innovation, Group Health Cooperative  Healthcare Professional/Practice Representative  Coordination of Care Follows six elements of care in Chronic Care Model and additional items on how well a practice integrates the Chronic Care Model: healthcare organization, community linkages, self-management support, decision support, delivery system design, clinical information systems 34 Publicly available Bonomi, A. E., Wagner, E. H., Glasgow, R. E., & VonKorff, M. (2002). Assessment of chronic illness care (ACIC): a practical tool to measure quality improvement. Health services research, 37(3), 791-820. Gabbay, R. A., Bailit, M. H., Mauger, D. T., Wagner, E. H., & Siminerio, L. (2011). Multipayer patient-centered medical home implementation guided by the chronic care model. Joint Commission Journal on Quality and Patient Safety, 37(6), 265-273. Link
Client Perceptions of Coordination Questionnaire  Clare F. McGuiness Patient/Consumer Coordination of Care Captures aspects of coordination under six domains: identification of need, access to care, patient participation, patient-provider communication, inter-provider communication, global assessment of care. 31 Available upon request McGuiness, C., & Sibthorpe, B. (2003). Development and initial validation of a measure of coordination of health care. International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care / ISQua, 15(4), 309-318.  None None
Family-Centered Care Self-Assessment Tool Family Voices Patient/Consumer Coordination of Care Based on ten components of family-centered care identified by National Center for Family-Centered Care. Not designed to be used as a score, but to raise awareness of implementation of family-centered care and track progress.  98 Publicly available Wells, N., Bronheim, S., Zyzanski, S., & Hoover, C. (2015). Psychometric Evaluation of a Consumer-Developed Family-Centered Care Assessment Tool. Maternal and child health journal, 1-11. None Link
Family-Centered Care Self-Assessment Tool: Provider Version Family Voices Healthcare Professional Coordination of Care Framed from provider's perspective, but many of the same questions as patient tool.  98 Publicly available None None Link
Internal Participation Scale (IPS) Mirjam Korner; mirjam.koerner@mps.uni-freiburg.de Patient/Consumer  AND Healthcare Professional Coordination of Care Four key dimensions of patient-centered interprofessional participation: communication, coordination, cooperation, climate, agreement, and respect. 6 Publicly available Korner, M., & Wirtz, M. A. (2013). Development and psychometric properties of a scale for measuring internal participation from a patient and health care professional perspective. BMC Health Services Research, 13, 374-6963-13-374. doi:10.1186/1472-6963-13-374 [doi]  None None
Components of Primary Care Instrument Susan Flocke, PhD Patient/Consumer Coordination of Care, Continuity Measures key aspects of delivery of primary care: comprehensiveness, accumulated knowledge, interpersonal communication, coordination of care, first-contact care, continuity, longitudinality, advocacy, family context, community context.  52 Available upon request Flocke, S. A. (1997). Measuring attributes of primary care: Development of a new instrument. The Journal of Family Practice, 45(1), 64-74. Jaen, C. R., Crabtree, B. F., Palmer, R. F., Ferrer, R. L., Nutting, P. A., Miller, W. L., . . . Stange, K. C. (2010). Methods for evaluating practice change toward a patient-centered medical home. Annals of Family Medicine, 8 Suppl 1, S9-20; S92. doi:10.1370/afm.1108 [doi] None
Primary Care Assessment Survey (PCAS)  The Health Institute, New England Medical Center Patient/Consumer Coordination of Care, Continuity Measures seven domains of primary care performance: accessibility (organizational, financial), continuity (longitudinal, visit-based), comprehensiveness (contextual knowledge of patient, preventive counseling), integration, clinical interaction (clinician-patient communication, thoroughness of physical examinations), interpersonal treatment, trust.  51 (23 short-version) Available upon request Safran, D. G., Kosinski, M., Tarlov, A. R., Rogers, W. H., Taira, D. H., Lieberman, N., et al. (1998). The primary care assessment survey: Tests of data quality and measurement performance. Medical Care, 36(5), 728-739.  Jaen, C. R., Crabtree, B. F., Palmer, R. F., Ferrer, R. L., Nutting, P. A., Miller, W. L., . . . Stange, K. C. (2010). Methods for evaluating practice change toward a patient-centered medical home. Annals of Family Medicine, 8 Suppl 1, S9-20; S92. doi:10.1370/afm.1108 [doi] None
Primary Care Assessment Tool- Facility Survey Johns Hopkins Primary Care Policy Center for Underserved Populations Healthcare Professional/Practice Representative  Coordination of Care, Continuity Reflects Provider Edition content.  153 (70 short-version) Available upon request None None Link
Primary Care Assessment Tool- Provider Edition Johns Hopkins Primary Care Policy Center for Underserved Populations Healthcare Professional Coordination of Care, Continuity Self-assessment that measures four domains of primary care: first contact care, continuous care, coordinated care, and comprehensive care. Each domain has a structural and behavioral subdomain. Three related domains are sometimes included: family-centered care, community-oriented care, culturally competent care 153 (70 short-version) Available upon request None None Link
Medical Home Cost Dimension Tool (I-COST)  Michael K. Magill, MD Healthcare Professional/Practice Representative  Cost/Physician Payment Reform PCMH  127 Publicly available Magill, M. K., Ehrenberger, D., Scammon, D. L., Day, J., Allen, T., Reall, A. J., ... & Kim, J. (2015). The Cost of Sustaining a Patient-Centered Medical Home: Experience From 2 States. The Annals of Family Medicine, 13(5), 429-435. Magill, M. K., Ehrenberger, D., Scammon, D. L., Day, J., Allen, T., Reall, A. J., ... & Kim, J. (2015). The Cost of Sustaining a Patient-Centered Medical Home: Experience From 2 States. The Annals of Family Medicine, 13(5), 429-435. Link
Patient-Doctor Relationship Questionnaire (PDRQ-9)  Christina M Van der Feltz-Cornelis, M.D., Ph.D., M.Sc. Patient/Consumer Personal Physician Assesses the therapeutic aspects of the relationship, tapping into feelings about how helpful, trusting, understanding and available the doctor is as well as the level of common ground in the relationship and agreement on the nature of the patient’s health problems 9 Publicly available Van der Feltz-Cornelis, C. M., Van Oppen, P., Van Marwijk, H. W., De Beurs, E., & Van Dyck, R. (2004). A patient-doctor relationship questionnaire (PDRQ-9) in primary care: development and psychometric evaluation. General hospital psychiatry, 26(2), 115-120. None None
Collaborative Practice Scale - Nurse  Sandra J. Weiss, DNSc; H. Paul Davis, MPH Healthcare Professional Physician Directed Medical Practice/Team Measures Assess interaction between nurses and physicians based on two factors: communication and clarification of responsibility.  9 Available upon request Weiss, S. J., & Davis, H. P. (1985). Validity and reliability of the collaborative practice scales. Nursing Research, 34(5), 299-305.  None None
Collaborative Practice Scale - Physician Sandra J. Weiss, DNSc; H. Paul Davis, MPH Healthcare Professional Physician Directed Medical Practice/Team Measures Assess interaction between nurses and physicians based on two factors: communication and clarification of responsibility 10 Available upon request Weiss, S. J., & Davis, H. P. (1985). Validity and reliability of the collaborative practice scales. Nursing Research, 34(5), 299-305.  None None
Communication and Teamwork Skills Assessment (CATS) Allan Frankel (afrankel@partners.org)  Observer  Physician Directed Medical Practice/Team Measures Provides a score for the whole team on four domains of performance: coordination, cooperation, situational awareness, communication.  18 (additional 3 for crisis situations)  Available upon request Frankel, A., Gardner, R., Maynard, L., & Kelly, A. (2007). Using the communication and teamwork skills (CATS) assessment to measure health care team performance. Joint Commission Journal on Quality and Patient Safety / Joint Commission Resources, 33(9), 549-558.  None None
Diversity Engagement Survey DataStar with U.Mass Medical School  Healthcare Professional Physician Directed Medical Practice/Team Measures Describe inclusiveness of academic learning environment, identify direction for strategic change.  22 Requires license None None Link
TeamSTEPPS Teamwork Attitudes, Perceptions and Observations Tools Agency for Healthcare Research and Quality Healthcare Professional Physician Directed Medical Practice/Team Measures Measures domains of medical care teamwork attitudes, perceptions and observations Attitudes: 30; Perceptions:35; Observation Tool:5   Publicly available Baker, D. P., Amodeo, A. M., Krokos, K. J., Slonim, A., & Herrera, H. (2010). Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS teamwork attitudes questionnaire. Quality and Safety in Health Care, qshc-2009. None Link
Team-work Mini Practice Environment Check-List (PEC) Department of Family Medicine, University of Rochester Healthcare Professional Physician Directed Medical Practice/Team Measures Self-assessment of team function/effectiveness 5 question short form Publicly available Lurie, S. J., Schultz, S. H., & Lamanna, G. (2011). Assessing teamwork: A reliable five-question survey. Family Medicine, 43(10), 731-734.  None None
Maslach Burnout Inventory- Human Services Survey  Mind Garden Healthcare Professional Provider/Staff Satisfaction Assesses professional burnout in human services occupations.  22 Requires license Maslach, C., Jackson, S.E., 1981. Maslach Burnout Inventory Manual. Consulting Psychologists Press, Inc., Palo Alto, CA. Maslach, C., Jackson, S.E., Leiter, M.P., 1996. Maslach Burnout Inventory Manual, 3rd Edition. Consulting Psychologists Press, Inc., Palo Alto, CA. Nelson, K. M., Helfrich, C., Sun, H., Hebert, P. L., Liu, C. F., Dolan, E., . . . Fihn, S. D. (2014). Implementation of the patient-centered medical home in the veterans health administration: Associations with patient satisfaction, quality of care, staff burnout, and hospital and emergency department use. JAMA Internal Medicine, 174(8), 1350-1358. doi:10.1001/jamainternmed.2014.2488 [doi] Link
Clinician Support- Patient Activation Measure Insignia Health Healthcare Professional Quality and Safety Clinician support for and beliefs about patient activation and patient self-management. 13 Requires license. None None  
Consultation and Relational Empathy (CARE) Measure Stew Mercer (stewmercer@blueyonder.co.uk) and Scottish Executive Health Department  Patient/Consumer Quality and Safety Assesses the quality of consultations in terms of the 'human' aspects (empathetic process) of medical care, from the patient's perspective 10 Available upon request Mercer, S.W., Maxwell, M., Heaney, D., Watt, G.C.M. (2004). The consultation and relational empathy (CARE) measure: development and preliminary validation and reliability of an empathy-based consultation process measure. Family Practice, 21, 6, 699-705 Jaen, C. R., Crabtree, B. F., Palmer, R. F., Ferrer, R. L., Nutting, P. A., Miller, W. L., . . . Stange, K. C. (2010). Methods for evaluating practice change toward a patient-centered medical home. Annals of Family Medicine, 8 Suppl 1, S9-20; S92. doi:10.1370/afm.1108 [doi] Link
Health Care System Distrust Scale (revised) Judy Shea, PhD; SHEAJA@MAIL.MED.UPENN.EDU Patient/Consumer Quality and Safety Patient perceptions of value congruence and competence in interactions with the healthcare system.  9 Publicly available Shea, J. A., Micco, E., Dean, L. T., McMurphy, S., Schwartz, J. S., & Armstrong, K. (2008). Development of a revised health care system distrust scale. Journal of General Internal Medicine, 23(6), 727-732.  None None
Jefferson Scale of  Empathy Center for Research in Medical Education and Healthcare empathy@jefferson.edu Healthcare Professional Quality and Safety Measures the degree of empathy in health care providers in patient care situations. 20 Requires license Hojat, M., Mangione, S., Nasca, T.J., Cohen, M.J., Gonnella, J.S., Erdmann, J.B., Veloski, J.J., Magee, M. (2001). The Jefferson Scale of Physician Empathy: Development and Preliminary Psychometric Data. Educational and Psychological Measurement, 61(2), 349-365 None Link
Measure Yourself Medical Outcome Profile  University of Bristol Center for Academic Primary Care Patient/Consumer  with Healthcare Professional Quality and Safety Patient-generated, problem-specific measure. Patient identifies most problematic symptom. Follow-up form included.  7 Publicly available Paterson C. Measuring outcome in primary care: a patient-generated measure, MYMOP, compared to the SF-36 health survey. British Medical Journal 1996;312:1016-20. None Link
My Own Health Report Project Agency for Healthcare Research & Quality, National Cancer Institute Patient/Consumer Quality and Safety  Assesses 10 important health behavior and mental health domains at the patient-level. Sends summary to clinician.  17 Publicly available None None Link
Patient Activation Measure Insignia Health Patient/Consumer Quality and Safety  Patient knowledge, skills, confidence for managing health and healthcare.   13 Requires license Hibbard, J. H., Stockard, J., Mahoney, E. R., & Tusler, M. (2004). Development of the Patient Activation Measure (PAM): conceptualizing and measuring activation in patients and consumers. Health services research, 39(4p1), 1005-1026. None Link
Patient Experience Questionnaire Siri Steine, MD, PhD Patient/Consumer Quality and Safety  Five dimensions: communication, emotions, short-term outcomes, barriers, and relations with auxiliary staff.  18 Publicly available Steine, S., Finset, A., & Laerum, E. (2001). A new, brief questionnaire (PEQ) developed in primary care for measuring patients’ experience of health interaction, emotion and consultation outcome. Family Practice, 18(4), 410-417 None Link
Patient Perception of Patient-
Centeredness (PPPC)
The University of Western Ontario Patient/Consumer Quality and Safety  It measures patient perceptions of patient-centered care during the last visit with a family physician,  using a 4-point Likert scale from completely to not at all, and no subscales. 14 Available upon request Stewart M, Brown JB, Donner A, et al. The impact of patient-centered care on outcomes. J Fam Pract. 2000;49(9):796–804 None None
Patient Perception of Quality (PPQ) Slim Haddad Patient/Consumer Quality and Safety  Measures patient perceptions of interpersonal and technical aspects of care. Uses 5-point Likert scale (negative to positive) 22 Publicly available upon request Haddad S,Potvin L,Roberge D,Pineault R,Remondin M. Patient perception of quality following a visit to a doctor in a primary care unit. Fam Pract. 2000;17(1):21–29. None None
Patient Reported Outcomes Measurement Information System (PROMIS) National Institutes of Health Patient/Consumer Quality and Safety  Patient Reported Outcomes Measurement Information System (PROMIS) is a system of highly reliable, precise measures of patient–reported health status for physical, mental, and social well–being. PROMIS tools measure what patients are able to do and how they feel by asking questions. PROMIS’ measures can be used as primary or secondary endpoints in clinical studies of the effectiveness of treatment. There are a number of PROMIS instruments--short forms have 4-10 items Publicly available  Cella, D., Riley, W., Stone, A., Rothrock, N., Reeve, B., Yount, S., ... & Group, P. C. (2010). The Patient-Reported Outcomes Measurement Information System (PROMIS) developed and tested its first wave of adult self-reported health outcome item banks: 2005–2008. Journal of clinical epidemiology, 63(11), 1179-1194. None Link
PCMH Evaluators Collaborative - Patient Experience  Commonwealth Fund Patient-Centered Medical Home Evaluators’ Collaborative Patient/Consumer Quality and Safety  Incorporated into CAHPS.  See CAHPS See CAHPS None None Link
Short Assessment of Patient Satisfaction (SAPS)  University of Wollongong Centre for Health Service Development Patient/Consumer Quality and Safety  Addresses key dimensions of patient satisfaction: appropriate access, provision of health information, empathy (relationship between patient and staff), participation in making choices regarding treatment, satisfaction with treatment provided, effectiveness of treatment, general satisfaction 7 Publicly available Hawthorne, G., Sansoni, J., Hayes, L., Marosszeky, N., & Sansoni, E. (2014). Measuring patient satisfaction with health care treatment using the short assessment of patient satisfaction measure delivered superior and robust satisfaction estimates. Journal of Clinical Epidemiology, 67(5), 527-537.  None Link
Instrument on Doctor-Patient Communication Skills (IDPCS) Jocelyn Lockyer; lockyer@ucalgary.ca Patient/Consumer Quality and Safety, Personal Physician Measures patient perception of physician communication skills. Uses 5-point Likert scale (strongly disagree to strongly agree) 19 Available upon request Campbell C,Lockyer J, Laidlaw T,Macleod H
. Assessment of a matched-pair instrument to examine doctor-patient communication skills in practising doctors. Med Educ. 2007;41(2):123–129.
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Interpersonal Processes of Care  University of California-San Francisco Patient/Consumer Quality and Safety, Personal Physician Dimensions of interpersonal care processes including hurried communication, eliciting concerns, shared decision-making, compassion, and respect. Uses 5-point Likert scale (never to always) 29 Publicly available Stewart AL,Nápoles-Springer AM, Gregorich SE,Santoyo-Olsson J. Interpersonal processes of care survey: patient-reported measures for diverse groups. Health Serv Res. 2007;42(3 Pt 1)(3, Part I):1235–1256. None Link
Medical Communication Competence Scale Donald J Cegala Patient/Consumer Quality and Safety, Personal Physician Measures patient perceptions of dimensions of medical communication. Uses a  7-point Likert scale strongly agree to strongly disagree) 40 Available upon request Cegala DJ,Coleman MT,Turner JW. The development and partial assessment of the medical communication competence scale. Health Commun. 1998;10(3):261–288. None None
Patient Reactions Assessment (PRA) John Galassi  Patient/Consumer Quality and Safety, Personal Physician The PRA is composed of 3 5-item scales designed to measure the perceived quality of the informative (Patient Information Index) and affective (Patient Affective Index) behaviors of the provider and the patient's perceived ability to initiate communication (Patient Communication Index) about the illness. It uses a 7-point Likert scale (very strongly disagree to very strongly agree) 15 Available upon request Galassi JP, Ware W,Schanberg R. The Patient Reactions Assessment: a brief measure of the quality of the patient-provider medical relationship. Psychol Assess. 1992;4(3):346–351.
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Perceived Involvement in Care Scale (PICS) Caryn E. Lerman, PhD Patient/Consumer Quality and Safety, Personal Physician It assess a patient's perceived involvement in care using a dichotomous scale (yes/no) 13 Available upon request Lerman CE, Brody DS, Caputo GC, Smith DG, Lazaro CG, Wolfson HG. Patients’ Perceived Involvement in Care Scale: relationship to attitudes about illness and medical care. J Gen Intern Med. 1990;5(1):29–33. None None
Consultation Care Measure (CCM) Paul Little, MD Patient/Consumer Quality, Personal Physician It measures patients’ perceptions of patient-centered care during the last visit with a family physician. The instrument has 5 subscales: communication and partnership (11 items), personal relationship (3 items), health promotion (2 items), positive and clear approach to the problem (3 items), and interest in effect on life (2 items)and uses a 4-point Likert scale ranging from very strongly agree to neutral/disagree. 21 Available upon request Little P, Everitt H, Williamson I, et al. Observational study of effect of patient centeredness and positive approach on outcomes of general practice consultations. BMJ. 2001;323(7318):908–911. None None
Patient Reported Outcomes Quality of Life (PROQOL) Instrument  Jeff Sloan Patient/Consumer Whole-Person Orientation Instrument for diabetics that systematically captures PROs at healthcare visit. Includes issues such as relationships and social factors.  9 Publicly available Ridgeway, J. L., Beebe, T. J., Chute, C. G., Eton, D. T., Hart, L. A., Frost, M. H., . . . Sloan, J. A. (2013). A brief patient-reported outcomes quality of life (PROQOL) instrument to improve patient care. PLoS Medicine, 10(11),  None Link