Appendix Table A-17. CCRM Atlas Measure 14: Patients referred to a community health educator referral liaison (CHERL)
| Domain: | Referral process | Element/ relationship: |
Clinic/clinician-patient |
| Instrument: | N/A | ||
| Purpose: | This measure calculates the proportion of eligible patients who received referrals to a CHERL by a clinician if the patient was identified by the clinician as needing improvement in one or more of the four unhealthy behaviors. | ||
| Format/data source: | Electronic health/medical record. A computerized support system was developed to collect patient data; track patient calls, dates of service, and clinician feedback; and guide the counseling. Patient-specific health behavior and demographic information was entered by the CHERL based on self-report by the patients. | ||
| Measure type: | Process | Date: | 2006 |
| Preventive service/ USPSTF: | Alcohol Misuse Counseling; Healthy Diet Counseling; Obesity Screening and Counseling – Adults; Tobacco Use Counseling and Interventions – Non-Pregnant | ||
| Clinical practice: | Primary Care - Family Practice; Primary Care – Internal Medicine | ||
| Denominator: | Number of eligible patients (those identified by the clinician as needing improvement in one or more unhealthy behaviors): Patients eligible for improvement were those who had smoked one puff or more in the past 7 days; had drunk two alcoholic drinks per one occasion most days in the past month; did not eat a low-fat diet or at least five total fruits and/or vegetables per day; and/or did not participate in moderate exercise at least 5 days per week, or vigorously at least 3 days per week. | ||
| Numerator: | This was an accounting of the number of faxes received for each CHERL (the practices faxed referrals to the CHERL) | ||
| Development & testing: | The Reach, Efficacy/Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) model provided the framework for the analysis of study results. | ||
| Past or validated application: | Adult patients at fifteen practices selected for convenience in three Michigan communities were eligible for CHERL referral if a patient was identified by the clinician as needing improvement in one or more of the four unhealthy behaviors. | ||
| Citation(s): | Holtrop, J.S., Dosh, S.A., Torres, T., Thum, Y.M. The community health educator referral liaison (CHERL): A primary care practice role for promoting healthy behaviors. American Journal of Preventive Medicine (2008) 35:S365-S372. | ||
| Notes: | N/A | ||
