Appendix Table A-8. CCRM Atlas Measure 5: Clinician perception of parent interest in referral (Safety Check Practitioner Post-Visit Survey)
| Domain: | Informed and activated patient | Element/ relationship: |
Clinic/clinician-patient |
| Instrument: | Safety Check Practitioner Post-Visit Survey | ||
| Purpose: | Clinicians in the Pediatric Research in Office Settings program were trained on providing violence prevention-related community referrals. This measures the clinicians' perception of their patient's interest in the local agency referral. | ||
| Format/data source: | Health Professional Survey | ||
| Measure type: | Structural | Date: | 2006 |
| Preventive service/ USPSTF: | Other – Mental Health* | ||
| Clinical practice: | Primary care – Pediatrics | ||
| Denominator: | Number of respondents to practitioner post-visit survey (Q5) | ||
| Numerator: | Number of respondents who selected “Interested” or “Very interested” in following up on the local agency referral (Q5d) | ||
| Development & testing: | |||
| Past or validated application: | |||
| Citation(s): | Barkin, S., Ip, E.H., Finch, S., et al. Clinician practice patterns: linking to community resources for childhood aggression. Clinical Pediatrics (2006) 45:750‑756. | ||
| Notes: | Please be aware that this measure is using only a selected section of an entire survey instrument. Therefore, this individual measure may need to undergo further reliability and validation testing to ensure that it can be applied in a clinical-community relationship setting. | ||
* This is a measure that was originally applied in a mental health setting, but it could be adapted for a primary care setting.
