Measuring Primary Care Organizational Capacity for Diabetes Care Coordination: The Diabetes Care Coordination Readiness Assessment

Details

• Personal Author:
  Conrad DA ; Hansen DT ; Keeney BJ ; Polello JM ; Weeks DL
• Description:
  BACKGROUND: Not all primary care clinics are prepared to implement care coordination services for chronic conditions, such as diabetes. Understanding true capacity to coordinate care is an important first-step toward establishing effective and efficient care coordination. Yet, we could identify no diabetes-specific instruments to systematically assess readiness and/or status of primary care clinics to engage in diabetes care coordination. OBJECTIVE: This report describes the development and initial validation of the Diabetes Care Coordination Readiness Assessment (DCCRA), which is intended to measure primary care clinic readiness to coordinate care for adult patients with diabetes. DESIGN: The instrument was developed through iterative item generation within a framework of five domains of care coordination: Organizational Capacity, Care Coordination, Clinical Management, Quality Improvement, and Technical Infrastructure. PARTICIPANTS: Validation data was collected on 39 primary care clinics. MAIN MEASURES: Content validity, inter-rater reliability, internal consistency, and construct validity of the 49-item instrument were assessed. KEY RESULTS: Inter-rater agreement indices per item ranged from 0.50 to 1.0. Cronbach's alpha of the entire instrument was 0.964, and for the five domain scales ranged from 0.688 to 0.961. Clinics with existing care coordinators were rated as more ready to support care coordination than clinics without care coordinators for the entire DCCRA and for each domain, supporting construct validity. CONCLUSIONS: As providers increasingly attempt to adopt patient-centered approaches, introduction of the DCCRA is timely and appropriate for assisting clinics with identifying gaps in provision of care coordination services. The DCCRA's strengths include promising psychometric properties. A valid measure of diabetes care coordination readiness should be useful in diabetes program evaluation, assistance with quality improvement initiatives, and measurement of patient-centered care in research. [Description provided by NIOSH]
• Subjects:
  Blood Chronic Disease Delivery Of Health Care Health Care Facilities Workforce And Services Health Promotion Hematologic Diseases Occupational Health Safety
• Keywords:
  Author Keywords: Care Coordination Blood Sugar Disorders Chronic Diseases Diabetes Health Communications Health Services Internal Medicine Medical Care Primary Care Readiness Assessment
• ISSN:
  0884-8734
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  New Hampshire ; OSHA Region 1 ; OSHA Region 10 ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  98-103
• Volume:
  29
• Issue:
  1
• NIOSHTIC Number:
  nn:20055311
• Citation:
  J Gen Intern Med 2014 Jan; 29(1):98-103
• Contact Point Address:
  Douglas L. Weeks, PhD, Inland Northwest Health Services, 601 W. First Ave., Spokane, WA 99201, USA
• Email:
  weeksdl@inhs.org
• Federal Fiscal Year:
  2014
• Performing Organization:
  University of Washington
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Journal of General Internal Medicine
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:637bd4a7e1bd55996b0d0347aa2bb80905e70cabfea969d818ffb17fd0e5d96bf9c5e19ef1ef15bbd44292c05aa986be8ef13b39faecfe5a7cea9c389cda773a
• Download URL:
  https://stacks.cdc.gov/view/cdc/217647/cdc_217647_DS1.pdf
• File Type:
  [PDF - 165.43 KB ]