Measuring the Value-Functions of Primary Care: Comprehensiveness of Care

Identifying Attributes

Care Settings
Primary Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Traditional Merit-Based Incentive Payment System (MIPS) Qualified Clinical Data Registry Measures for Primary Care
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Service Delivery and Care Planning

Defining Attributes

Definition

This measure evaluates the extent primary care physicians (PCPs) provide care-based and procedural-based services core to primary care.

Numerator

The numerator is a weighted sum of core primary care services in both categories (19 care-based and 22 procedure-based services) that the PCP provides. The numerator calculation is in the "Additional Supporting Documentation" Section.

The full Measure Calculation Algorithm is in the "Additional Supporting Documentation" Section.

Denominator

The denominator comprises the weighted proportions of 2 Core Primary Care Services categories. See care-based services and procedure-based services listed in Table 1: List of Core Primary Care Services in the "Additional Supporting Documentation" Section.

A common denominator is derived algebraically to combine the two weighted categories. As shown in the Calculation Algorithm section (see "Additional Supporting Documentation" Section) the denominator will always be 418: 19 care-based services X 22 procedure-based services = 418.

Full Measure Calculation Algorithm is in the "Additional Supporting Documentation" Section.

Exclusions
Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

Data Attributes

Type of Data Collection
Administrative data
Data Collection Methods

ABFM PRIME - EHR; Other; Registry: EHR: Administrative data, Registry: PRIME, Other: Patient administrative data, PRIME Registry

Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
23 July 2025