Selected Practical Applications of Principles for Primary Care Quality
| Principles | Practices |
|---|---|
| Principle 1: The singular objective of quality measurement in primary care is to improve the health of patients and populations. | Translating patient-centered and patient-reported outcomes from research into clinical practice58 |
| Applying population health metrics | |
| Designing appropriate risk adjustments for the social determinants of health | |
| Principle 2: The Quadruple Aim is a dynamic whole, not a sum of its parts. | Anticipating financial, social capital, and opportunity costs of measurement schemes |
| Harnessing patient and provider experiences of care as core metrics | |
| Optimizing electronic medical records to simplify measurement and reporting,59 accurately reflecting the “lived narrative” of patient and provider | |
| Principle 3: Measurements are tools for quality, not outcomes of quality. | Extending reporting periods from one to three years |
| Improving parsimony in measurement sets | |
| Principle 4: Quality outcomes in primary care depend on therapeutic relationships. | Decentralizing authority over metrics |
| Prioritizing intrinsic over extrinsic quality management systems60 | |
| Sharing decision making over health goals38 | |
| Integrating psychosocial and community interventions into quality outcomes |