Table 2.

Proposals for Improved Quality Metrics and Reporting in Primary Care

Shared-decision reporting

Target ranges without absolute goals

Measure when physicians do not order tests or treatments

Measure other aspects of primary care capacity associated with better outcomes

Comprehensiveness of services offered at the primary care center

Physician-patient continuity

Smaller practice size

Rate of generic prescription writing

Increased office visit time for complex patients

Access to local clinic professionals 24/7

Careful selection of referral specialists

De-emphasize measures of patient satisfaction

Measure outcomes more important to patients

Peer-led qualitative reviews of patterns of care