Table 4.

Outcome measures of the EnPHC-EVA: facility study

Outcomes	Indicators		Data Source
	T2DM	Hypertension
Process of care	Proportion of Patients whose BP and glucose were measured at every visit Patients with HbA1c tests done at least once over the past three months Patients with weight and BMI assessed at least once over the past six months Patients with the following examinations done at least once a year: lipid profile tests, serum creatinine, blood urea nitrogen and urine albumin tests, eye examination (visual acuity and fundus), foot examination and liver function test Patients with cardiovascular risk assessment done within the past one year Patients who received counselling: exercise, dietary Patients who received pharmacotherapy: lipid lowering drugs, insulin and antihypertensives	Proportion of Patients with BP measured at every visit Patients with fasting blood glucose, serum creatinine, urine albumin and lipid profile measured at least once a year Patients with electrocardiogram and cardiovascular risk assessment done within the past one year Patients who received counselling: exercise, dietary Patients who received pharmacotherapy: antihypertensives	RCR
Intermediate clinical outcomes	Proportion of Patients with HbA1c ≤ 7% Patients with BP ≤ 135/75 mmHg Patients with LDL-C ≤ 2.6 mmol/L Patients with HDL-C > 1.0 mmol/L (male) or HDL-C > 1.2 mmol/L (female)	Proportion of Patients with BP < 140/90 mmHg Patients with LDL-C ≤ 2.6 mmol/L Patients with HDL-C > 1.0 mmol/L (male) or HDL-C > 1.2 mmol/L (female)	RCR
Patient disease awareness	Proportion of patients who know their diagnosis		Patient exit survey
Patient experience	Mean score in assessment of care for chronic illness (activation, decision support, goal setting) Proportion of patients who perceived effective patient–provider communication Proportion of patients whose waiting and consultation time matched their expectation		Patient exit survey
Patient satisfaction	Proportion of patients who are willing to recommend the clinic to friends and family		Patient exit survey
Providers’ satisfaction	Mean score on six components of job satisfaction among providers (stress, administrative work, interest, balance between effort and reward, respect and whether their job makes sense to them)		Provider Survey
Providers’ quality of care	Proportion of providers providing quality care and continuous care		Provider survey

BP: Blood pressure; HbA1c: Haemoglobin A1c; BMI: Body mass index; LDL-C: Low-density Lipoprotein Cholesterol; HDL-C: High-density Lipoprotein Cholesterol; TG: Triglyceride.