Continuity of Care
Characteristics
CONTINUOUS
Component
Usual source of care
Measure Concept
Care continuity
Descriptions
Percentage of members continuously enrolled in same plan for 2 years who received a comprehensive oral evaluation or a prophylaxis in the year prior to the measurement, who also received a comprehensive or periodic oral evaluation or a prophylaxis in the measurement year
Numerator: Number of members in the denominator who also received a comprehensive or periodic oral evaluation (D0120, D0150) or a prophylaxis (D1110, D1120) in the measurement year
Denonominator: Number of members continuously enrolled in the same plan for 2 years with no gap in coverage who received a comprehensive oral evaluation (D0150) or a prophylaxis (D1110, D1120) in the year prior to the measurement year
Measure or Standard
Measure
Populations
Not specified or not applicable
Level of Measure
Program/Plan
Data Source
Administrative enrollment and claims data
Measure Identification
DQA Starter Set Measures Environmental Scan (2012); NQF Environmental Scan (2012)
Developer/Steward
Managed Risk Medical Insurance Board (CA)
Stage of Development/Use
NQF Scan (2012): collected in 2008