The PCCC (“P triple C”) measure is intended for use in a clinic space and results can be used for quality improvement. Patients take the PCCC after a visit involving contraception counseling.  

This page contains resources to support those interested in using the PCCC measure. Our team is also available to assist you in using the PCCC measure. For more information, please contact [email protected].  

Background about the PCCC Measure

Background one-pager

One page document with background about the PCCC measure and the importance of measuring patient experience in contraceptive care.

See publications for more information.

The PCCC in English and Spanish



The PCCC has been translated for use in Spanish. Other translations of PCCC are forthcoming for use with patients who speak languages other than English and Spanish. 

Preparing for Implementation

Sample Agenda for Initial Planning Meeting

This is a sample agenda for a meeting with health care facility managers and key personnel seeking to implement the PCCC measure. This meeting can be used as a space to walk through the Key Considerations Checklist together.

Key Considerations Checklist

This document is intended as a self-guided walk through of important considerations for key health center personnel implementing the PCCC survey in their health care setting.

PCCC Pre-Implementation Assessment

This screener assesses organizational readiness/challenges, staff knowledge, training, attitudes and beliefs ahead of implementing the PCCC measure.

Workflow and Staff Considerations

PCCC Measure Workflow Template

Visual overview of workflow and staff roles in identifying eligible patients, distributing the survey, collecting, and managing data.

Sample Key Staff

This document provides examples of staff, provider, and administrator roles in implementing the PCCC.

Identifying patients who may be eligible 

PCCC Patient Eligibility Guidelines

This document details patient eligibility/ineligibility for staff members tasked with distributing the survey to patients.

PCCC Survey Case Scenarios 

Four case scenarios of determining eligibility to take the PCCC survey.

Administering the Survey

PCCC Collection Tips and Tricks

Created as part of the Innovating Contraceptive Care in Community Health Centers project, this “tips and tricks” document contains learnings from the project regarding efficient and timely collection of an adequate number of PCCC survey responses. 

Sample Delivery Script

Sites might find it helpful to create a delivery script for the staff tasked with distributing and collecting survey responses. The document below is a sample delivery script for a site using paper surveys and an anonymous box to collect responses.

Sample Patient FAQs

This document is meant to be edited for your clinic. The parts in RED should change according to your site’s information.

How to Analyze and Interpret Measure Results

Calculating the PCCC Measure Result 

  • The PCCC measure result is calculated as the percentage of patients who gave a top score ("5") on all four items on the PCCC scale. 
  • The results can be calculated at the individual provider level or at the facility level. 
  • The recommended panel size is 50 patient responses at the facility level and 30 patient responses at the individual provider level. 
  • See Figure 1 for an example report of clinic PCCC scores. 

Interpreting the PCCC Measure Result 

In an ideal world, every patient would feel comfortable giving their provider a top score on all four items on the PCCC scale. PCCC responses are aggregated and reported as a percentage of patients who marked “excellent” on all four items. Initial testing has indicated that a score of at least 80% is achievable and a good indication of quality patient-centered contraceptive counseling. This “all-or-none” measurement allows for an overarching perspective, but providers and facilities can also look at item-level scores to identify specific areas for improvement. The responses are reported at the provider or facility level. 

Disaggregating PCCC scores 

While including demographic questions as part of the PCCC measure is not required, being able to disaggregate by certain demographic characteristics can identify inequities requiring attention in quality improvement efforts. For example, in the image below, PCCC surveys were distributed and findings were disaggregated by several demographic characteristics including language, race/ethnicity, age, and sexual orientation.  

PCCC Reports 

The image below is an example PCCC report from our Innovating Contraceptive Care in Community Health Centers (ICC in CHC) project. This example report shows the overall PCCC score on the upper left with disaggregated scores for each item of the PCCC. Our team at PCRHP is available for technical assistance that can include generating a report containing disaggregated PCCC scores alongside the overall PCCC score.