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.
Frequency of PCCC Collection
Our team recommends regular collection of the PCCC in order to track quality improvement initiatives and quality of care. Regular collection can look different for each site and can be built into existing patient surveying. As an example, a community health center that has periodic patient surveying 2x/year after patient visits can add the PCCC to the survey for ease of collection.
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.
