Starfield III
Meaningful Measures for Primary Care
Washington, DC
October 4–6, 2017
This Year’s Summit
The US system of primary care has been on a decades long journey of improvement. Yet there remains widespread dissatisfaction with its quality measures and approaches to measurement.
“Although many of these measures provide useful information, their sheer number, as well as their lack of focus, consistency, and organization, limits their overall effectiveness in improving performance of the health system.”
—IOM Vital Signs Report (Link)
It's Time for New Thinking
Starfield III is a hands-on summit where diverse stakeholders are working together to change the way we measure high performing primary care.
The third Starfield Summit will convene a small yet powerful collective of experts and stakeholders:
Those who must function in a world governed by measures
Measure developers
Consumers who ultimately benefit from better primary care
Payers and purchasers who use them to understand value and care delivery
Why Starfield III?
Fueled by advancements in thinking and a critical mass of national efforts to harmonize and transform the understanding and assessment of primary care, discussion will boldly address the difference between what we know how to measure and what we need most to understand.
Starfield III is built on early findings from two years of work to catalogue insights from more than 1,000 diverse stakeholders—clinicians, patients, payers, policymakers—on what matters in primary care and how what matters might be measured and used in ways that are helpful.
Day 1 - Knowing: Starting Points and Guidance for Our Work
| Time | Session | Details |
|---|---|---|
| 3:30–4:00 PM | Arrival | Registration outside 14th floor conference room; materials, attendee list, seat assignments, badges |
| 4:00–4:30 PM | Why This, Why Now? | National context, expectations, and overview of conference direction |
| 4:30–5:15 PM | What Matters Most in Primary Care (Group Work 1) | Stakeholders identify top priorities; responses synthesized overnight |
| 5:15–6:20 PM | Guidance for Discussing Primary Care Measures (Group Work 2) | Review draft guidance, suggest adjustments, align on approach |
| 6:30–8:00 PM | Dinner | Dinner served |
| 7:30–7:45 PM | Closing Remarks | Review progress and preview next day |
Day 2 - Understanding: Key Elements and Connections
| Time | Session | Details |
|---|---|---|
| 7:30–8:30 AM | Breakfast | — |
| 8:30–9:00 AM | Framework of Primary Care Measurement | Review themes from Day 1; introduce framework and purpose |
| 9:00 AM–12:00 PM | Measurement Domains & Key Elements (Group Work 3) | Refine framework using prior guidance and insights |
| 12:00–1:00 PM | Lunch | Buffet |
| 1:00–4:00 PM | Strong Results in Primary Care (Group Work 4) | Share narratives; identify how elements interact to produce outcomes |
| 4:00–5:30 PM | Test Drive Measures (Group Work 5) | Evaluate starter measures against framework and guidance |
| Evening | Dinner & Open Time | — |
Conference Purpose & Objectives (Referenced During Day 2):
- Develop criteria for measurement
- Refine framework of domains and elements
- Advance a starter set of primary care measures
Day 3 - Doing: Connecting with What Matters
| Time | Session | Details |
|---|---|---|
| 7:30–8:30 AM | Breakfast | — |
| 8:30–10:00 AM | Why Wholes Matter (Large Group Work 1) | Explore how elements combine to create value across contexts |
| 10:00–11:15 AM | Why You Matter (Large Group Work 2) | Stakeholder actions, implementation support, and outcomes |
| 11:15–11:30 AM | Why This Conference Matters | Final reflections, outcomes, and next steps |
| 12:00 PM | Conference Concludes | Evaluations and follow-up via email |
| 12:00–2:00 PM | Staff & Steering Committee | Post-conference debrief and planning |
- Larry A. Green, MD – Chair
- Rebecca S. Etz, PhD – Principal Investigator
- Eric Bass, MD
- Andrew Bazemore, MD, MPH
- Ted Ganiats, MD
- Rita Mangione-Smith, MD, MPH
- CJ Peek, PhD
- Bob Phillips, MD, MSPH
- Eileen Reynolds, MD
- Kurt Stange, MD, PhD
This Conference Will:
Create a unified vision that can be used to recognize and reward high-performing primary care
Select a few essential primary care measures that can and should be reported on
Identify gaps that need to be closed to measure primary care
Articulate key principles to guide further measurement development
Organizational Partners: American Board of Family Medicine (ABFM), Robert Graham Center, Society for General Internal Medicine, and the World Organization of Family Doctors (WONCA).
The Meaningful Measures for Primary Care Summit is Sponsored by: The Agency for Healthcare Research and Quality, Family Medicine for America’s Health, the ABFM Foundation, North American Primary Care Research Group, and Virginia Commonwealth University.