Healthcare performance measurements are important standardized tools used by programs, agencies, and clinical sites to ensure the quality of healthcare services and can help track and monitor how these systems are providing equitable, person-centered care. High-quality performance measures are vetted through an endorsement process that determines if a measure is important to report and measure, scientifically acceptable, relevant, usable, and feasible to collect.
Prior to 2016, there were no established measures of quality for contraceptive care. The first measures focused exclusively on access to contraceptive methods and utilized administrative claims data. These measures were limited in that they could not capture patient desires or preferences related to contraception.
PCRHP works to broaden and optimize the contraceptive care performance measures available through the development, testing, and promotion of contraceptive care performance measures that center individual’s preferences, needs, and values and honor reproductive autonomy.
In 2025, the federally accredited Consensus-Based Entity (CBE) endorsed our Contraceptive Use electronic clinical quality measures (eCQMs) for Non-postpartum and Postpartum populations, and the Person-Centered Contraceptive Counseling Retrospective Survey (PCCC-RS), which captures patient experience at the population level. These approvals followed the CBE’s 2024 endorsement of the Contraceptive Care Screening eCQM (CCS-SINC eCQM) and 2020 endorsement of the visit-specific Person-Centered Contraceptive Counseling measure (PCCC). Together, these measures establish the first comprehensive framework for assessing contraceptive care quality, including attention to patient experience.
Measurement for High-Quality Contraceptive Care
Here's how our measures can be used together to help ensure patients receive high-quality contraceptive care.
1. Are patients being asked about their contraception service needs?
contraceptive care screening ecqm (CCS-SINC ECQM)
2. Is contraceptive counseling provided in a respectful, person-centered manner?
3. Are patients who want contraception accessing prescription methods?
Contraceptive Use eCQMs (CU-SINC eCQM, LARC-SINC eCQM)
Contraceptive Care Screening eCQM (CCS-SINC)
The Contraceptive Care Screening eCQM utilizes the Self-Identified Need for Contraception (SINC) screening question to calculate the percentage of people at a facility asked whether they want to discuss contraception at least once in a calendar year.
Person-Centered Contraceptive Counseling (PCCC) measure
The PCCC is a patient-reported outcome measure that evaluates patient experience of contraceptive counseling and care. The Retrospective PCCC (PCCC-RS) is a version that can be used at the population level with a 6-month look-back period.
Contraceptive Use eCQMs (CU-SINC, LARC-SINC)
Contraceptive Use eCQMs calculate the percentage of people who report using or are provided a most or moderately effective method of contraception (CU-SINC) and those that are provided a Long-Acting Reversible Contraceptive (LARC-SINC) in a calendar year, among those who self-identify their need for contraceptive services in a given facility.
These measures may be used and interpreted alone to focus on specific dimensions of the contraceptive care experience or used together to evaluate system-wide processes. For assistance in utilizing any of the measures, please visit our Technical Assistance and Training page.