A new, process-oriented approach is needed in construction management. Lean construction emphasizes the concept of flow as a way to understand production in construction, yet there is still no accepted metric for measurement of flow quality. This has hampered research and practice. The proposed construction flow index (CFI) is a composite measure that reflects the quality of production flow in repetitive construction projects. It incorporates measures of work continuity for crews, processing continuity for locations, production rate variation, amounts of work in progress, interference and operation sequence logic. Expert knowledge was acquired to establish weights for the CFI parameters, and its use was tested in evaluating the planned and actual production flows for a number of projects. Project managers can use the CFI to evaluate the quality of their construction plans and to measure and communicate production flow quality status to trade crews, enabling management and improvement of production flow. The CFI is also a valuable tool for construction research. The CFI challenges traditional construction management by measuring flow, where standard practice only measures transformation (earned value). It challenges lean construction practice using the Last Planner System, suggesting that the percent plan complete measure of plan reliability is insufficient.