Article Figures & Data
Tables
Characteristic All Practices (N=76) Interviewed Practices (n=12) Quality focus, No. (%) Diabetes 51 (67) 7 (58) Asthma 25 (33) 5 (42) Service area, No. (%) Rural 37 (49) 6 (50) Urban 39 (51) 6 (50) Clinicians, No. (%) ≤3 18 (24) 5 (42) 4–6 26 (34) 2 (17) ≥7 32 (41) 5 (42) Practice specialty, No. (%) Family medicine 42 (55) 7 (58) Pediatric medicine 20 (26) 4 (33) Internal medicine 10 (13) 1 (8) Mixed 4 (5) 0 (0) Practice type, academic, No. (%) 6 (8) 2 (17) Insurance Medicaid, median % 20 30 Uninsured, median % 4 8 Affiliated with CCNC Medicaid Network, No. (%) 65 (85) 12 (100) Practice visits per day, median No. 60 43 Use of EHR, No. (%) 38 (50) 9 (75) PCMH recognition by NCQA, No. (%) Have recognition 22 (29) 6 (50) Actively working on recognition 17 (23) 4 (34) Improved in first year: diabetes measures, No. (%) Hemoglobin A1c <9% 25 (50) – LDL cholesterol <100 mg/dL 23 (55) – Blood pressure <130/80 mm Hg 33 (73) – Annual eye examination 35 (78) – Nephropathy screening 34 (77) – Improved in first year: asthma measures, No. (%) Severity assessed 17 (68) – Annual influenza vaccine 19 (76) – Bundled measure (assessed, influenza vaccine, controller medication use) 16 (70) – -
CCNC = Community Care of North Carolina; EHR = electronic health record; LDL = low-density lipoprotein; NCQA = National Committee for Quality Assurance; PCMH = patient-centered medical home.
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Note: For the All Practices column, the number of practices having data was fewer than 76 for the measures of Medicaid insurance (n = 67), uninsured (n = 68), and practice visits per day (n = 64).
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- Table 2
Association of Higher Leadership With the Proportion of Patients Within a Practice Achieving Various Clinical Measures
Model Nephropathy Screening Yearly Eye Examination LDL Cholesterol <100 mg/dL Blood Pressure <130/80 mm Hg Hemoglobin A1c <9% Model 1 Leadership 1.51 (1.20–1.90) 1.13 (0.93–1.37) 1.02 (0.87–1.20) 1.07 (0.91–1.26) 1.07 (0.92–1.25) <.001 .23 .77 .43 .39 Model 2 Leadership (adjusted for engagement) 1.37 (1.08–1.74) 1.04 (0.86–1.25) 1.06 (0.91–1.23) 1.10 (0.94–1.28) 1.08 (0.93–1.26) .01 .68 .48 .25 .31 Engagement (adjusted for leadership) 1.26 (1.06–1.51) 1.21 (1.02–1.43) 0.93 (0.82–1.05) 0.94 (0.80–1.11) 0.97 (0.77–1.23) .01 .03 .25 .49 .83 -
LDL=low-density lipoprotein cholesterol.
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Note: Values are odds ratios (95% CIs) and P values. Values were adjusted for time.
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- Table 3
Association of Higher Leadership With Practice Levels of Implementation of Various Tools
Model Registry Templates for Planned Care Protocols Self-Management Support Model 1 Leadership 1.92 (1.07–3.42) 6.78 (4.02–11.44) 5.23 (2.99–9.14) 3.66 (2.26–5.91) .03 <.0001 <.0001 <.0001 Model 2 Leadership (adjusted for engagement) 1.24 (0.66–2.34) 4.20 (2.44–7.23) 3.53 (1.99–6.25) 2.41 (1.54–3.79) .50 <.001 <.001 <.0001 Engagement (adjusted for leadership) 2.50 (1.41–4.42) 3.30 (1.87–5.82) 2.81 (1.66–4.77) 2.80 (1.74–4.50) .002 <.001 <.001 <.001 -
Note: Values are odds ratios (95% CIs) and P values. Values were adjusted for time.
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Additional Files
Supplemental Appendixes 1-2
Supplemental Appendix 1. Contextual Factors Relevant for Understanding and Transporting Findings From Transforming Primary Care in North Carolina Study; Supplemental Appendix 2. Practice Coach Assessment Ratings
Files in this Data Supplement:
- Supplemental data: Appendix 1 - PDF file, 4 pages, 193 KB
- Supplemental data: Appendix 2 - PDF file, 3 pages, 193 KB
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