PPC-RS Trends in Total Score and the Subgroups, System Size, and Geography (N = 269)
| Survey Domains | Survey Items, No. | All Clinics, % | Current System Sizea | Geography | ||||
|---|---|---|---|---|---|---|---|---|
| <12 Sites, % | ≥12 Sites, % | P Valueb | Rural, % | Urban, % | P Value | |||
| Information & Tracking | 6 | .084 | <.001 | |||||
| 2017 | 80.5 | 77.4 | 81.3 | 2.7 | 79.2 | |||
| 2019 | 82.7 | 85.3 | 82.0 | 8.8 | 79.1 | |||
| 2021 | 83.1 | 75.7 | 85.2 | 6.5 | 81.2 | |||
| Chronic Disease Management | 65 | <.001 | <.001 | |||||
| 2017 | 68.5 | 59.6 | 71.0 | 0.5 | 67.3 | |||
| 2019 | 69.9 | 64.9 | 71.3 | 4.9 | 66.9 | |||
| 2021 | 72.5 | 61.7 | 75.6 | 5.5 | 70.8 | |||
| Patient Self-Management | 25 | <.001 | <.001 | |||||
| 2017 | 77.8 | 70.6 | 79.9 | 9.4 | 76.9 | |||
| 2019 | 78.6 | 75.3 | 79.5 | 1.8 | 76.7 | |||
| 2021 | 80.8 | 73.5 | 82.9 | 4.2 | 78.9 | |||
| Care Plans, Shared Decisions | 6 | <.001 | .069 | |||||
| 2017 | 65.6 | 54.2 | 68.8 | 7.8 | 64.3 | |||
| 2019 | 70.1 | 58.8 | 73.3 | 1.5 | 69.3 | |||
| 2021 | 73.4 | 62.7 | 76.4 | 8.3 | 70.5 | |||
| Performance Measurementc | 3 | <.001 | .023 | |||||
| 2017 | 93.4 | 88.1 | 94.9 | 4.0 | 93.1 | |||
| 2019 | 94.4 | 91.5 | 95.2 | 6.0 | 93.5 | |||
| 2021 | 89.3 | 81.4 | 91.6 | 3.3 | 87.0 | |||
| Managing High Risk Patients | 2 | <.001 | .780 | |||||
| 2017 | 82.2 | 62.7 | 87.6 | 7.0 | 85.2 | |||
| 2019 | 86.1 | 76.3 | 88.8 | 8.5 | 84.6 | |||
| 2021 | 83.6 | 77.1 | 85.5 | 7.5 | 81.4 | |||
| Overall Surveyc | 107 | <.001 | <.001 | |||||
| 2017 | 72.1 | 63.8 | 74.5 | 3.9 | 71.1 | |||
| 2019 | 73.7 | 69.1 | 74.9 | 8.0 | 71.1 | |||
| 2021 | 75.8 | 66.1 | 78.5 | 9.0 | 73.9 | |||
CMP = care management process; PPC-RS = Physician Practice Connections Readiness Survey.
Note: Data only for clinics completing all 3 surveys in 2017, 2019, and 2021. Results presented as the average percentage of CMPs present at the clinics.
↵a System size (based on number of primary care locations) changed over time due to acquisition of small health care systems by larger systems.
↵b Statistical significance of system size, clinic size, or geography, computed using ANOVA test, controlling for time trend.
↵c Only includes items present in all 3 years of the survey.