NDP Model Domains and Components Implemented by Practice Group
| Facilitated Practices (n=16) | Self-Directed Practices (n=15) | All Practices (N=31) | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Domain and Component | In Place at Baseline | Implemented During NDP | Implemented in the 9 mo After NDP | Not Implemented | In Place at Baseline | Implemented During NDP | Implemented in the 9 mo After NDP | Not Implemented | In Place at Baseline | Implemented During NDP | Implemented in the 9 mo After NDP | Not Implemented |
| HR=human resources; NDP=National Demonstration Project. | ||||||||||||
| Notes: Values shown are numbers of practices. Within each group (facilitated, self-directed, or all), numbers total across rows. | ||||||||||||
| Access to care and information | ||||||||||||
| Same-day appointments | 7 | 8 | 1 | 0 | 8 | 6 | 1 | 0 | 15 | 14 | 2 | 0 |
| Laboratory results highly accessible | 8 | 7 | 0 | 1 | 4 | 7 | 4 | 0 | 12 | 14 | 4 | 1 |
| Online patient services | 1 | 9 | 0 | 6 | 0 | 4 | 5 | 6 | 1 | 13 | 5 | 12 |
| e-Visits | 1 | 5 | 0 | 10 | 0 | 3 | 0 | 12 | 1 | 8 | 0 | 22 |
| Group visits | 1 | 8 | 2 | 5 | 1 | 5 | 0 | 9 | 2 | 13 | 2 | 14 |
| After-hours access coverage | 14 | 2 | 0 | 0 | 15 | 0 | 0 | 0 | 29 | 2 | 0 | 0 |
| Care management | ||||||||||||
| Population management | 2 | 6 | 0 | 8 | 2 | 4 | 3 | 6 | 4 | 10 | 3 | 14 |
| Wellness promotion | 4 | 3 | 0 | 9 | 5 | 1 | 0 | 9 | 9 | 4 | 0 | 18 |
| Disease prevention | 11 | 5 | 0 | 0 | 13 | 2 | 0 | 0 | 24 | 7 | 0 | 0 |
| Patient engagement/education | 7 | 5 | 0 | 4 | 9 | 3 | 1 | 2 | 16 | 8 | 1 | 6 |
| Practice services | ||||||||||||
| Comprehensive acute and chronic care | 16 | 0 | 0 | 0 | 15 | 0 | 0 | 0 | 31 | 0 | 0 | 0 |
| Prevention screening | 12 | 4 | 0 | 0 | 12 | 3 | 0 | 0 | 24 | 7 | 0 | 0 |
| Surgical procedures | 16 | 0 | 0 | 0 | 15 | 0 | 0 | 0 | 31 | 0 | 0 | 0 |
| Ancillary therapeutic/support | 16 | 0 | 0 | 0 | 12 | 3 | 0 | 0 | 28 | 3 | 0 | 0 |
| Ancillary diagnostic services | 16 | 0 | 0 | 0 | 14 | 1 | 0 | 0 | 30 | 1 | 0 | 0 |
| Continuity of care | ||||||||||||
| Community-based services | 7 | 3 | 0 | 6 | 8 | 1 | 0 | 6 | 15 | 4 | 0 | 12 |
| Hospital care | 14 | 0 | 0 | 2 | 15 | 0 | 0 | 0 | 29 | 0 | 0 | 2 |
| Behavioral health care | 8 | 1 | 0 | 7 | 8 | 2 | 0 | 5 | 16 | 3 | 0 | 12 |
| Maternity care | 13 | 0 | 0 | 3 | 13 | 0 | 0 | 2 | 26 | 0 | 0 | 5 |
| Case management | 3 | 3 | 0 | 10 | 5 | 1 | 1 | 8 | 8 | 4 | 1 | 18 |
| Practice management | ||||||||||||
| Disciplined financial management | 9 | 6 | 0 | 1 | 10 | 3 | 2 | 0 | 19 | 9 | 2 | 1 |
| Cost-benefit decision making | 9 | 2 | 2 | 3 | 10 | 5 | 0 | 0 | 19 | 7 | 2 | 3 |
| Revenue enhancement | 5 | 7 | 2 | 2 | 4 | 4 | 2 | 5 | 9 | 11 | 4 | 7 |
| Personnel/HR management | 8 | 6 | 1 | 1 | 12 | 2 | 1 | 0 | 20 | 8 | 2 | 1 |
| Optimized office design | 3 | 3 | 7 | 3 | 8 | 3 | 0 | 4 | 11 | 6 | 7 | 7 |
| Quality and safety | ||||||||||||
| Medication management | 10 | 3 | 0 | 3 | 14 | 1 | 0 | 0 | 24 | 4 | 0 | 3 |
| Patient satisfaction feedback | 7 | 3 | 0 | 6 | 8 | 3 | 0 | 4 | 15 | 6 | 0 | 10 |
| Clinical outcomes analysis | 4 | 5 | 0 | 7 | 4 | 4 | 1 | 6 | 8 | 9 | 1 | 13 |
| Quality improvement | 4 | 6 | 0 | 6 | 5 | 2 | 2 | 6 | 9 | 8 | 2 | 12 |
| Practice-based team care | 1 | 4 | 1 | 10 | 1 | 6 | 0 | 8 | 2 | 10 | 1 | 18 |
| Health information technology | ||||||||||||
| Electronic medical record | 11 | 3 | 0 | 2 | 11 | 3 | 0 | 1 | 22 | 6 | 0 | 3 |
| Electronic prescribing | 7 | 7 | 0 | 2 | 6 | 9 | 0 | 0 | 13 | 16 | 0 | 2 |
| Population management/registry | 0 | 7 | 0 | 9 | 1 | 3 | 3 | 8 | 1 | 10 | 3 | 17 |
| Practice Web site | 4 | 9 | 0 | 3 | 5 | 4 | 2 | 4 | 9 | 13 | 2 | 7 |
| Interactive patient portal | 0 | 5 | 2 | 9 | 0 | 4 | 5 | 6 | 0 | 9 | 7 | 15 |
| Practice-based care teams | ||||||||||||
| Provider leadership | 5 | 6 | 2 | 3 | 9 | 3 | 1 | 2 | 14 | 9 | 3 | 5 |
| Shared mission and vision | 3 | 7 | 1 | 5 | 9 | 2 | 1 | 3 | 12 | 9 | 2 | 8 |
| Effective communication | 3 | 7 | 2 | 4 | 9 | 2 | 1 | 3 | 12 | 9 | 3 | 7 |
| Task designation by skill set | 2 | 6 | 1 | 7 | 2 | 7 | 1 | 5 | 4 | 13 | 2 | 12 |