Mean Changes in CQM Outcomes From Baseline (2015) to Follow-up (2017)
| CQM Outcomea | Adjustedb Change,c Mean (95% CI) | Adjustedb Difference in Mean Change vs PF Only, Mean Difference (95% CI) | Overall P Valued | |||||
|---|---|---|---|---|---|---|---|---|
| PF Only | PF + SL | PF + EOV | PF + EOV + SL | PF + SL | PF + EOV | PF + EOV + SL | ||
| Blood pressure | 2.46 (−2.03 to 6.95) | 4.80 (0.08 to 9.53) | 2.78 (−0.67 to 6.23) | 4.84 (2.53 to 7.16) | 2.34 (−4.71 to 9.39) | 0.32 (−6.59 to 7.22) | 2.38 (−2.31 to 7.08) | .40 |
| Aspirin | 2.28 (−3.02 to 7.57) | 4.02 (1.25 to 6.78) | 3.49 (0.24 to 6.74) | 5.54 (−0.16 to 11.25) | 1.74 (−4.82 to 8.30) | 1.21 (−4.74 to 7.16) | 3.26 (−6.05 to 12.58) | .90 |
| Smoking | 9.41 (3.27 to 15.55) | 7.52 (0.07 to 14.96) | 6.25 (0.37 to 12.12) | 5.87 (−0.05 to 11.79) | −1.90 (−11.64 to 7.85) | −3.17 (−12.83 to 6.50) | −3.54 (−11.69 to 4.61) | .80 |
CQM = clinical quality measure; CVD = cardiovascular disease; EOV = educational outreach visit; PF = practice facilitation; SL = shared learning.
↵a CQM outcomes are defined as the percent of eligible target population (denominator) meeting the clinical quality standard (numerator) for each CVD quality measure.
↵b Models adjusted for site, prior experience obtaining customized data, prioritization of quality improvement work, and the 2015 measure of the CQM outcome.
↵c Positive value for change indicates an increase (improvement) in the mean percent of the practices’ target population meeting the CQM; negative value for change indicates a decrease.
↵d Overall P value is a global test for whether the mean change in CQM outcome in any of the study arms receiving enhanced services (PF + SL, PF + EOV, or PF + EOV + SL) differs when compared with that in the PF-only group.