Description of Practice Characteristics, by Archetype
| A-TRIP | Performance | |||||||
|---|---|---|---|---|---|---|---|---|
| Ownership and Region | Specialty, No. of Doctors* and Other Clinicians | Payer Mix† | Description of Patients | Year Practice Opened, Year EMR Acquired | Site visits by Sept 2005 | Network Meetings Attended 2003–2005 | SQUID at Baseline | SQUID at 36 mo |
| A-TRIP = Advanced Translaton of Research into Practice; SQUID = Summary Quality Index; EMR = electionic medical record; Medi/Medi = Medicare Medicaid crossover. | ||||||||
| * Number of individuals, may be part-time or full-time. | ||||||||
| † Other insurance includes private insurance, commercial insurance, and preferred provider organizations, eg, Blue Cross, Cigna. | ||||||||
| ‡ Proportions are based on charges; the percentage of visits that are Medicare in this practice is higher. | ||||||||
| Technophiles | ||||||||
| Physician partnership, Mid Atlantic | Internal medicine, 2 | Medicare,‡ 22% Other insurance, 74% Self-pay, 4% | Most are working, middle to upper- middle class | 1984, 2001 | 0 | 3 | 53.8 | 73.6 |
| Multiple physician partnership, South | Family medicine, 4 Nurse-practitioner, 1 | Medicare, 20%–25% Medicaid, 5%–10% Other insurance and some uninsured make up remainder | Representative of community: from jobless/illiterate to some doctors/professors. Mostly middle class, less than one half with college degrees | 1981, 2000 | 3 | 1 | 49.7 | 64.8 |
| Physician-owned service corporation, Midwest | Internal medicine, 6 | Medicare, 35%–40% Medicaid, 5%–10% Other insurance, 50%–60% Uninsured, <2% | Representative of metro area: from limited-income elders to a few advanced- degree professionals; 60%–70% working class | 1980, 1997 | 4 | 3 | 47.5 | 61.2 |
| Physician partnership, incorporated, South | Family medicine, 2 | Medicare, 18%–20% Medi/Medi, 12%–15% Other insurance, 65%–70% | Low-education levels, high unemployment (poverty rate in community is 35%). Practice draws from 3–4 small counties and also serves college and industry employees | 2000, 2000 | 4 | 1 | 43.3 | 57.1 |
| Physician partnership, West | Internal medicine, 2 Physician’s assistant, 1 Nurse-practitioner, 3 | Medicare, 25% Medicaid, 1% Other insurance, 74% | Majority are upper-middle class | 1995, 2002 | 0 | 2 | 47.9 | 55.8 |
| Motivated Team | ||||||||
| Physician partnership, incorporated, Midwest | Family medicine, 2 Nurse-practitioner, 1 | Medicare, 32% Medicaid, 5% Other insurance, 55% Self-pay, 8% | Rural, mostly middle-income and lower education levels, range includes uninsured farmers and top officials in companies | 1985, 1998 | 4 | 3 | 47.7 | 61.3 |
| Hospital, Midwest | Family medicine, 8 Physician’s assistant, 1 | Medicare, 16% Medicaid, 4% Other insurance, 77% Self-pay, 3% | Urban, mixed-race/ethnicity, representative of blue-collar community | 1980, 1995 | 4 | 2 | 49.9 | 58.7 |
| Care Enterprise | ||||||||
| Physician, Gulf Coast | Internal medicine, 1 Nurse-practitioner, 1 | Medicare, 60% Medicaid, 5% Other insurance, 35% | Geriatric practice, most are retired military. Spectrum from very poor to very wealthy | 1983, 1994 | 4 | 2 | 51.9 | 61.8 |
| Physician, South | Internal medicine, 2 Nurse-practitioner, 2 | Medicare, 33% Medicaid, 3% Other insurance, 62% Uninsured, 2% | Largely blue-collar but includes aerospace engineers. About 25% African American, 2% Hispanic | 1989, 1999 | 4 | 3 | 40.5 | 50.4 |