Characteristics of the Primary Care Practices Studied
Participating Primary Care Practices | ||||||||
---|---|---|---|---|---|---|---|---|
Small Private | Nonprofit or CHC | Teaching | ||||||
Characteristic | Large Group Practice A | Practice B | Practice C | Practice D | Practice E | Practice F | Practice G | Practice H |
CCNC = Community Care of North Carolina (Medicaid); CHC = federally qualified community health center; EHR = electronic health record; FM = family medicine; FTE = full-time equivalent; IM = internal medicine; IPIP = Improving Performance in Practice (grant-funded demonstration project); P=pediatrics; PQRI=Physician Quality Reporting Initiative 2007 pilot program (Medicare). | ||||||||
a Community type (by population): rural = <25,000 population; town = 25,000 to 100,000 population; small city = 100,000 to 500,000 population. | ||||||||
b Bridges to Excellence (Blue Cross/Blue Shield of North Carolina). | ||||||||
Communitya | Town | Town | Small city | Rural | Rural | Rural | Rural | Small city |
Practice type | Private | Private | Private | Private | CHC | CHC | Nonprofit | Teaching |
Medical specialties represented | FM, IM | IM | P | FM | FM, IM, P | FM, IM | FM, IM | FM |
Clinician FTEs | ||||||||
Physician | 8.0 | 1.0 | 1.0 | 1.0 | 2.8 | 3.0 | 4.0 | 6.8 |
Nurse-practitioner or physician’s assistant | 6.0 | 1.5 | 0 | 1.0 | 2.4 | 3.0 | 4.75 | 2.7 |
Other personnel FTE | 36.0 | 7.5 | 3.0 | 7.0 | 24.0 | 22.0 | 36.0 | 30.5 |
Patient insurance, as % of visits | ||||||||
Medicare | 34 | 47 | 0 | 40 | 28 | 29 | 29 | 21 |
Medicaid | 9 | 18 | 58 | 18 | 26 | 11 | 28 | 20 |
Private insurance | 45 | 32 | 40 | 37 | 27 | 44 | 28 | 56 |
Uninsured | 12 | 3 | 2 | 2 | 19 | 16 | 13 | 2 |
Medical record type | EHR | Paper | Paper | EHR | Paper | EHR | EHR | EHR |
Disease registry | No | Yes | Yes | No | Yes | No | No | Yes |
Information technology specialist on staff | Yes | No | No | No | No | Yes | No | Yes |
Reporting program participation | ||||||||
PQRI | Yes | Yes | No | Yes | No | No | No | Yes |
CCNC | Yes | Yes | Yes | Yes | Yes | Yes | Yes | No |
IPIPb | No | Yes | Yes | No | No | Yes | No | No |
Bridges to Excellence | Yes | No | No | No | No | No | Yes | No |