Items Assessing Organizational Change Ability
| Recognition Level | |||
|---|---|---|---|
| Item | Overall (N=249) | Level 1, % (n=91) | Level 3,a % (n=158) |
| The clinicians in our practice adhere to practice policies. | 83.3 | 82.2 | 83.9 |
| The leaders of our efforts to improve care quality are enthusiastic about their task.b | 82.3 | 74.4 | 86.7 |
| The clinicians in our practice espouse a shared mission and policies. | 79.8 | 75.8 | 82.1 |
| The working environment in our practice is collaborative and cohesive, with a shared sense of purpose, cooperation, and willingness to contribute to the common good. | 77.4 | 76.9 | 77.1 |
| When making changes at our practice, we choose new processes of care that are more advantageous than the old for everyone involved (patients, clinicians, and our entire practice). | 68.7 | 71.1 | 67.3 |
| The thinking of our leadership is strongly oriented toward systems. | 68.0 | 61.1 | 72.1 |
| We have greatly improved the quality of care in the past year. | 67.3 | 61.1 | 70.9 |
| We have many clinician and staff champions interested in leading the improvement of care quality. | 64.2 | 58.4 | 67.5 |
| Most of the other health care resources in our community (hospitals, community groups, specialist offices) are supportive of the medical home concept. | 59.5 | 59.6 | 59.5 |
| Our practice operations rely heavily on organized systems.b | 58.5 | 48.9 | 64.1 |
| Our practice attaches more priority to quality of care than to finances. | 57.7 | 62.5 | 55.1 |
| We have received feedback from patients that they have benefited from the changes we have made. | 56.5 | 53.3 | 58.2 |
| Our practice is undergoing considerable stress as the result of internal changes. (reverse coded) | 41.9 | 47.2 | 38.9 |
| Our resources (personnel, time, financial) are too tightly limited to improve care quality now. (reverse coded)b | 21.1 | 28.1 | 17.2 |
| Overall score, mean (SD)b,c | 9.5 (3.0) | 9.0 (3.2) | 9.8 (2.8) |
Note: Values are percentage that agree or strongly agree. Pearson χ2 test for categorical variables and independent samples t tests for continuous variables.
↵a Includes practices that entered the study at Level 3 and practices that advanced from Level 1 to Level 3 during
↵b P <.05, difference by level.
↵c Range: 1 to 14, with higher scores indicating greater change ability.