Characteristics of Early Intervention Practices Fielding the My Own Health Report (MOHR) Assessment
Site 1 | Site 2 | Site 3 | Site 4 | Site 5 | Site 6 | Site 7 | Site 8 | Site 9 | ||
---|---|---|---|---|---|---|---|---|---|---|
State | VA | VA | VA | CA | VT | NC | CA | TX | TX | |
Setting | Suburban | Rural | Urban | Rural | Rural | Rural | Urban | Rural | Urban | |
Academic association | PBRN | PBRN | PBRN | PBRN | PBRN | CPCRN | CPCRN | CPCRN | CPCRN | |
Patients seen per year | 1,500 | 2,500 | 4,770 | 3,500 | 9,500 | 12,800 | 2,180 | 4,800 | 2,518 | |
Provider FTEs | 1 | 1.6 | 5.3 | 5.5 | 5 | 4.5 | 2 | 2 | 1 | |
Rooming staff FTE | 1 | 7 | 14.9 | 15 | 13.5 | 12 | 6 | 6 | 2 | |
Patient ethnicity or race | ||||||||||
Latino (%) | 20 | 1 | 1 | 3 | 1 | 2 | 75 | 48 | 67 | |
Black (%) | 10 | 49 | 17 | 1 | 5 | 60 | 25 | 23 | 13 | |
Insurance | ||||||||||
Medicare (%) | 9 | 12 | 26 | 13 | 13 | 49 | 5 | 2 | 3 | |
Medicaid (%) | 0 | 1 | 42 | 3 | 1 | 10 | 45 | 15 | 22 | |
None (%) | 1 | 49 | 17 | 1 | 5 | 10 | 50 | 38 | 69 | |
Practice ownership | Private | FQHC | Health system | FQHC | Health system | FQHC | FQHC | FQHC | FQHC | |
Year adopted EHR | – | 2013 | 2001 | 2009 | 2010 | 2005 | 2011 | 2010 | 2010 | |
Year adopted PHR | – | – | 2012 | 2013 | – | – | – | 2010 | – | |
PCMH designation | – | – | NCQA level 3 | Applying | NCQA level 3 | – | – | – | Joint commission | |
Prior/current HRA use | Wellness behavior form | – | – | New patient behavior form | – | – | Ask behavior and mental questions for wellness | Ask behavior questions for wellness | Tobacco and alcohol as vital sign | |
Onsite behavioral/mental health staff | – | Social worker | Social worker | - (system referral) | Psychologist | Behavioral health specialist | Counselor and Nutritionist | Psychologist and Psychiatrist | Behavioral health specialist |
FTE = full time equivalent; PBRN = practice based research network; CPCRN = Cancer Prevention and Control Research Network; EHR = electronic health record; PHR = personal health record; PCMH = patient centered medical home; FQHC = Federally Qualified Health Center; HRA = health risk assessment; NCQA = National Committee for Quality Assurance.