Characteristic | No. (%) |
---|---|
Practice factor | |
Practice size | |
Solo practice | 241 (20.4) |
2–5 clinicians | 558 (47.2) |
6–10 clinicians | 174 (14.7) |
≥11 clinicians | 143 (12.1) |
Practice ownership | |
Clinician owned | 436 (36.9) |
Hospital, health system | 275 (23.3) |
FQHC, RHC, IHS, federala | 286 (24.2) |
Other, noneb | 133 (11.3) |
Locationc | |
Urban core | 733 (62.1) |
Large town | 171 (14.5) |
Rural area | 191 (16.2) |
Suburban | 86 (7.3) |
Medically underserved area classification | 410 (34.7) |
External factor | |
Received external incentives in prior 12 mo | 602 (51.0) |
Participation in other demonstration projects4 | 369 (31.2) |
Patient-centered medical home recognition | 481 (40.7) |
Part of an accountable care organization | 452 (38.3) |
Internal factor | |
Major disruption(s) in prior 12 mo5 | |
No major disruption | 433 (36.7) |
One major disruption | 412 (34.9) |
More than one major disruption | 246 (20.8) |
Health information technology characteristics | |
Completely electronic health record6 | 1,030 (87.2) |
Time on EHR | |
≤3 y | 324 (27.4) |
4–6 y | 344 (29.1) |
>6 y | 365 (30.9) |
ONC-certified EHR | 972 (82.3) |
Participation in Meaningful Use | |
Not participating | 189 (16.0) |
Stage 1 only | 139 (11.8) |
Stage 1 and stage 2 | 722 (61.1) |
Physical location of data | |
Server in practice | 436 (36.9) |
In cloud with vendor | 246 (20.8) |
Health system data warehouse | 229 (19.4) |
Do not know where data reside | 111 (9.4) |
Shares patient health information electronically | 762 (64.5) |
Clinical laboratories incorporated as structured data | 965 (81.7) |
Use of EHR data for quality improvement, reporting | |
Produced quality report(s) in prior 6 mo | 741 (62.7) |
Report CQMs | |
Practice level | 867 (73.4) |
Clinician level | 881 (74.6) |
EHR vendor helps produce CQM reports | |
Yes, with restrictions | 226 (19.1) |
Yes, with no restrictions | 287 (24.3) |
No | 163 (13.8) |
Do not know | 211 (17.9) |
Outside organization helps EHR data capture | 731 (61.9) |
Ability to create CQM reports | |
No ability | 206 (17.4) |
In-house clinician or other staff member writes reports | 305 (25.8) |
Outside service/consultant writes reports | 438 (37.1) |
Routinely discuss clinical quality data | |
Never | 115 (9.7) |
Infrequently | 294 (24.9) |
Often | 425 (36.0) |
Not applicable, solo practice | 83 (7.0) |
Do not know | 98 (8.3) |
Use of at least 1 registry | 781 (66.1) |
Guidelines for CVD9 prevention | |
Not used or clinician agreement to use | 390 (33.0) |
Included in EHR prompts or standing orders | 719 (60.9) |
Guidelines for CVD management | |
Not used or clinician agreement to use | 436 (36.9) |
Included in EHR prompts or standing orders | 673 (57.0) |
CPCQ = Change Process Capability Questionnaire, CQM = clinical quality measure, CVD = cardiovascular disease, EHR = electronic health record, FQHC = federally qualified health center, IHS = Indian Health Services clinic, ONC = Office of the National Coordinator for Health Information Technology, RHC = rural health clinic.
Note: Percentages may not add up to 100% because of missing data. Only practices with complete CPCQ strategies scores are included. Additional characteristics of the practices involved in EvidenceNOW are located in the Supplemental Appendix, at http://www.annfammed.org/content/16/Suppl_1/S35/suppl/DC1/.
↵a Federally qualified health centers, rural health clinics, Indian Health Services clinics and Veterans Affairs, military, Department of Defense, or other federally owned practices.
↵b Practices with nonfederal, private/nonclinician, academic, or tribal ownership, those indicating “other” without specifying an ownership type, and practices responding no to every ownership type.
↵c Determined using rural-urban commuting area codes.
d State Innovation Models Initiative, Comprehensive Primary Care Initiative, Transforming Clinical Practice Initiative, community health worker training program, Blue Cross Blue Shield Patient-Centered Medical Home program, and Million Hearts.
e New EHR, new billing system, moved locations, staff turnover, and purchased by or affiliated with larger organization.