Bivariate Analysis of the Factors Associated With the Outcomes of ABCS and Composite Measures
| Aspirin Use | Blood Pressure Control | Cholesterol Management | Smoking Screening and Counseling | ABC Composite | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Characteristic | RR (95% CI) | P Value | RR (95% CI) | P Value | RR (95% CI) | P Value | RR (95% CI) | P Value | RR (95% CI) | P Value |
| Practice | ||||||||||
| Number of clinicians (solo) | 1.17 (1.08–1.25) | .007 | 1.02 (0.96–1.09) | >.999 | 1.07 (0.98–1.14) | >.999 | 1.02 (0.93–1.10) | >.999 | 1.29 (1.12–1.47) | .011 |
| Practice ownership (Independent) | 0.99 (0.84–1.12) | >.999 | 0.96 (0.84–1.06) | >.999 | 0.98 (0.85–1.09) | >.999 | 1.03 (0.88–1.15) | >.999 | 0.92 (0.70–1.13) | >.999 |
| ACO status (yes) | 1.05 (0.97–1.12) | >.999 | 0.99 (0.93–1.05) | >.999 | 0.97 (0.90–1.04) | >.999 | 1.04 (0.96–1.11) | >.999 | 1.11 (0.97–1.26) | >.999 |
| MUA designationa (yes) | 1.05 (0.97–1.12) | >.999 | 0.97 (0.91–1.03) | >.999 | 0.96 (0.89–1.03) | >.999 | 1.03 (0.95–1.10) | >.999 | 1.01 (0.88–1.15) | >.999 |
| PCMH recognition (yes) | 1.01 (0.93–1.08) | >.999 | 1.03 (0.97–1.09) | >.999 | 1.02 (0.95–1.09) | >.999 | 1.06 (0.98–1.13) | >.999 | 1.07 (0.93–1.21) | >.999 |
| Full-time equivalent of supporting staff | 1.01(0.95–1.06) | >.999 | 0.98 (0.94–1.02) | >.999 | 1.02 (0.97–1.06) | >.999 | 1.02 (0.96–1.07) | >.999 | 1.00 (0.92–1.08) | >.999 |
| Patient panel size | 0.99 (0.95–1.02) | >.999 | 0.98 (0.96–1.00) | >.999 | 0.99 (0.96–1.03) | >.999 | 1.02 (0.95–1.08) | >.999 | 0.96 (0.91–1.00) | .704 |
| Patient | ||||||||||
| Non-Hispanic white patient | 0.82 (0.66–0.97) | .145 | 1.13 (1.01–1.23) | .416 | 1.01 (0.88–1.12) | >.999 | 0.79 (0.61–0.95) | 0.098 | 0.95 (.68–1.24) | >.999 |
| Medicaid payer | 1.08(0.90–1.21) | >.999 | 0.94 (0.81–1.06) | >.999 | 1.06 (0.90–1.19) | >.999 | 1.17 (1.01–1.28) | 0.434 | 1.09 (0.80–1.38) | >.999 |
| Organizational capacity | ||||||||||
| Adaptive reserve | 0.81 (0.58–0.99) | .330 | 1.05 (0.86–1.20) | >.999 | 0.83 (0.62–1.00) | .588 | 0.90 (0.65–1.07) | >.999 | 0.87 (0.56–1.19) | >.999 |
| CPCQ | 0.90 (0.64–1.09) | >.999 | 1.13 (0.93–1.30) | >.999 | 0.89 (0.68–1.06) | >.999 | 1.21 (0.93–1.40 | >.999 | 1.01 (0.66–1.37) | >.999 |
| Burnout of lead clinician (yes) | 1.05 (0.91–1.16) | >.999 | 1.04 (0.93–1.13) | >.999 | 1.04 (0.91–1.15) | >.999 | 1.07 (0.93–1.17) | >.999 | 1.13 (0.91–1.35) | >.999 |
ABC = aspirin use, blood pressure control, and cholesterol management; ABCS = aspirin use, blood pressure control, cholesterol management, smoking screening and counseling; ACO = accountable care organization; CPCQ = Change Process Capability Questionnaire; MUA = medically underserved area; PCMH = patient-centered medical home; RR = risk ratio.
Note: P values were adjusted for multiple testing using the Holm method.24
↵a Data extracted from the Health Resources and Services Administration website.