Practice-Level Comparison of Top Quartile Hypertension Performance
| Top Quartile Hypertension | |||
|---|---|---|---|
| Practice-Level Characteristic | Top Quartile Achieved n=46 | Top Quartile Not Achieved n=135 | P Value |
| Clinicians, mean No. (SD) | 5 (5.4) | 5.6 (4.8) | .596 |
| Office staff, mean No. (SD) | 8.6 (11.4) | 8.3 (7.8) | .917 |
| Physician owned, No. (%) | 27 (35) | 50 (65) | .015 |
| Payer mix | |||
| Medicare, % (SD) | 28 (19.2) | 29 (14.8) | .776 |
| Medicaid, % (SD) | 15 (11.6) | 17 (11.7) | .477 |
| Commercial insurance, % (SD) | 37 (15.9) | 26 (18.3) | .002 |
| Uninsured, % (SD) | 8 (9.5) | 14 (14.7) | .055 |
| Practice delivery model | |||
| PCMH, No. (%) | 29 (33) | 60 (67) | .014 |
| FQHC, No. (%) | 5 (15) | 29 (85) | .179 |
| Organizational quality improvement quality | |||
| PAR score, mean (SD)a | 0.72 (0.11) | 0.67 (0.11) | .165 |
| KDIS leadership scoreb,c | |||
| 0 | 7 | 9 | … |
| 1 | 17 | 59 | … |
| 2 | 14 | 42 | … |
| 3 | 8 | 25 | … |
FQHC = federally qualified health center; KDIS = Key Driver Implementation Scale; PAR = practice adaptive reserve; PCMH = patient-centered medical home; QI = quality improvement.
↵a PAR scores are scaled from 0 to 1, with 1 being a perfect score of agreement for organizational adaptiveness.
↵b KDIS Leadership scores are scaled from 0 to 3, with 3 being a perfect score that leadership recognizes QI work as part of the daily routine and practice culture.
↵c P=.356, estimated from χ2 analysis comparing ordinal leadership scores for all practices achieving top quartile hypertension control vs not achieving top quartile hypertension control.