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Research ArticleResearch Briefs

Practice Transformation in the Transforming Clinical Practice Initiative and Emergency Department Use

Lori Timmins, Suzanne Felt-Lisk, Wenjia Zhu, Angela Merrill, Jelena Zurovac, Shawan Johnson, Damian Everhart and Robert Flemming
The Annals of Family Medicine July 2024, 22 (4) 325-328; DOI: https://doi.org/10.1370/afm.3119
Lori Timmins
1Mathematica, Chicago, Illinois
PhD
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  • For correspondence: ltimmins@mathematica-mpr.com
Suzanne Felt-Lisk
2Mathematica, Washington, DC
MPA
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Wenjia Zhu
3Mathematica, Cambridge, Massachusetts
PhD
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Angela Merrill
3Mathematica, Cambridge, Massachusetts
PhD
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Jelena Zurovac
2Mathematica, Washington, DC
PhD, MS
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Shawan Johnson
4Center for Clinical Standards and Quality, Centers for Medicare & Medicaid Services, Baltimore, Maryland
RN, MS
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Damian Everhart
4Center for Clinical Standards and Quality, Centers for Medicare & Medicaid Services, Baltimore, Maryland
PhD, RN
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Robert Flemming
4Center for Clinical Standards and Quality, Centers for Medicare & Medicaid Services, Baltimore, Maryland
PhD
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SUPPLEMENTAL MATERIALS IN PDF FILE BELOW

Supplemental Appendix 1. Practice Transformation in Transforming Clinical Practice Initiative was Associated with Reduced Emergency Department VisitsSupplemental Appendix 2. TCPI Background and Change Package Supplemental Table 1. Description of Domains for Measuring Practice Transformation in the PAT Supplemental Table 2. Each PAT Domain's Theoretical Potential to Reduce ED Visits Supplemental Table 3. Description of PAT Milestones for Primary Care Practices Associated with Each Domain Supplemental Table 4. Description of PAT Milestones for Specialty Care Practices Associated with Each DomainSupplemental Appendix 3. Key Measures and Measurement Periods Supplemental Figure 1. Baseline and Follow-up Periods for the Practice Transformation AnalysisSupplemental Appendix 4. Description of Statistical Analysis Supplemental Table 5. Practice-Level Average Beneficiary Characteristics Used as Control Variables in Regression Analysis Supplemental Table 6. Practice Characteristics Used as Controls in Regression Analysis Supplemental Table 7. County- and State-Level Characteristics Used as Controls in Regression AnalysisSupplemental Appendix 5. Additional Analyses Supplemental Table 8. Relationship Between TCPI Practice Progress in Transformation and Changes in ED Visits for Medicare FFS Beneficiaries in Follow-up Year 2, by Tercile of Baseline ED Visit Rate Supplemental Table 9. Relationship Between TCPI Practice Progress in Transformation and Changes in ED Visits for Medicare FFS Beneficiaries in the 2 Follow-up Years (in Number of Visits per 1,000 Beneficiaries per Year) Supplemental Table 10. Relationship Between TCPI Practice Progress in Transformation and Changes in ED Visits for Medicare FFS Beneficiaries in Follow-up Year 2, by Tercile of Baseline ED Visit Rate (in Number of Visits per 1,000 Beneficiaries per Year)

  • 325-SupplementalAppendixes1-5Figure1Tables1-10.pdf -

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