Article Figures & Data
Figures
- Figure 1.
Cumulative probability of practices' ability to submit clinical quality measure (CQM) data, with and without centralized quality improvement (QI) support.
Tables
- Table 1.
Characteristics of Practices Asked to Submit Clinical Quality Measures (n = 205†)
Characteristic n (%) Practice Size Solo 38 (18.5) 2 to 4 96 (46.8) 5 or more 71 (34.6) State Washington 87 (42.4) Oregon 95 (46.3) Idaho 23 (11.2) Location Rural 91 (44.4) Urban 114 (55.6) Specialty Family medicine 166 (81.0) Internal medicine 7 (3.4) Mixed 32 (15.6) Organizational type FQHC 22 (10.7) Health/hospital system 81 (39.5) IHS/tribal 10 (4.9) Independent 92 (44.9) Part of a larger organization with centralized QI support No 108 (53.2) Yes, contact ≥ 1 time per month 70 (34.5) Yes, a few times per year 15 (7.4) Yes, infrequent or no regular contact 10 (4.9) *Four of the 209 randomized practices were excluded because they withdrew study participation before the baseline request for CQM data.
FQHC, Federally Qualified Health Center; IHS, inpatient hospital services; QI, quality improvement; CQM, clinical quality measure.
N Able to submit CQM data Among Practices Able to Submit CQM Data (n = 187) Within 30 Days Within 60 Days Within 6 months Within 15 months Time to submission (days) n (%) n (%) n (%) n (%) P-Value† Mean (SD) Median Overall 205 61 (30) 116 (57) 171 (83) 187 (91) 74 (77) 41 Part of a larger organization with centralized QI support* No 108 41 (38) 68 (63) 90 (83) 95 (88) 0.14 61 (77) 40 Yes 95 19 (20) 46 (48) 79 (83) 90 (95) 88 (74) 57 Autonomy to choose QI projects* None, or a little autonomy 40 11 (28) 14 (35) 32 (80) 38 (95) 0.55 103 (85) 94 A lot of autonomy 64 13 (20) 38 (59) 54 (84) 59 (92) 79 (85) 45 Complete autonomy 100 37 (37) 63 (63) 84 (84) 89 (89) 58 (63) 38 Practice size Solo 38 16 (42) 30 (79) 33 (87) 34 (89) 0.85 49 (66) 34 2 to 4 96 28 (29) 48 (50) 81 (84) 87 (91) 72 (60) 54 5+ 71 17 (24) 38 (54) 57 (80) 66 (93) 90 (96) 47 QI priority* Low (1 to 7) 93 34 (37) 57 (61) 80 (86) 84 (90) 0.81 61 (61) 39 High (8 to 10) 107 24 (22) 55 (51) 86 (80) 98 (92) 86 (87) 51 Ever run a non-standard QI report* No 119 37 (31) 66 (55) 93 (78) 105 (88) 0.13 78 (86) 41 Yes 81 21 (26) 46 (57) 73 (90) 77 (95) 70 (63) 41 ↵* Missing data: QI support (n = 2); autonomy (n = 1); QI priority (n = 5); ever run a non-standard report (n = 5).
↵† P-value reports the significance of differences in the proportion able to submit data within 15 months from the date ABCS data was requested, based on Fisher's Exact Test.
CQM, clinical quality measure; SD, standard deviation; QI, quality improvement; ABCS, aspirin, blood pressure, cholesterol, and smoking.
