Results of Mixed Model Analysis with Care Manager Acceptance as the Dependent Variable and Respondent Characteristics, Practice Characteristics, and Model Implementation as Fixed-Effect Independent Variables
Predictors | Staff Acceptance | Physician Acceptance | ||
---|---|---|---|---|
β | P Value | β | P Value | |
Respondent characteristics | ||||
Age, years (reference: 50–59) | ||||
18–29 | 0.23 | .013 | 0.29 | .376 |
30–39 | 0.07 | .365 | 0.28 | .055 |
40–49 | 0.09 | .259 | 0.24 | .037 |
≥60 | 0.02 | .809 | 0.03 | .798 |
Sex (reference: female) | ||||
Men | −0.12 | .402 | 0.03 | .695 |
Professional role (reference: other administrative) | Excluded/NA | |||
Nurse practitioner/physical assistant | 0.31 | .006 | ||
Other nurse | 0.20 | .022 | ||
Medical assistant | −0.09 | .228 | ||
Practice manager | 0.24 | .035 | ||
Other clinical | 0.40 | .000 | ||
Job longevity | 0.01 | .032 | 0.01 | .318 |
Practice characteristics | ||||
Pediatric practice (reference: no) | ||||
Yes | −0.35 | .002 | 0.07 | .633 |
Practice size (reference: 5–7) | ||||
1–2 | −0.08 | .538 | 0.05 | .792 |
3–4 | −0.07 | .529 | 0.16 | .255 |
8–11 | −0.11 | .390 | −0.07 | .648 |
≥12 | −0.11 | .481 | 0.02 | .907 |
EHR implementation change (reference: no) | ||||
Yes | 0.14 | .156 | −0.08 | .461 |
Model implementation characteristics | ||||
Average CM job longevity | 0.13 | .028 | 0.17 | .018 |
Average embedded CM FTE (reference: 100) | ||||
<25 | −0.53 | .000 | −0.59 | .001 |
25–49 | −0.41 | .002 | −0.50 | .001 |
50–74 | −0.29 | .019 | −0.26 | .080 |
75–99 | −0.17 | .159 | −0.09 | .558 |
Embedded CMs, n (reference: 1) | ||||
0 | −0.19 | .334 | −0.38 | .120 |
2 | 0.12 | .268 | 0.13 | .266 |
3 or 4 | 0.26 | .084 | 0.02 | .919 |
≥5 | −0.06 | .732 | −0.15 | .463 |
CM(s) employer is the practice (reference: no) | ||||
Yes | −0.12 | .295 | 0.34 | .013 |
Meeting or exceeding patients/CM standard (reference: no) | ||||
Yes | 0.04 | .667 | −0.13 | .266 |
Practice was treated as a random effect in the model. Boldface indicates a significant association at P < .05.
CM, care manager; EHR, electronic health record; FTE, full-time equivalent; NA, not applicable.