Table 1.

Clinician Responses (n = 3,524) Coded Using a Combination of 1) Measures-based Coding and 2) Emergent Coding

Measure-based codes used (n = 27) informed by measures used and located with the following entities: National Committee for Quality Assurance, Healthcare Effectiveness Data and Information Set, National Quality Forum, and the Agency for Healthcare Research and Quality
Code GroupCodes in code groupPercent responses to which group code applied*
Measure-basedChronic disease; control of disease; counseling; evidence-based medicine, guidelines, benchmarks; prevention, immunization, vaccination; risk stratification; access; continuity; documentation or recording; follow up; medication management; patient received something; patient satisfaction; patient understands doctor; productivity; referrals, tracking systems; cost and utilization; written care plan; compliance or adherence; specific targets; quality of life; functional status; rates or percentages of population57.7%
Emergent codes used (n = 65) based on concepts identified through the patterned appearance of key words, phrases, or ideas as determined through iterative data reading and discussion by three co-authors (RSE, MMG, EMB)
    Patient-focusedAsk the patient; family; patient real understanding; patient as partner or team member; patient experience and perspective; patient feels known; patient goals or values; patient involved in decisions of care; patient needs are met; patient outreach; personalized or tailored care7.5%
    Patient-centeredEngagement; patient centered; patient education; patient grade of practice; patient responsibility18.8%
    Tenets of primary careComprehensiveness; coordination, including transitions; equity and social justice; longitudinal; problem recognition; relationship or trust; wholism or whole person12.5%
    Employee focusCollaborative; employee satisfaction, joy, retention, turnover; interprofessional or multidisciplinary; staff; team talk; top of license/skill set; training, continuing education12.0%
    Work processesEfficiency; electronic medical record; information management; learning organization; self assess, adapts, changes; quality improvement; timeliness13.6%
    Practice qualitiesCommunication; integration; promotion of health or wellness; qualities a practice should have; health information technology; transparency10.8%
    Outside clinic wallsCommunity connections, practice networks; more, less, limit, too much, too little of something; payment; social determinants of health4.5%
    CliniciansAdvocates for patients and communities; understands the patient; competent and up to date; empathy, caring, compassion, respect; complexity and ambiguity, listens to or talks to patient; qualities a clinician should have; setting priorities13.5%
    Care focusAppropriate; behavioral health, substance use; care agnostic to constraints; right care, right time, right place; targeted condition or type of care; weight, food, nutrition, physical activity11.2%
    Patient talkCare management; litmus test; missing measures; social history and habits (not smoking); symptom reduction; weighing of risks and benefits2.6%
  • * Percentages in this column exceed 100% when added. This is because one response could be assigned more than one code.