Variation in Clinic Site Demographics
Site 1 N = 76 | Site 2 N = 110 | Site 3 N = 94 | Site 4 N = 21 | Site 5 N = 101 | Site 6 N = 100 | Site 7 N = 194 | Site 8 N = 100 | Site 9 N = 86 | Site 10 N = 99 | P Value | |
---|---|---|---|---|---|---|---|---|---|---|---|
Patient Characteristics | |||||||||||
Age (mean) | 50.7 | 49.3 | 49.3 | 48.5 | 54.4 | 47.9 | 37.7 | 32.7 | 51.6 | 53.7 | <.001 |
% Female | 57% | 63% | 66% | 76% | 58% | 60% | 63% | 62% | 63% | 55% | .70 |
Race/Ethnicity | |||||||||||
% Hispanic | 75.0% | 10.9% | 17.0% | 14.3% | 60.0% | 30.0% | 94.8% | 68.0% | 36.0% | 71.7% | |
% Non-Hispanic White | 18.4% | 19.1% | 19.1% | 33.3% | 38.0% | 51.0% | 4.6% | 21.0% | 40.7% | 19.2% | <.001 |
% African-American | 5.3% | 70.0% | 45.7% | 42.9% | 1.0% | 13.0% | 0% | 9.0% | 4.7% | 5.1% | |
BMI | 31.2 | 32.9 | 31.6 | 33.2 | 30.7 | 32.2 | 30.1 | 32.2 | 30.3 | 30.7 | .24 |
Systolic blood pressure (mm Hg) | 127 | 134 | 131 | 127 | 126 | 124 | 118 | 125 | 129 | 127 | <.001 |
Diastolic blood pressure (mm Hg) | 77 | 71 | 79 | 79 | 71 | 77 | 72 | 70 | 74 | 72 | <.001 |
Number of clinic visits in last 12 months | 1.3 | 3.7 | 4.2 | 5.8 | 4.1 | 4.0 | 5.0 | 3.3 | .8 | 4.5 | <.001 |
Physician-Patient Visit Results | |||||||||||
# Reasons for Visit | 4.0 | 4.3 | 7.2 | 3.8 | 4.7 | 6.0 | 4.6 | 7.5 | 4.6 | 6.9 | <.001 |
# Issues Addressed | 2.9 | 3.2 | 5.2 | 3.3 | 3.3 | 3.5 | 3.2 | 4.7 | 2.6 | 4.6 | <.001 |
# Chronic medications managed and continued | 2.8 | 3.7 | 5.1 | 2.1 | 5.5 | 1.2 | 3.7 | 2.5 | 7.2 | 4.3 | <.001 |
# New medications prescribed | 0.6 | 0.9 | 0.6 | 0.8 | 1.0 | 0.8 | 0.6 | 0.7 | 0.4 | 0.7 | .006 |
# Total medications managed | 3.5 | 4.7 | 5.9 | 3.1 | 6.6 | 2.2 | 4.5 | 3.6 | 7.6 | 5.2 | <.001 |
% Visits with at least One Element Not Reportable to CMS, by Reason | |||||||||||
Too many issues addressed | 61% | 60% | 80% | 48% | 55% | 56% | 52% | 68% | 41% | 83% | <.001 |
System barriers addressed | 1% | 5% | 12% | 10% | 3% | 2% | 9% | 14% | 2% | 7% | .001 |
Social determinants addressed | 0% | 0% | 7% | 0% | 0% | 1% | 2% | 1% | 1% | 2% | .001 |
Cared for another family member in that visit | 0% | 3% | 1% | 10% | 0% | 0% | 2% | 3% | 1% | 0% | .019 |
% visits not reportable with CPT 99204/14 or less | 60.5% | 60.9% | 79.8% | 47.6% | 55.4% | 58.0% | 53.6% | 70.0% | 41.9% | 83.0% | <.001 |