ABFM Recertification Survey: Survey Questions Analyzed
| Variable | Question Text/Response Options | Recoding/Analysis Notes |
|---|---|---|
| Outcome | ||
| Patient Engagement | How do you, or your office practice, involve patients who are seen in your clinical site, or their families and caregivers, in practice improvement? | High-intensity engagement = “Yes” to participation on an advisory group OR participation as volunteers |
| Suggestion boxes | ||
| Yes | ||
| No | ||
| Unsure | ||
| Patient or family/caregiver surveys | ||
| Yes | ||
| No | ||
| Unsure | ||
| Participation on a governing board | ||
| Yes | ||
| No | ||
| Unsure | ||
| Participation on an advisory group dedicated to practice improvement (separate from a governing board) | ||
| Yes | ||
| No | ||
| Unsure | ||
| Participation as volunteers or workers on specific practice improvement projects | ||
| Yes | ||
| No | ||
| Unsure | ||
| Inclusion Criteria | ||
| Practice Site | My primary practice site is (select best option)… | |
| a. Correctional Facility | Include if Practice Site = Free Standing Ambulatory Clinic OR Hospital Based Clinic | |
| b. Emergency Department | ||
| c. Free Standing Ambulatory Clinic | ||
| d. Hospice | ||
| e. Hospital | ||
| f. Hospital Based Clinic | ||
| g. Not Applicable | ||
| h. Nursing Home | ||
| i. Other | ||
| j. Patient's Home | ||
| k. Public Health Department | ||
| l. School | ||
| m. Urgent Care Clinic | ||
| n. Work Site | ||
| Demographics/Predictors | ||
| Race | a. American Indian or Alaska Native | |
| b. Asian | ||
| c. Black or African American | ||
| d. Native Hawaiian or Other Pacific Islander | ||
| e. White | ||
| f. Other | ||
| Ethnicity | a. Non-Hispanic | |
| b. Hispanic or Latino | ||
| Practice Size | Which of the following describes your primary practice site size? (Select one) | |
| a. Solo practice | “Other” free text recoded based on response or as missing. | |
| b. Small (2 to 5 Providers) | ||
| c. Medium (6 to 20 Providers) | ||
| d. Large (>20 Providers) | ||
| e. Other free text | ||
| Practice ownership | Which of the following describe(s) your primary practice site ownership? (Select one) | |
| a. Private solo or group practice | Private/solo/group practice if ownership = a | |
| b. Freestanding urgent care center | ||
| c. Hospital emergency department | Hospital/HMO based if ownership = c*, d, m | |
| d. Hospital outpatient department | ||
| e. Ambulatory surgical center | FQHC or similar if ownership = h, i, j, k, o | |
| f. Industrial outpatient facility | ||
| g. Mental health center | Academic practice if ownership = l | |
| h. Non-federal government clinic (eg, state, county, city, and maternal and child health) | ||
| i. Federally Qualified Health Center or Look-Alike | Other if ownership = b, e, f, g, n, p | |
| j. Rural Health Clinic | ||
| k. Indian Health Service Institutional setting (School-based Clinic, Nursing home, prison) | ||
| l. Academic Health Center/Faculty Practice | ||
| m. Health maintenance organization (eg, Kaiser Permanente) | ||
| n. Federal (Military, Veterans Administration/Department of Defense) | ||
| o. Public Health Service | ||
| p. Other (Free text) | ||
| % Vulnerable patients | What percentage of your patient population in your primary practice site is part of a vulnerable group (i.e. uninsured, Medicaid, homeless, low income, non-English speaking, racial/ethnic minority, or otherwise traditionally underserved group)? | |
| a. <10% | ||
| b. 10% to 19% | ||
| c. 20% to 29% | ||
| d. 30% to 39% | ||
| e. 40% to 49% | Consolidate % vulnerable patients to 3 categories: | |
| f. >50% | ∙ <10% | |
| ∙ 10% to 50% | ||
| ∙ >50% | ||
| Census Region | Constructed based on respondent address | |
| PCMH Certification Stages | Is your practice a certified PCMH? | |
| Yes | Recode to 3 categories: | |
| No | ∙ Certified | |
| ∙ Applying | ||
| If not, are you considering applying? (only available if answers no to 1) | ∙ Not Applying | |
| a. Yes | ∙ | |
| b. No | ∙ | |
| Disciplines on Care team | The following type of provider works at my practice: | |
| a. Licensed Social Worker | Recode: sum of “Yes” responses (possible range = 0 to 4) | |
| b. Psychologist | ||
| c. Psychiatric Nurse Practitioner | ||
| d. Pharmacist | ||
| Care Coordinator | In my primary practice site, providers: | |
| Have access to someone who functions as a care coordinator or provides patient population management services. | Recode “Unsure” to “No” | |
| Yes | ||
| No | ||
| Unsure | ||
| Access | Providers regularly communicate with patients via e-mail | |
| Yes | Recode: sum of “Yes” responses (possible range = 0 to 4) | |
| No | ||
| Unsure | ||
| Patients can be seen outside of the hours 8AM-5PM, Mon-Fri | ||
| Yes | ||
| No | ||
| Unsure | ||
| Patients can receive telephone advice on clinical issues | ||
| Yes | ||
| No | ||
| Unsure | ||
| Patients have access to an interactive practice website/patient portal | ||
| Yes | ||
| No | ||
| Unsure | ||
| Quality Improvement | Providers participate in quality improvement collaboratives | |
| Yes | recode: sum of “Yes” responses (possible range = 0 to 4) | |
| No | ||
| Unsure | ||
| Providers are given regular performance feedback on measures of chronic disease care | ||
| Yes | ||
| No | ||
| Unsure | ||
| Providers regularly use decision support tools for the care of chronic disease | ||
| Yes | ||
| No | ||
| Unsure | ||
| In the last year have you personally participated in a quality improvement project? | ||
| Yes | ||
| No | ||
↵* Respondents solely working in Hospital emergency department were ultimately excluded based on variable “Practice Site”.