Appendix A.

ABFM Recertification Survey: Survey Questions Analyzed

VariableQuestion Text/Response OptionsRecoding/Analysis Notes
Patient EngagementHow 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
Patient or family/caregiver surveys
Participation on a governing board
Participation on an advisory group dedicated to practice improvement (separate from a governing board)
Participation as volunteers or workers on specific practice improvement projects
Inclusion Criteria
Practice SiteMy primary practice site is (select best option)…
    a. Correctional FacilityInclude 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
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 SizeWhich 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 ownershipWhich of the following describe(s) your primary practice site ownership? (Select one)
    a. Private solo or group practicePrivate/solo/group practice if ownership = a
    b. Freestanding urgent care center
    c. Hospital emergency departmentHospital/HMO based if ownership = c*, d, m
    d. Hospital outpatient department
    e. Ambulatory surgical centerFQHC or similar if ownership = h, i, j, k, o
    f. Industrial outpatient facility
    g. Mental health centerAcademic 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-AlikeOther 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 patientsWhat 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 RegionConstructed based on respondent address
PCMH Certification StagesIs your practice a certified PCMH?
    YesRecode 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 teamThe following type of provider works at my practice:
    a. Licensed Social WorkerRecode: sum of “Yes” responses (possible range = 0 to 4)
    b. Psychologist
    c. Psychiatric Nurse Practitioner
    d. Pharmacist
Care CoordinatorIn 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”
AccessProviders regularly communicate with patients via e-mail
    YesRecode: sum of “Yes” responses (possible range = 0 to 4)
Patients can be seen outside of the hours 8AM-5PM, Mon-Fri
Patients can receive telephone advice on clinical issues
Patients have access to an interactive practice website/patient portal
Quality ImprovementProviders participate in quality improvement collaboratives
    Yesrecode: sum of “Yes” responses (possible range = 0 to 4)
Providers are given regular performance feedback on measures of chronic disease care
Providers regularly use decision support tools for the care of chronic disease
In the last year have you personally participated in a quality improvement project?
  • * Respondents solely working in Hospital emergency department were ultimately excluded based on variable “Practice Site”.