Adjusted Multivariate Ordered Logistic Regression (Odds Ratios and 95% CIs): Association of Practice Engagement and Practice Readiness and Practice Characteristics
| (1) Response to External Support* OR (95% CI) | (2) Response at Coach Visit* OR (95% CI) | (3) Team Assessment* OR (95% CI) | (4) Leadership Assessment* OR (95% CI) | (5) Team Engagement* OR (95% CI) | (6) Clinician Engagement* OR (95% CI) | (7) Staff Engagement* OR (95% CI) | |
|---|---|---|---|---|---|---|---|
| Readiness | 1.18 (0.47-2.98) | 3.52 (0.98-12.56) | 0.78 (0.28-2.19) | 3.19 (1.10-9.24)† | 0.96 (0.39-2.39) | 5.74 (1.79-18.42)‡ | 1.19 (0.40-3.59) |
| Practice Ownership Independent Hospital FQHC | Reference 0.83 (0.43-1.59) 1.26 (0.35-4.52) | Reference 0.83 (0.34-1.99) 1.49 (0.18-12.30) | Reference 1.75 (0.87-3.53) 0.83 (0.22-3.07) | Reference 0.92 (0.45-1.91) 3.92 (0.92-16.72) | Reference 1.13 (0.59-2.18) 1.63 (0.43-6.09) | Reference 0.35 (0.16-0.76)‡ 0.76 (0.16-3.65) | Reference 0.78 (0.36-1.69) 1.69 (0.33-8.74) |
| Practice size (# of clinicians) | 1.69 (1.07-2.69)† | 1.20 (0.67-2.14) | 0.71 (0.45-1.11) | 2.32 (1.41-3.83)‡ | 1.89 (1.18-3.02)‡ | 1.07 (0.63-1.80) | 2.07 (1.19-3.63) |
| Practice specialty mix (single/multi) | 1.34 (0.67-2.68) | 0.92 (0.38-2.28) | 0.90 (0.42-1.93) | 1.70 (0.77-3.77) | 2.86 (1.37-5.60) | 1.24 (0.53-2.88) | 1.30 (0.58-2.93) |
| Practice serves in MUA | 1.02 (0.46-2.26) | 1.58 (0.49-5.10) | 0.51 (0.22-1.20) | 0.83 (0.34-2.03) | 1.24 (0.56-2.77) | 1.14 (0.47-2.80) | 0.81 (0.31-2.11) |
| Percentage of patients ≤ 60 | 0.99 (0.98-1.00) | 1.00 (0.99-1.02) | 1.00 (0.98-1.00) | 1.00 (0.99-1.02) | 1.00 (0.99-1.02) | 1.01 (0.99-1.02) | 1.00 (0.98-1.01) |
| PCMH | 1.01 (0.54-1.89) | 0.97 (0.40-2.26) | 0.81 (0.41-1.59) | 2.14 (1.04-4.42)† | 1.12 (0.59-2.15) | 1.57 (0.71-3.48) | 1.58 (0.74-3.35) |
| Part of an ACO | 0.53 (0.25-1.09) | 0.39 (0.13-1.19) | 1.01 (0.46-2.21) | 0.76 (0.33-1.72) | 0.69 (0.33-1.43) | 0.48 (0.20-1.17) | 0.22 (0.09-0.56) |
| Million Hearts Initiative | 0.90 (0.31-2.59) | 1.85 (0.37-9.27) | 0.91 (0.30-2.78) | 3.53 (1.06-11.76)† | 2.61 (0.92-7.43) | 2.62 (0.68-10.19) | 3.20 (0.80-12.72) |
| N | 195 | 184 | 195 | 195 | 195 | 152 | 168 |
ACO, accountable care organization; FQHC, federally qualified health center; MUA, medically underserved area; PCMH, patient-centered medical home; OR, odds ratio; CI, confidence interval. The number of observations vary due to the removal of “N/A” or “unknown” response categories.
Multivariate ordered logit models at the practice level are displayed, controlling for practice ownership (independent, hospital owned, or FQHC), practice size, single- or multi-specialty practice, whether practice is located in a medically underserved area, percentage of patients 60 years and above, practice recognized as a PCMH, part of an ACO, and participation in the Million Hearts project.
↵* Assessed on a scale from 1 to 3, in which high scores indicate higher levels of engagement (recoded as: 3 = “high”, 2 = “moderate”, and 1 = “low”).
↵† P < .05.
↵‡ P < .01.