Practice Characteristics*
Characteristics | Rural | Urban | P value | ||||||
---|---|---|---|---|---|---|---|---|---|
Independent (N = 20) | Health System (N = 34) | Independent (N = 55) | Health System (N = 26) | ||||||
n | % | n | % | n | % | n | % | ||
Practice size | |||||||||
1 (solo) | 3 | 15 | 1 | 3 | 18 | 33 | 2 | 8 | .01 |
2 to 4 | 12 | 60 | 19 | 56 | 20 | 36 | 14 | 54 | |
5 or more | 5 | 25 | 14 | 41 | 17 | 31 | 10 | 38 | |
Specialty: Family Medicine | 16 | 80 | 24 | 71 | 41 | 75 | 19 | 73 | .9 |
Clinicians-assigned panels | 16 | 80 | 31 | 91 | 41 | 75 | 25 | 96 | .047 |
Panel size (in practices with panels), median (quartiles) | 1175 (494 to 2000) | 1000 (600 to 1171) | 1550 (675 to 2478) | 1000 (676 to 1466) | .053 | ||||
% Medicaid | 22 | 19 | 24 | 12 | 19 | 26 | 28 | 20 | .011 |
% Medicare | 30 | 19 | 30 | 15 | 21 | 17 | 26 | 19 | .049 |
No central QI support | 15 | 75 | 8 | 24 | 43 | 80 | 5 | 19 | <.001 |
Complete/a lot of autonomy to choose QI projects | 16 | 80 | 23 | 68 | 49 | 91 | 15 | 58 | .005 |
Number of major disruptions during study period | |||||||||
2 or more | 15 | 75 | 24 | 71 | 24 | 44 | 12 | 46 | .028 |
1 | 1 | 5 | 5 | 15 | 13 | 24 | 6 | 23 | |
0 | 4 | 20 | 5 | 15 | 18 | 33 | 8 | 31 | |
Ever run nonstandard CQM report | 4 | 20 | 19 | 56 | 15 | 29 | 10 | 40 | .069 |
Confident (4 or 5 out of 5) generating CQM report | 7 | 35 | 10 | 30 | 27 | 53 | 7 | 30 | .12 |
Baseline QICA,mean (SD) | 6.0 (1.8) | 6.2 (1.0) | 6.6 (1.5) | 6.7 (1.4) | .21 | ||||
Number of in-person visits by practice facilitation staff, mean (SD) | 8.0 (2.9) | 8.6 (2.1) | 9.0 (3.0) | 8.7 (3.2) | .57 |
CQM, clinical quality measure; QI, quality improvement; QICA, quality improvement capacity assessment; SD, standard deviation.
↵* Results are represented as number and percentage unless noted otherwise.