Table 4.

Broad Approaches That Support Care Coordination Activities by Care Model

Characteristic	Total	Medical/Nurse Model	Integrated Social Worker Model	P
N	317	178	139
Clinic supports for CC:
Dedicated space to see patients	73	77	68	0.07
EMR prompts for follow-up	96	96	95	0.38
Searchable list of CC patients	96	96	95	0.8
Assistants help contact patients	78	78	78	>0.9
Other resources at your clinic:
Community Health Workers	30	18	46	<0.001
Pharmacists	67	59	78	<0.001
Behavioral health services	59	56	63	0.2
Other medical specialists	56	55	58	0.6
Other surgical specialists	35	35	35	>0.9
How familiar (very) are you with:
Clinical resources in your org.	70	69	71	0.3
People in those clinical resources	34	33	35	0.9
Community resources	49	44	55	0.008
People in those community resources	19	17	23	0.2
What measures are used by your care system to evaluate effectiveness of CC?
Types of patients seen	36	34	38	0.5
Types of services provided	38	36	40	0.6
Utilization rates of hospital or emergency use	58	50	69	<0.001
Volume of CC patients seen	62	54	73	<0.001
Change in hospital/emergency visits	53	44	64	<0.001
Changes in chronic condition control	51	46	58	0.5
CC patient satisfaction	32	34	31	0.6
None of the above	14	15	13	0.6
Specialty medical services are readily available for CC patients most of the time	47	52	41	0.13
Community services are readily available for CC patients most of the time	40	43	37	0.14
Ease of coordinating services with hospitals or nursing homes				0.8
Very difficult	4	4	4
Somewhat difficult	32	31	34
Somewhat easy	55	54	55
Very easy	10	11	8
Payment or coverage for CC services is required to provide care most of the time				>0.9
Most of the time	19	19	20
Sometimes	10	11	10
Rarely/Never	70	70	70
Patient financial constraints limit their access to needed social and medical services				0.4
Most of the time	27	26	28
Some of the time	68	68	69
Rarely/Never	5	6	3
Most clinicians value the CC role				0.037
Strongly agree	60	64	56
Somewhat agree	32	27	39
Somewhat disagree	4	6	1
Strongly disagree	4	4	4
Clinic leaders value the CC role				0.051
Strongly agree	56	63	47
Somewhat agree	32	27	37
Somewhat disagree	9	7	12
Strongly disagree	4	3	4
Overall satisfaction with the time/resources to provide CC services				0.2
Very satisfied	25	24	27
Somewhat satisfied	57	54	61
Somewhat dissatisfied	16	20	11
Very dissatisfied	2	2	1

Abbreviations: CC, care coordination; EMR, electronic medical record. All numbers except N and P are in %.