Characteristics of Participating Intermountain Primary Care Clinics
| Site 1 | Site 2 | Site 3 | Site 4 | Site 5 | ||
|---|---|---|---|---|---|---|
| Clinical Features | Intermountain Overall | |||||
| Type of Practice | Family Medicine | Family Medicine | Family Medicine | Pediatric | Pediatric | |
| Setting [Rural vs Urban] | Semi-urban | Rural | Semi-urban | Urban | Semi-urban | |
| Alliance Clinic, associated with access to closed-loop social services referral platform | Yes | No | No | No | Yes | |
| Number of Patients on Clinic Panel 12/2020 | 1,651,333 | 8,702 | 2,910 | 9,533 | 17,684 | 10,650 |
| Total SDOH screenings 12/1/2019-11/30/2020 | 333,631 | 4,599 | 913 | 705 | 7,723 | 2,719 |
| Percent of patients screeneda | 20.2% | 52.8% | 31.4% | 7.4% | 43.7% | 25.5% |
| Clinic Staffing | Description | |||||
| Family Physician serving as Primary Care Clinician (PCC) | Medical Doctor or Doctor of Osteopathy who leads the clinic visit. | 8 | 2 | 7 | 9 | 7 |
| Advanced Practice Clinician serving as Primary Care Clinician (PCC) | Physician Assistant or Nurse Practitioner who leads the clinic visit. | 0 | 0 | 4 | 0 | 1 |
| Nurse Care Manager (NCM) | Person responsible for assisting patients diagnosed with complex issues, recovering from a traumatic clinical event, managing multiple clinical co-morbidities, or supporting SDOH needs. | 1 | 1, part time | 1 | 1 | 1, part time |
| Care Guide (CG) | Person who guides and coordinates care according to an established care plan. A care guide promotes patient’s self-care skills and knowledge of their medical conditions. | 2 | 2, each part time | 1 | 2 | 1 |
| Practice Manager (PM) | Person responsible for overseeing the administrative and business aspects of the clinic. | 1 | 1 | 1 | 1 | 1 |
| Registered Nurses (RN) | Person with a nursing license who provides a wide range of patient services, including preventative and primary care and the administration of medications, and educates patients about disease prevention. | 0 | 0 | 6 | 6 | 0 |
| Medical Assistant (MA) | Person trained to perform administrative and clinical duties, including rooming patients and completing health screenings. | 12 | 4 | 15 | 14 | 13 |
| Patient Service Representative (PSR) | Person who supports scheduling, runs the front desk, and prepares printed patient facesheets for appointments. | 11 | 3 | 13 | 7 | 3 |
| Licensed Clinical Social Worker (LCSW) | Person licensed to provide and/or facilitate connection to a diverse array of social services as called upon. | 0 | 1 | 2 | 1 | 0 |
↵aPatient level data was not available. Instead, we calculated this number assuming clinics screened patients no more than once. While this assumption is reasonable given the system-wide protocol was to screen patients during a primary care visit if they had not been screened in the prior 12 months, we cannot rule out the possibility that individual patients received more than one screening per year. Thus, our calculation may overestimate the actual percentage of patients screened.
Abbreviation: SDOH, social drivers of health.