Change in Building Block Implementation Over Time
| Building Block | Baseline N = 333 Estimate (SE) | One-year N = 324 Estimate (SE) | Two-year N = 237 Estimate (SE) | P-value for change |
|---|---|---|---|---|
| Engaged leadership | 73.9 (1.6) | 85.4 (1.6) | 88.0 (1.7) | 0.0005 |
| Data driven improvement | 68.2 (1.7) | 86.6 (1.7) | 90.1 (1.8) | <0.0001 |
| Empanelment | 72.7 (2.1) | 87.6 (2.1) | 92.6 (2.3) | <0.0001 |
| Team based care | 70.7 (1.8) | 85.0 (1.8) | 89.0 (1.9) | 0.0223 |
| Patient team partnership | 61.3 (1.8) | 76.6 (1.8) | 82.6 (1.9) | 0.0420 |
| Population management | 67.0 (1.9) | 82.1 (1.9) | 89.2 (2.0) | <0.0001 |
| Continuity of care | 72.3 (2.4) | 84.7 (2.4) | 88.0 (2.5) | <0.0001 |
| Access to care | 80.8 (1.5) | 88.3 (1.5) | 90.4 (1.6) | <0.0001 |
| Care coordination | 64.2 (2.0) | 79.9 (2.0) | 89.3 (2.1) | <0.0001 |
| Resource utilization | 53.6 (1.9) | 68.3 (1.0) | 76.6 (2.1) | <0.0001 |
| Behavioral health improvement | 62.2 (1.7) | 79.5 (1.7) | 87.8 (1.8) | <0.0001 |
| Behavioral health integration | 56.9 (2.7) | 77.4 (2.7) | 88.1 (2.8) | <0.0001 |
Abbreviation: SE, Standard Error.
+P-value refers to overall change across all three timepoints; adjusted for rurality, size, cohort, ages served (children only, mixed, adult only), size.