Table 3. Transformation Survey Items Correlated with System Change Score Over 3 Years (r ≥ 0.20)
Transformation Category and ItemsMeanSpearman rP Value
Organizational change*
    Our care teams worked hard on trust and communication.4.080.32<.001
    We had a specific team to implement PCMH changes.4.060.36<.001
    Creating care plans was a major part of our change.3.940.33<.001
    Our PCMH strategy focused on practice system change.3.600.25.01
    MDH leadership was helpful to our PCMH change.3.430.36<.001
    A care coordination job description isn't important.1.87−0.40<.001
    Patients report better experiences in our PCMH.3.560.29.003
    We have a process for using patients as PCMH advisors.3.530.34<.001
    We got input on PCMH changes from patient partners.3.390.28.004
    Patient partners are part of our change team.3.410.34<.001
    It was worth it to make the change to medical home.4.060.34<.001
    We are expanding PCMH services to all our patients.3.640.28.003
    Staff job satisfaction has increased with PCMH changes.
    Physician satisfaction has increased with PCMH changes.2.890.28.004
    PCMH fit our desire to reduce unnecessary care.
    We protected clinician income during the change.3.390.26.008
Quality improvement
    We used formal quality improvement techniques to develop the PCMH.3.680.46<.001
  • MDH, Minnesota Department of Health; PCMH, patient-centered medical home.

  • Leadership (3 items) and Information Technology (3 items) items were not related to systems change scores at r ≥ 0.20.

  • * r ≥ 0.20 for 6 of 12 items.

  • r ≥ 0.20 for 4 of 5 items.

  • r ≥ 0.20 for 4 of 8 items.

  • § r ≥ 0.20 for 2 of 6 items.

  • r ≥ 0.20 for 1 of 6 items.