| Questionnaire Item | Item Score Across Practices, Mean (SD) | Adjusted Correlation with SQUID-CQM* |
|---|---|---|
| Use of EHR functionality | ||
| EHR-based update form for patients to review their status on CQMs | 49.8 (28.2) | 0.20 |
| Registries for population management | 60.1 (24.6) | 0.32† |
| Web portal for patients to reinforce their clinical quality goals | 44.8 (32.1) | −0.11 |
| After-visit summary to educate patients about their progress on CQM goals | 69.4 (21.7) | 0.19 |
| Maintain up-to-date problem lists | 82.9 (13.6) | 0.14 |
| Clinical QI strategies | ||
| Medication reconciliation at each patient visit | 88.3 (12.8) | 0.13 |
| Medication refill protocol | 77.6 (20.1) | −0.04 |
| Point-of-care laboratory tests | 74.5 (20.7) | −0.05 |
| Request patients have laboratory tests before visits | 66.6 (18.9) | 0.14 |
| Follow up with patients who do not complete recommended services | 64.9 (16.8) | 0.21 |
| Beliefs about EHR and QI activities | ||
| EHR is helpful in achieving high-quality clinical care | 72.7 (14.1) | 0.29† |
| EHR is customized in practice to facilitate high-quality clinical care | 71.4 (14.9) | 0.34† |
| EHR is difficult for you to use to achieve high-quality clinical care | 58.6 (15.5) | −0.25† |
| Practice has financial burdens using EHR to achieve high-quality clinical care | 47.1 (18.2) | 0.07 |
| Participation in PPRNet motivating to achieve high-quality clinical care | 63.6 (22.1) | 0.26† |
| Assistance from REC helpful to achieve high-quality clinical care | 36.5 (18.5) | 0.12 |
| Practice administrative QI strategies | ||
| Members review CQM performance reports | 71.2 (19.2) | 0.17 |
| Members know the practice's improvement priorities | 74.7 (16.3) | 0.30† |
| Members work consistently to achieve improvement | 77.3 (14.6) | 0.16 |
| Members evaluate progress together | 70.5 (17.7) | 0.28† |
| Leaders seek team members' assistance and input regarding decisions | 63.5 (21.2) | 0.29† |
| Staff incentivized toward higher performance | 52.4 (22.7) | 0.14 |
| Providers incentivized with rewards for achieving high performance | 39.0 (24.3) | 0.07 |
| Regular staff meetings with entire team to discuss rationale for decisions | 72.1 (21.1) | 0.34† |
| Leadership shows commitment to improving meaningful use of EHR | 77.2 (18.4) | 0.33† |
| Test a variety of approaches using EHR to achieve high-quality clinical care | 58.5 (16.0) | 0.07 |
↵* The correlations presented are partial correlations between practices' mean survey item responses and their Summary Quality Index (SQUID) clinical quality measures (CQM) scores. The correlations are adjusted for the mean number of chronic conditions among the practices' patients.
↵† P < .05.
EHR, electronic health record; PPRNet, Practice Partners Research Network; QI, quality improvement; REC, regional extension center; SD, standard deviation.