Table A2.

Marginal Effect of Increasing Maturity by Patient-Centered Medical Home Domain (Relative to Early Stage Transformation)

Marginal Effect of Maturity on Utilization Measures (P Value)
Intermediate-Stage DomainLate-Stage Domain
Diabetes mellitus
    Total utilization*
        Overall impact of all domains (PPC-RS)0.040 (.407)0.079 (.151)
        Health care organization0.140 (.063)0.152 (.025)
        Delivery system redesign0.026 (.435)0.102 (.066)
        Clinical information system0.070 (.134)−0.005 (.940)
        Decision support−0.180 (.001)−0.218 (.000)
        Self-management system0.103 (.007)0.149 (.011)
    Number of prescriptions*
        Overall impact of all domains (PPC-RS)0.028 (.374)0.039 (.444)
        Health care organization−0.001 (.991)−0.001 (.985)
        Delivery system redesign0.037 (.330)0.160 (.015)
        Clinical information system0.059 (.225)0.010 (.879)
        Decision support0.012 (.816)−0.101 (.089)
        Self-management system−0.009 (.849)0.054 (.412)
    Number of outpatient visits*
        Overall impact of all domains (PPC-RS)−0.078 (.231)−0.151 (.020)
        Health care organization0.160 (.108)0.150 (.097)
        Delivery system redesign0.063 (.132)0.092 (.153)
        Clinical information system−0.083 (.101)−0.303 (.000)
        Decision support−0.137 (.160)−0.102 (.293)
        Self-management system0.085 (.047)0.093 (.168)
    ≥1 Inpatient admission
        Overall impact of all domains (PPC-RS)0.007 (.600)0.002 (.854)
        Health care organization0.021 (.253)0.037 (.035)
        Delivery system redesign−0.003 (.749)0.005 (.674)
        Clinical information system0.019 (.117)0.004 (.758)
        Decision support−0.033 (.078)−0.038 (.045)
        Self-management system0.015 (.223)0.017 (.283)
    ≥1 Emergency department visit
        Overall impact of all domains (PPC-RS)0.012 (.498)0.024 (.239)
        Health care organization0.025 (.099)0.027 (.068)
        Delivery system redesign0.016 (.192)−0.020 (.264)
        Clinical information system0.014 (.296)0.012 (.458)
        Decision support0.003 (.882)0.020 (.386)
        Self-management system−0.014 (.317)0.009 (.653)
Cardiovascular disease
    Total utilization*
        Overall impact of all domains (PPC-RS)−0.035 (.607)−0.072 (.505)
        Health care organization0.041 (.696)0.003 (.976)
        Delivery system redesign0.001 (.988)−0.066 (.638)
        Clinical information system0.097 (.330)0.065 (.601)
        Decision support0.013 (.923)−0.003 (.982)
        Self-management system−0.038 (.697)−0.021 (.866)
    Number of prescriptions*
        Overall impact of all domains (PPC-RS)−0.046 (.287)−0.047 (.543)
        Health care organization−0.040 (.607)−0.014 (.855)
        Delivery system redesign−0.083 (.057)−0.149 (.072)
Cardiovascular disease
    Number of prescriptions*
        Clinical information system0.215 (.004)0.151 (.104)
        Decision support−0.165 (.096)−0.256 (.012)
        Self-management system0.036 (.605)0.184 (.052)
    Number of outpatient visits*
        Overall impact of all domains (PPC-RS)−0.167 (.002)−0.201 (.010)
        Health care organization0.198 (.031)0.057 (.486)
        Delivery system redesign0.009 (.895)−0.141 (.209)
        Clinical information system0.006 (.964)−0.020 (.866)
        Decision support−0.133 (.343)−0.066 (.664)
        Self-management system0.027 (.757)0.036 (.770)
    ≥1 Inpatient admission
        Overall impact of all domains (PPC-RS)0.029 (.362)−0.001 (.985)
        Health care organization−0.026 (.662)−0.033 (.554)
        Delivery system redesign0.003 (.890)−0.011 (.821)
        Clinical information system−0.013 (.713)−0.001 (.986)
        Decision support0.081 (.067)0.069 (.121)
        Self-management system−0.027 (.476)−0.042 (.353)
    ≥1 Emergency department visit
        Overall impact of all domains (PPC-RS)0.009 (.802)−0.012 (.752)
        Health care organization−0.008 (.928)−0.013 (.873)
        Delivery system redesign−0.041 (.068)−0.017 (.641)
        Clinical information system−0.040 (.332)−0.032 (.479)
        Decision support0.109 (.033)0.105 (.032)
        Self-management system−0.027 (.497)−0.041 (.428)
  • * Approximate percentage change (0.10 = 10%) in outcome variable when clinic moves from early stage to intermediate- or late-stage transformation.

  • Estimated percentage-point change (0.10 = 10 percentage points) in the probability of outcome when a clinic moves from early stage to intermediate- or late-stage transformation.

  • PPC-RS, Physician Practice Connections–Readiness Survey.