Table 1.

Elements of Physician Practice Connections–Readiness Survey, by Domain

Chronic Care Model Domain	Elements of the Physician Practice Connections–Readiness Survey
Health care organization	Individual provider feedback
	Performance measurement
	Formal quality improvement activities
Delivery system redesign	Advanced access visits
	Primary care teams
	Scheduling system for physician continuity
	Non-MD educator^*
	Nurse manager^*
	Previsit planning^*
	After-visit follow-up^*
	Missed appointments follow-up^*
Clinical information systems	Disease registry^*
	Problem lists
	Medication lists
	Process flow sheets^*
	Checklists of tests or interventions^*
	Patient assessment questionnaire^*
	Clinical test tracking
	Referral tracking
Decision Support	Clinical guidelines^*
	Clinical guidelines preventive services
	Clinician reminders for chronic illness care^*
	Clinician reminders for preventive services
	Clinician reminders for risk assessments
	Clinician reminders for counseling
	Abnormal radiology and lab test alerts
	Abnormal test protocols
Self-management support	Patient reminders for chronic illness care^*
	Patient reminders for preventive services
	Self-management programs for risk factors
	Individualized patient education about chronic illness^*
	Self-management programs for chronic illness^*
	Self-management plans/materials for chronic illness^*
	Electronic information/communication with patients
	Systematic risk factor screening

↵* Asked separately for diabetes, cardiovascular disease, depression, and asthma.