eAppendix Table.
Sensitivity Analysis, Strict Risk Factor Documentation
| Risk Factor | Patients with Strict (Complete) Documentation, No. | Frequency of Strict (Complete) Documentation (%) | Relative Risk (95% Confidence Interval) | |
|---|---|---|---|---|
| Univariable analysis | Multivariable analysis | |||
| Age group, years | ||||
| <=60 | 2,152 | 36.00% | 1 [Reference] | 1 [Reference] |
| 61–65 | 1,946 | 39.60% | 1.1 (1.04–1.16) | 1.07 (1.01–1.12) |
| 66–70 | 1,797 | 42.60% | 1.18 (1.09–1.28) | 1.03 (0.96–1.10) |
| 71–75 | 1,364 | 42.60% | 1.18 (1.08–1.30) | 0.99 (0.91–1.07) |
| 76–80 | 940 | 40.40% | 1.12 (1.00–1.26) | 0.91 (0.83–0.99) |
| Sex | ||||
| Male | 4,200 | 37.70% | 1 [Reference] | 1 [Reference] |
| Female | 3,999 | 42.10% | 1.12 (1.04–1.20) | 1.06 (1.00–1.12) |
| Race | ||||
| White | 6,612 | 41.70% | 1 [Reference] | 1 [Reference] |
| Black or African American | 470 | 30.30% | 0.73 (0.60–0.87) | 0.81 (0.71–0.93) |
| Asian | 443 | 36.30% | 0.87 (0.75–1.01) | 1.03 (0.95–1.13) |
| American Indian or Alaska Native | 89 | 39.90% | 0.96 (0.79–1.15) | 1.03 (0.89–1.20) |
| Native Hawaiian or Other Pacific Islander | 43 | 33.30% | 0.8 (0.63–1.01) | 0.9 (0.71–1.13) |
| Multiple races | 72 | 49.00% | 1.17 (1.01–1.37) | 1.18 (1.00–1.39) |
| Unknown | 470 | 31.40% | 0.75 (0.57–0.99) | 0.82 (0.67–1.01) |
| Ethnicity | ||||
| Not Hispanic or Latino | 7,297 | 40.70% | 1 [Reference] | 1 [Reference] |
| Hispanic or Latino | 205 | 30.30% | 0.74 (0.63–0.87) | 0.93 (0.83–1.04) |
| Unknown | 697 | 34.60% | 0.85 (0.70–1.03) | 1.01 (0.90–1.13) |
| Charlson Index | ||||
| 0 | 2,875 | 35.70% | 1 [Reference] | 1 [Reference] |
| 1 | 1,910 | 41.50% | 1.16 (1.09–1.23) | 1.12 (1.06–1.17) |
| 2+ | 3,414 | 42.80% | 1.2 (1.09–1.31) | 1.17 (1.12–1.22) |
| Insurance | ||||
| Medicare | 4,387 | 43.30% | 1 [Reference] | 1 [Reference] |
| Medicaid | 776 | 31.80% | 0.73 (0.65–0.83) | 0.79 (0.73–0.85) |
| Commercial | 2,909 | 38.70% | 0.89 (0.83–0.96) | 0.9 (0.84–0.96) |
| Other | 60 | 32.10% | 0.74 (0.62–0.89) | 0.79 (0.65–0.95) |
| Self-Pay | 46 | 17.80% | 0.41 (0.33–0.51) | 0.61 (0.52–0.72) |
| Unknown | 21 | 21.40% | 0.49 (0.34–0.72) | 0.6 (0.41–0.87) |
| Preferred language | ||||
| English | 7,992 | 40.60% | 1 [Reference] | 1 [Reference] |
| Not English | 207 | 21.50% | 0.53 (0.39–0.72) | 0.61 (0.48–0.79) |
| E-portal activated | ||||
| Yes | 5,512 | 41.20% | 1 [Reference] | 1 [Reference] |
| No/Unknown | 2,687 | 37.00% | 0.9 (0.8–1.01) | 0.97 (0.9–1.06) |
| Office visits per year | ||||
| 0 | 223 | 28.20% | 0.84 (0.66–1.07) | 0.81 (0.64–1.02) |
| 1–3 | 1,798 | 33.60% | 1 [Reference] | 1 [Reference] |
| 4–5 | 1,447 | 39.80% | 1.18 (1.08–1.30) | 1.13 (1.05–1.23) |
| 6–9 | 2,053 | 40.90% | 1.22 (1.1–1.35) | 1.16 (1.08–1.26) |
| 10+ | 2,678 | 45.90% | 1.37 (1.2–1.56) | 1.32 (1.21–1.45) |
| Provider Specialty | ||||
| Family Medicine | 5,014 | 41.90% | 1 [Reference] | 1 [Reference] |
| Internal Medicine | 3,081 | 37.20% | 0.89 (0.71–1.11) | 0.98 (0.81–1.17) |
| Other | 104 | 26.30% | 0.63 (0.49–0.80) | 0.83 (0.66–1.06) |
| Provider Type | ||||
| Physician | 6,387 | 40.10% | 1 [Reference] | 1 [Reference] |
| APP | 1,406 | 41.70% | 1.04 (0.87–1.25) | 1.03 (0.84–1.25) |
| Resident | 406 | 31.00% | 0.77 (0.64–0.93) | 1 (0.90–1.11) |
| Provider Clinical FTE | ||||
| 0.05–0.5 | 2,129 | 34.70% | 0.83 (0.65–1.05) | 1.01 (0.84–1.22) |
| 0.51–0.7 | 1,787 | 42.00% | 1 [Reference] | 1 [Reference] |
| 0.71–0.9 | 2,684 | 40.80% | 0.97 (0.77–1.22) | 0.98 (0.81–1.18) |
| 0.91–1 | 1,599 | 43.60% | 1.04 (0.81–1.33) | 1.03 (0.82–1.28) |
| FTE Adjusted Panel Size | ||||
| 6.25–1076 | 1,776 | 32.30% | 0.74 (0.63–0.87) | 0.9 (0.79–1.02) |
| 1077–1632 | 2,230 | 43.60% | 1 [Reference] | 1 [Reference] |
| 1633–1957 | 2,033 | 41.40% | 0.95 (0.82–1.10) | 0.93 (0.79–1.09) |
| 1958–6385 | 2,160 | 42.30% | 0.97 (0.84–1.12) | 0.94 (0.81–1.10) |
| Medical assistant-to-primary care provider ratio | ||||
| <1 | 1,056 | 28.20% | 0.67 (0.53–0.84) | 0.71 (0.54–0.94) |
| ≥1 | 7,143 | 42.30% | 1 [Reference] | 1 [Reference] |