Table 2:
Adoption of Chronic Care Management and Patient Engagement Capabilities for Diabetes and Cardiovascular Disease in System-owned Physician Practices (2017/18)
| Total N=796 |
|
|---|---|
| Mean (Standard Deviation) Frequency (Percentage) |
|
| Chronic Care Management Capabilities Composite | 69.7 (29.9) |
| Written Guidelines: Diabetes | 574 (72.1%) |
| Written Guidelines: Hypertension | 523 (65.7%) |
| Electronic Health Record Decision Support: Diabetes | 549 (69.0%) |
| Electronic Health Record Decision Support: Hypertension | 467 (58.7%) |
| Registry: Diabetes | 586 (73.6%) |
| Registry: Hypertension | 461 (57.9%) |
| Collect Physician Performance: Diabetes | 683 (85.8%) |
| Collect Physician Performance: Hypertension | 598 (75.1%) |
| Patient Engagement Capabilities Composite | 41.4 (28.5) |
| Shared Medical Appointment: Cardiovascular Disease | 34 (4.3%) |
| Shared Medical Appointment: Diabetes | 92 (11.6%) |
| Motivational Interviewing: Smoking Cessation | 475 (59.7%) |
| Motivational Interviewing: Weight Loss/Diet | 477 (59.9%) |
| Motivational Interviewing: Increase in Physical Activity | 460 (57.8%) |
| Motivational Interviewing: Medication Adherence | 448 (56.3%) |
| Motivational Interviewing Training (Staff or Clinicians) | 397 (49.9%) |
| Decision Aid: Selecting Medication for Diabetes | 221 (27.8%) |
| Physician/Staff Routinely Use Decision Aids | 256 (32.2%) |
| Physician/Staff Formally Trained in Shared Decision Making | 304 (38.2%) |
| Physician/Staff Routinely Engage in Shared Decision Making | 432 (54.3%) |
| Physician/Staff Follow-up After Shared Decision Making | 354 (44.5%) |
Composite scale values are presented as mean (standard deviation). Individual items are presented as the frequency (percentage) of sampled physician practices that report adopting that strategy. Source: National Survey of Healthcare Organizations and Systems (NSHOS).