Table 1.
Clinic Sample Description
|
Clinic |
|||||
|---|---|---|---|---|---|
| Characteristic | 1 | 2 | 3 | 4 | 5 |
| Membership size* | Medium | Medium | Large | Medium | Small |
| Condition focus selected for improvement† | Diabetes | Diabetes | Depression | Depression | Diabetes |
| Diabetes mellitus care performance‡ | No rating | No rating | Strong or improved | Strong or improved | Strong or improved |
| Progress in initial phases of the CCM change§ | Some | No rating | More | More | More |
| Self-report of initial PPT success vs challenges|| | Success > challenges | Success < challenges | Success = challenges | Success < challenges | Success = challenges |
CCM = Chronic Care Model; PPT = prepared practice team.
* Small is <7,000 members, medium is 7,000 to 16, 000, and large is >16,000.
† See Methods. Clinics were asked to select diabetes, depression, or preventive services as a focus for change progress toward the CCM.
‡ Based on 2002 diabetes care improvement data collected routinely by the medical group, a combined measure of patients with both A1c and low-density lipoprotein values up to date and in control.
§ Rating of the change effort as made by medical group leaders.
|| Based on organizational data collected periodically from the clinics during the change implementation.