Table 3.
Risk Adjusted Outcomes of Care (n = 23 Sites)
| Mean (%) | SE | Range (%) | |
|---|---|---|---|
| Measure of clinical outcomes* | 65.1 | 0.2 | 63.5–67.3 |
| Diastolic BP <85 mm Hg | 78.9 | 0.3 | 75.9–83.5 |
| HDL cholesterol >40 mg/dL | 70.1 | 0.7 | 61.7–75.9 |
| Triglycerides <150 mg/dL | 60.6 | 0.3 | 58.0–64.9 |
| Systolic BP <130 mm Hg | 48.3 | 1.0 | 35.3–57.0 |
| LDL cholesterol at goal† | 59.9 | 0.3 | 57.7–62.8 |
| Patient satisfaction‡ | |||
| Excellent | 34.4 | 0.4 | 31.6–39.2 |
| Very Good | 31.7 | 0.3 | 29.5–33.9 |
| Good | 23.0 | 0.3 | 20.1–26.2 |
| Fair | 7.8 | 0.2 | 5.5–9.9 |
| Poor | 2.9 | 0.1 | 1.8–4.0 |
| Access to practice§ | |||
| Not a problem | 78.5 | 0.3 | 75.9–82.3 |
| Small problem | 15.9 | 0.2 | 13.9–17.5 |
| Big problem | 5.5 | 0.2 | 3.6–7.1 |
Each measure averaged across the 23 sites had less than 2% missing data except for LDL with an average of 18.7% missing, triglycerides with 18.4% missing, and HDL with 16.1% missing.
*Average of all sites’ mean percent of patients who achieved these clinical outcome goals. Data are adjusted for patient age, patient gender, and physician’s assessment of patient’s factors limiting self care.
†Scoring algorithm for LDL cholesterol at goal: LDL cholesterol goal is <100 if patient has any one of the following: prior MI, other clinical CHD, symptomatic CAD, peripheral artery disease, abdominal aortic aneurysm, diabetes mellitus. LDL cholesterol goal is <130 if patient has none of the following: prior MI, other clinical CHD, symptomatic CAD, peripheral artery disease, abdominal aortic aneurysm, diabetes mellitus and two or more of other risk factors: current cigarette smoking, hypertension, low HDL cholesterol (<40 mg/dL), age (men ≥ 45, women ≥ 55), Family history of premature CHD. Note that one is subtracted from risk factor total if HDL ≥ 60. LDL cholesterol goal is <160 if the patient has none of the following: prior MI, other clinical CHD, symptomatic CAD, peripheral artery disease, abdominal aortic aneurysm, diabetes mellitus and one or none of other risk factors: current cigarette smoking, hypertension, low HDL cholesterol (<40 mg/dL), age (men ≥ 45, women ≥ 55), family history of premature CHD. Note that one is subtracted from risk factor total if HDL ≥ 60.
‡Average of all programs’ mean percent of patients who responded accordingly (i.e., excellent) to four items regarding overall care, encouragement to ask questions, provision of information about preventing heart attacks, and information about side effects of medications. Data are adjusted for patient’s age, patient’s gender, and patient’s self-reported health [rating scale of 1 (excellent) −5 (poor)].
§Average of all sites’ mean percent of patients who responded accordingly (i.e., not a problem) to 5 items regarding scheduling appointments, reaching the practice when one has a concern, refilling prescriptions, getting a referral, and getting laboratory results. Data are adjusted for patient age, patient gender, and patient’s self-reported health [rating scale of 1 (no problem), 2 (small problem), 3 (big problem)].