Table 2.
Average ambulatory care quality for each of 15 measures at follow-up and the percentage of primary care physicians meeting or exceeding the regional benchmark, stratified by use of an electronic portal for viewing clinical data.
| Quality measure | N | Regional benchmark | Percentage of primary care physicians with performance meeting or exceeding the regional benchmark | |||
|---|---|---|---|---|---|---|
| Overall | Used Electronic Laboratory Result Viewing, Jan – Jun 2006 | |||||
| Yes (N = 59) | No (N = 79) | p | ||||
| Mammography, % female members 52–69 years old who had a mammogram in the reporting year or year prior | 137 | 76.4 | 44.5 | 57.6 | 34.6 | 0.01 |
| Pap smear, % of female members 21–64 years old who had a Pap smear in the reporting year or two years prior | 138 | 81.0 | 46.4 | 54.2 | 40.5 | 0.11 |
| Colorectal cancer screening, % of members 50–80 years old who had fecal occult blood testing in the reporting year, flexible sigmoidoscopy in the last 5 years, or colonoscopy in the last 10 years | 138 | 52.7 | 67.4 | 76.3 | 60.8 | 0.05 |
| Asthma medication management, % of members with asthma who filled a prescription for more than one short-term beta agonist in a specified 3-month period and were also on a long-term controller medication | 102 | 88.8 | 57.8 | 56.4 | 59.6 | 0.74 |
| Antibiotic use, % of members who were treated with an antibiotic for acute bronchitis, acute sinusitis or acute upper respiratory infection / pharyngitis* | 67 | 47.2 | 38.8 | 43.8 | 34.3 | 0.43 |
| For patients with diabetes only | ||||||
| Body mass index documented, % | 125 | 15.4 | 41.6 | 56.1 | 29.4 | 0.003 |
| Nephropathy screening, % | 125 | 61.6 | 40.8 | 45.6 | 36.8 | 0.32 |
| Low density lipoprotein cholesterol < 100 mg/dl in the reporting year or year prior, % | 125 | 45.1 | 75.2 | 86.0 | 66.2 | 0.01 |
| HbA1C < 7% in the reporting year, % | 125 | 48.9 | 77.6 | 79.0 | 76.5 | 0.74 |
| For adolescents (ages 14–18 years) only, in the two previous years | ||||||
| Body mass index documented, % | 47 | 10.3 | 66.0 | 69.6 | 62.5 | 0.61 |
| Screening or counseling documented for drug and alcohol use, % | 47 | 75.5 | 74.5 | 73.9 | 75.0 | 0.93 |
| Screening or counseling documented for pregnancy or sexually transmitted diseases, % | 47 | 68.0 | 61.7 | 69.6 | 54.2 | 0.28 |
| Screening or counseling documented for tobacco use, % | 47 | 75.9 | 83.0 | 87.0 | 79.2 | 0.70 |
| Member satisfaction score with communication with PCP's office, % (maximum possible score 100%) | 136 | 85.3 | 58.1 | 65.5 | 52.6 | 0.13 |
| Member satisfaction score with quality of care, 100% (maximum possible score 100%) | 136 | 86.9 | 48.5 | 56.9 | 42.3 | 0.09 |
* In the case of Antibiotic Use, the last three columns represent the percentage of primary care physicians who are at or below the regional benchmark, because a lower score is better.