Exhibit 3.
Changes in Six Health Centers’ Ability To Provide Chronic Illness Care
| Mean score (lowest score, highest score) | ||||
|---|---|---|---|---|
| Area of Chronic Illness Care | June 2010 | December 2010 |
June 2011 | June 2010– June 2011 change, mean (%), |
| Organization of the health care system System | 5.5 (3.2, 7.0) | 7.1 (5.0, 9.3) | 7.6 (5.8, 8.5) | +2.1 (38) |
| Links to community resources | 3.8 (2.3, 5.3) | 5.1 (2.7, 6.3) | 5.8 (5.0, 8.3) | +2.0 (53) |
| Diabetes self-management support | 6.1 (4.0, 7.5) | 6.8 (4.3, 10.0) | 7.1 (5.8, 8.5) | +1.0 (16) |
| Decision support | 5.2 (3.3, 6.5) | 6.2 (4.8, 10.0) | 6.1 (4.5, 8.5) | +0.9 (17) |
| Delivery system design | 4.9 (4.0, 6.7) | 7.0 (6.0, 9.3) | 7.2 (5.8, 8.8) | +2.3 (47) |
| Clinical information systems | 5.0 (1.4, 6.6) | 5.8 (4.6, 7.8) | 7.2 (6.0, 8.0) | +2.2 (44) |
| Integration of Chronic Care Model elements | 4.3 (3.0, 6.2) | 5.2 (4.0, 6.3) | 6.1 (5.2, 7.7) | +1.8 (42) |
| Average Program Score | 5.0 (3.6, 5.7) | 6.1 (4.9, 7.2) | 6.7 (6.1, 7.6) | +1.7 (34) |
SOURCE: Assessment of Chronic Illness Care (ACIC v3.5) – a validated survey instrument that was completed by the clinic quality improvement teams. See: Bonomi AE, Wagner EH, Glasgow RE, VonKorff M. Assessment of chronic illness care (ACIC): a practical tool to measure quality improvement. Health Serv Res. 2002; 37(3):791-820.