Table 3.
Practice Systems Scores and Quality Measure Rates for Diabetes and Vascular Disease
| 3 Years Ago | Now | Change | ||||
|---|---|---|---|---|---|---|
|
|
||||||
| Score or Measure | Mean (SD) | Range | Mean (SD) | Range | Mean (SD) | Range |
| PPC-RS score, pointsa | 38.8 (16.5) | 10.0 to 81.0 | 68.0 (14.1) | 28.5 to 97.1 | 29.1 (16.7) | −1.0 to 62.9 |
| Health care organization | 61.3 (32.2) | 0.0 to 100.0 | 82.3 (22.6) | 0.0 to 100.0 | 21.1 (26.1) | 0.0 to 100.0 |
| Delivery system redesign | 24.0 (17.0) | 0.0 to 78.3 | 58.0 (20.3) | 13.0 to 100.0 | 34.0 (23.6) | −4.3 to 89.1 |
| Clinical information systems | 40.1 (20.9) | 4.8 to 100.0 | 73.6 (18.9) | 23.8 to 100.0 | 33.4 (20.7) | 0.0 to 73.8 |
| Decision support | 54.7 (23.1) | 6.7 to 100 | 80.1 (14.8) | 26.7 to 100.0 | 25.4 (19.7) | 0.0 to 76.7 |
| Self-management support | 39.1 (16.4) | 0.0 to 83.8 | 63.2 (16.2) | 0.0 to 91.9 | 24.1 (15.2) | −4.0 to 59.5 |
| Optimal diabetes rate, % | 22.0 (8.5) | 3.8 to 52.0 | 24.4 (7.9) | 5.9 to 41.4 | 2.1 (5.5) | −12.0 to 21.0 |
| Optimal vascular rate, % | 37.5 (9.8) | 10.0 to 57.9 | 41.6 (11.2) | 10.6 to 63.6 | 4.4 (7.5) | −15.7 to 27.1 |
PPC-RS = Physician Practice Connections Research Survey.
a
Possible range of scores: 0 to 100.
Notes: Numbers of clinics for each score/measure ranged from 98 to 102, as some had missing data. Optimal diabetes rate = percentage of patients with diabetes meeting all thresholds for control of hemoglobin A1c, blood pressure, and lipids as well as aspirin use and tobacco abstinence. Optimal vascular rate = percentage of patients with heart disease meeting all thresholds for control of blood pressure and lipids as well as aspirin use and tobacco abstinence.