Table 2.
Operating Cost per FTE Physician
|
Operating Cost per Patient per Month
|
Medical Cost per Medical Visit
|
||||
---|---|---|---|---|---|---|
r | P Value | r | P Value | r | P Value | |
PCMH scoresa | ||||||
Total PCMH score | 0.04 | .30 | 0.18 | <.001 | 0.06 | .13 |
| ||||||
PCMH subscales | ||||||
Access/communication | −0.02 | .56 | 0.03 | .41 | 0.03 | .44 |
| ||||||
Care management | 0.06 | .09 | 0.18 | <.001 | 0.09 | .02 |
| ||||||
External coordination | −0.04 | .34 | 0.10 | .01 | −0.03 | .38 |
| ||||||
Patient tracking | 0.09 | .03 | 0.18 | <.001 | 0.10 | .01 |
| ||||||
Test/referral tracking | 0.03 | .37 | 0.08 | .04 | 0.01 | .87 |
| ||||||
Quality improvement | 0.05 | .16 | 0.15 | <.001 | 0.02 | .57 |
| ||||||
Covariates | ||||||
Health center size | ||||||
Physician FTEs | −0.37 | <.001 | 0.05 | .17 | −0.09 | .02 |
| ||||||
Visits | −0.08 | .04 | 0.04 | .35 | −0.17 | <.001 |
| ||||||
Patients | −0.10 | .01 | −0.10 | .01 | −0.20 | <.001 |
| ||||||
Organizational characteristics | ||||||
Self-sufficiencyb | −0.10 | .01 | −0.04 | .36 | −0.28 | <.001 |
| ||||||
Patients per physician FTE | 0.54 | <.001 | −0.43 | <.001 | −0.32 | <.001 |
| ||||||
Patient characteristics | ||||||
Female | −0.19 | <.001 | −0.16 | <.001 | −0.12 | .001 |
| ||||||
White | 0.15 | <.001 | 0.07 | .08 | −0.04 | .28 |
| ||||||
Age, y | <0.01 | .93 | 0.11 | .004 | <0.01 | .98 |
| ||||||
Chronic diseasec | −0.06 | .14 | −0.13 | <.001 | −0.12 | .002 |
| ||||||
Managed cared | −0.24 | <.001 | 0.05 | .22 | 0.09 | .02 |
Abbreviations: FTE, full-time equivalent; PCMH, patient-centered medical home.
From the Safety Net Medical Home Scale.14
Percentage of total health center revenue that is not derived from grants provided by the Health Resources and Services Administration under section 330 of the Public Health Service Act.
Percentage of clinic visits that are for patients with select chronic disease diagnoses tracked in the Health Resources and Services Administration’s Uniform Data System: diabetes, select heart disease diagnoses (International Classification of Diseases, Ninth Revision, Clinical Modification codes 391.xx-392.0x; 410.xx-429.xx), hypertension, asthma, chronic bronchitis, emphysema, human immunodeficiency virus, hepatitis B, and hepatitis C.
Percentage of patients enrolled in managed care.