Table 3.

Adjusted Odds Ratios of ACSC Admission in Follow-Up Year among VHA Primary Care Patients

Primary care clinic characteristics	OR* for any ACSC admission, N = 2,853,030
Medical home adoption score
Overall score/10	0.97†
Clinic type
VAMC clinic	1.00
VHA-leased community-based outpatient clinic	0.51††
VHA-contracted community-based outpatient clinic	0.51††
Population case mix
≤ 40 % high-risk patients	1.00
> 40 % high-risk patients	2.09††
Rurality
Metropolitan area	1.00
Nonmetropolitan area	0.93

*OR from multilevel logistic regression with random effects for the primary care clinic. Patient-level factors in the model included age, race/ethnicity, VHA eligibility, insurance, distance to clinic, area income, area education, chronic condition diagnoses, and DCG risk score

†Significant at 5 %; ††Significant at 1 %