Table 3.
ACOS Reporting Advanced Capabilities, by CHC Inclusion: Health Information Technology (HIT), Care Management, and Quality Improvement
Includes CHC (N = 44, 28 %) |
Does not include CHC (N = 112, 72 %) |
P Value on Difference* | |
---|---|---|---|
Health information technology (%) | |||
Advanced HIT capabilities | 32 % | 50 % | 0.047 |
Meaningful use by majority of PCPs | 83 % | 89 % | 0.283 |
Care management (%) | |||
Pre-visit planning and medication management | 23 % | 19 % | 0.671 |
Chronic care management processes and programs | 41 % | 26 % | 0.069 |
Systems for care transitions across practice setting | 18 % | 19 % | 0.859 |
Behavioral health integration into primary care | 23 % | 8 % | 0.016 |
Patient involvement in care decisions, self-management | 32 % | 18 % | 0.062 |
Established end-of-life care processes and protocols | 20 % | 21 % | 0.988 |
Quality improvement (%) | |||
Assessment of preventable hospital readmissions | 45 % | 47 % | 0.882 |
Reduction of hospital admissions for ambulatory care sensitive conditions | 41 % | 44 % | 0.770 |
Assessment of inappropriate ED use | 52 % | 41 % | 0.218 |
Use of disease monitoring data | 66 % | 60 % | 0.487 |
Assessment of patient care satisfaction | 53 % | 60 % | 0.455 |
Clinician training in continuous QI methods | 36 % | 34 % | 0.751 |
Use of ACO-wide formulary | 44 % | 36 % | 0.353 |
*p values are from two tailed t-tests for means or proportions (depending on measurement of the variable)
PCP primary care provider; ED emergency department; QI quality improvement