Table 3.
Comparison of Baseline to Year 3 Changes in Mean Capability Scores and Year 3 NCQA Recognition Levels across Four Classes of Practice Transformation
| Structural Capability Domain | Classes of Practice Transformation | |||
|---|---|---|---|---|
| Minimal (n = 22 practices) | Provider-facing (n = 17) | Patient-Facing (n = 21) | Broad (n = 21) | |
| Mean Change in Capability Score Among Practices in Each Class | ||||
| Shared Systems for Communicating with Patients | 6.1 % | 10.9 % | 70.3 % | 72.9 % |
| Care Managers | 23.4 % | 33.6 % | 74.1 % | 42.9 % |
| Referral to Community Services | 11.3 % | −5.9 % | 50.0 % | 14.3 % |
| Care Reminders to Clinicians | 6.6 % | 78.1 % | 3.8 % | 76.1 % |
| Use of Electronic Health Records | 9.8 % | 32.6 % | 24.3 % | 38.3 % |
| Performance Feedback to Clinicians | 6.8 % | 17.1 % | 22.3 % | 36.7 % |
| Patient Registries | 10.2 % | 64.7 % | 39.3 % | 83.3 % |
| After-Hours Care | 4.5 % | 5.9 % | 31.0 % | 16.7 % |
| Overall Structural Capability Score † | 9.5 % | 33.6 % | 36.3 % | 52.4 % |
| Number of Practices (%) | ||||
| NCQA Recognition Level 1 or 2 ‡ | 9 (42.9 %) * | 7 (41.2 %) | 4 (19.0 %) | 6 (28.6 %) |
| NCQA Recognition Level 3 | 12 (57.1 %) | 10 (58.8 %) | 17 (81.0 %) | 15 (71.4 %) |
† p < 0.010 for difference in overall structural capability score across classes of practice transformation
‡ p = 0.332 for difference in year-3 NCQA recognition levels across classes of practice transformation
*One practice in the “minimal” class of transformation did not receive NCQA recognition