Table 3.

Inclusion Criteria for Patient Survey Sampling Frame

Age 18–82 years as of 12/31/14

Patient language preference of English, Spanish, or not known

Patient receiving care at one of eight primary care practice sites selected for participation at each ACO (at least one visit to the practice in 2014)

Patient has at least one of the following ICD-9-CM diagnosis codes in the electronic health record or has filled a prescription within the past year for a medication used to treat diabetes or cardiovascular disease (ref: NCQA)

Diabetes, 250.xx

Ischemic heart disease, 410–414

Other forms of heart disease, 426–429

Cerebrovascular disease, 430–438

ICD-9-CM International Classification of Diseases, Ninth Revision, Clinical Modification; NCQA National Committee for Quality Assurance