Table 3.

Multilevel Model of Perceived Utility of CDS

	Explanatory Variables	Model Coefficient
User-Centered Design Practices	Test piloting reminders Assessments of provider satisfaction after implementation Formal usability assessment Analysis of reminder impact on performance improvement	−0.19 −0.11 0.00 0.47***
Structural Characteristics	Community-based clinic (vs. hospital-based) Academic affiliate Unique patients at the clinic (1000s)	0.20 0.12 0.00
Implementation Climate	Required guideline use Providers sometimes turn guideline prompts off Hard to make changes because busy seeing patients Competing demands across too many initiatives PCP resistance to performance improvement Local manager resistance to performance improvement Local support staff resistance to performance improvement	0.16 −0.02 −0.07 −0.05 0.05 0.03 0.00
Available Resources	IT staff sufficiency Access to medical informatics expertise Health IT training adequacy	0.02 −0.03 0.05
	Constant	4.03

^*p< .05

^**p<.01

^***p<.001;

PCP = Primary Care Provider; IT = Information Technology