Table 2.
Mean Score (SD) |
Between-Group Differences (NCQA − No NCQA) |
Significance (Mean Scores) | ||||
---|---|---|---|---|---|---|
Full Sample (n = 83) | No NCQA Recognition (n = 36) | NCQA Recognition (n = 47) | Mean | SD of the Mean Differencea | ||
1. Patient has a personal physician | 0.77 (0.23) | 0.80 (0.22) | 0.74 (0.23) | 0.06 | –0.35 | .29 |
Patient sees same provider/team | 0.78 (0.32) | 0.82 (0.29) | 0.75 (0.33) | 0.07 | –0.28 | .30 |
Patient can identify provider/team | 0.75 (0.31) | 0.78 (0.35) | 0.72 (0.27) | 0.06 | –0.29 | .19 |
2. Whole person orientation | 0.54 (0.19) | 0.48 (0.21) | 0.59 (0.17)b | 0.11 | 0.86 | .02 |
Concern about nonmedical issues | 0.54 (0.24) | 0.50 (0.24) | 0.57 (0.23) | 0.07 | 0.40 | .12 |
Engagement of patient’s family | 0.49 (0.26) | 0.48 (0.24) | 0.50 (0.27) | 0.02 | 0.10 | .76 |
Availability of services on site | 0.45 (0.35) | 0.42 (0.39) | 0.47 (0.32) | 0.05 | 0.21 | .45 |
Cultural competence | 0.71 (0.30) | 0.67 (0.33) | 0.75 (0.28) | 0.08 | 0.38 | .24 |
Formal culture/communication training | 0.34 (0.37) | 0.22 (0.30) | 0.44 (0.38)c | 0.22 | 0.77 | .01 |
3. Team-based care | 0.44 (0.20) | 0.39 (0.21) | 0.48 (0.18)b | 0.09 | 0.66 | .05 |
Presence of internal teams | 0.46 (0.33) | 0.35 (0.33) | 0.55 (0.30)c | 0.20 | 0.88 | <.00 |
Team communication | 0.31 (0.30) | 0.31 (0.31) | 0.30 (0.29) | 0.01 | –0.04 | .99 |
Interact with providers outside practice | 0.43 (0.25) | 0.40 (0.22) | 0.46 (0.28) | 0.06 | 0.28 | .34 |
Top of skill set | 0.40 (0.34) | 0.37 (0.36) | 0.42 (0.31) | 0.05 | 0.21 | .41 |
Regular staff meetings | 0.48 (0.31) | 0.45 (0.33) | 0.51 (0.29) | 0.06 | 0.27 | .32 |
4. Care coordination, integration | 0.55 (0.23) | 0.47 (0.22) | 0.61 (0.23)c | 0.14 | 0.81 | .01 |
Performs care coordination functions | 0.75 (0.25) | 0.67 (0.29) | 0.80 (0.22)b | 0.13 | 0.78 | .02 |
Formal/informal care/case manager | 0.36 (0.31) | 0.31 (0.27) | 0.39 (0.33) | 0.08 | 0.32 | .25 |
Use of patient registries/HIT | 0.69 (0.26) | 0.59 (0.27) | 0.76 (0.24)c | 0.17 | 0.94 | <.00 |
Communication with hospitals | 0.55 (0.23) | 0.51 (0.24) | 0.58 (0.22) | 0.07 | 0.44 | .22 |
Communicating with specialists | 0.66 (0.21) | 0.62 (0.20) | 0.70 (0.21) | 0.08 | 0.33 | .06 |
Systematic appointment reminders | 0.73 (0.32) | 0.70 (0.34) | 0.76 (0.32) | 0.06 | 0.25 | .40 |
Knowledge about, relationships with other community service providers | 0.54 (0.24) | 0.51 (0.22) | 0.56 (0.24) | 0.05 | 0.28 | .29 |
5. Quality and safety | 0.42 (0.20) | 0.36 (0.20) | 0.46 (0.19)b | 0.10 | 0.70 | .02 |
Evidence-based decision supports | 0.33 (0.14) | 0.31 (0.13) | 0.34 (0.15) | 0.03 | 0.27 | .07 |
Use of EHR functions | 0.73 (0.24) | 0.66 (0.23) | 0.79 (0.23)c | 0.13 | 0.75 | <.00 |
Use of performance feedback | 0.59 (0.32) | 0.60 (0.29) | 0.59 (0.35) | 0.01 | –0.04 | .81 |
Quality improvement (QI) activities | 0.56 (0.30) | 0.49 (0.30) | 0.61 (0.30) | 0.12 | 0.66 | .07 |
Patient education | 0.55 (0.25) | 0.56 (0.26) | 0.54 (0.24) | 0.02 | –0.11 | .70 |
Use of patient feedback | 0.31 (0.43) | 0.24 (0.39) | 0.36 (0.45) | 0.12 | 0.35 | .20 |
6. Access | 0.51 (0.24) | 0.46 (0.25) | 0.54 (0.24) | 0.08 | 0.44 | .11 |
After hours care | 0.51 (0.25) | 0.50 (0.27) | 0.52 (0.23) | 0.02 | 0.12 | .89 |
Open/advanced access | 0.66 (0.48) | 0.58 (0.50) | 0.72 (0.45) | 0.14 | 0.41 | .18 |
Ease of access | 0.53 (0.21) | 0.57 (0.23) | 0.51 (0.20) | 0.06 | –0.40 | .09 |
Use of patient portal/email | 0.45 (0.38) | 0.35 (0.39) | 0.52 (0.36)b | 0.17 | 0.63 | .03 |
Abbreviations: PCMH, patient-centered medical home; NCQA, National Committee for Quality Assurance; HIT, health information technology; EHR, electronic health record.
Calculated using Hedges’s g.
Statistically different than practices without recognition; Wilcoxon rank-sum test; P < .05.
Statistically different than practices without recognition; Wilcoxon rank-sum test; P < .01.