Table 3.
Factors Affecting Rural Health Clinics' Willingness to Join an Accountable Care Organization
| Variables | N | Mean | SD | P value |
|---|---|---|---|---|
| State | .657 | |||
| California | 30 | 5.50 | 3.99 | |
| Alabama | 10 | 6.40 | 4.12 | |
| Florida | 28 | 6.50 | 3.76 | |
| Georgia | 6 | 4.50 | 2.51 | |
| Kentucky | 16 | 5.00 | 3.06 | |
| Mississippi | 9 | 5.00 | 2.121 | |
| North Carolina | 17 | 5.00 | 3.91 | |
| South Carolina | 19 | 6.89 | 3.77 | |
| Tennessee | 8 | 5.50 | 4.07 | |
| RHC Type | .352 | |||
| Provider-based RHC | 35 | 6.26 | 3.47 | |
| Independent RHC | 108 | 5.59 | 3.72 | |
| Survey Year | .009* | |||
| 2012 | 74 | 4.96 | 3.70 | |
| 2013 | 40 | 6.18 | 3.54 | |
| 2014 | 31 | 7.26 | 3.24 | |
| Clinic's Commitment | ||||
| Improving the value of services | .527 | |||
| Disagree/Strongly Disagree | 3 | 3.67 | 2.31 | |
| Agree | 63 | 5.71 | 3.46 | |
| Strongly Agree | 78 | 6.00 | 3.82 | |
| Improving the value of patient-centric care | .116 | |||
| Disagree/Strongly Disagree | 9 | 3.44 | 2.46 | |
| Agree | 55 | 5.95 | 3.24 | |
| Strongly Agree | 78 | 6.08 | 3.92 | |
| Improving employees' performance and accountability | .704 | |||
| Disagree/Strongly Disagree | 3 | 4.33 | 1.16 | |
| Agree | 59 | 6.02 | 3.44 | |
| Strongly Agree | 82 | 5.74 | 3.84 | |
| Network Affiliation | .075 | |||
| Current RHC model | ||||
| Independent | 91 | 5.23 | 3.63 | |
| Formal affiliation | 30 | 7.17 | 3.302 | |
| Informal affiliation | 20 | 6.15 | 3.98 | |
| Both affiliation | 3 | 7.00 | 3.61 | |
| Data Collection and Information Infrastructure | ||||
| Data Collection for Tracking and Analysis | .277 | |||
| Yes | 105 | 5.97 | 3.76 | |
| No | 40 | 5.25 | 3.37 | |
| RHC's Information Infrastructure | .242 | |||
| Use an EMR system | 106 | 6.00 | 3.67 | |
| Willingness to adopt an EMR in the future | 32 | 5.81 | 3.31 | |
| No | 5 | 3.20 | 4.55 | |
| Extent Of Being A PCMH | <.001* | |||
| Currently, a PCMH/implementing changes to become a PCMH | 37 | 7.62 | 4.04 | |
| Not eligible | 9 | 4.67 | 3.97 | |
| Eligible but will not participate for another 1 – 2 years/Eligible but no interest | 17 | 3.65 | 2.32 | |
| Not yet sufficiently knowledgeable about PCMH | 77 | 5.39 | 3.25 | |
| To What Extent Are You Knowledgeable About ACOs? | .002* | |||
| Very knowledgeable or knowledgeable | 28 | 7.64 | 4.44 | |
| Somewhat knowledgeable | 64 | 5.94 | 3.38 | |
| I know very little able ACOs | 52 | 4.65 | 3.06 | |
NOTE 0: not willing; 12: completely willing
*
This indicator is statistically significant at P < .05.
ACO, accountable care organization; EMR, electronic medical record; PCMH, patient-centered medical home; RHC, rural health clinic