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. Author manuscript; available in PMC: 2019 Jun 14.
Published in final edited form as: J Am Board Fam Med. 2019 May-Jun;32(3):398–407. doi: 10.3122/jabfm.2019.03.180271

Table 2.

Quality Improvement Process Measures by Ownership Type*

Measure Observations Physician-Owned
Practices
Health System/Medical Group Practices
FQHC Practices
Value Value Difference (95% Cl) P Value Value Difference (95% Cl) P Value

Quality-aligned care delivery processes
 Discuss clinical quality data (Values showing %) 989 27.9 44.3  16.4 (4.2 to 24.6)    .001 56.7 28.8 (16.0 to 41.6) <.001
 Have someone configuring/writing quality reports (Values showing %) 868 64.2 79.1  14.9 (2.7 to 25.4) .01 91.5 27.3 (14.2 to 38.9) <.001
 Produced CQM reports in last six months (Values showing %) 832 69.4 77.8   8.4 (–15.9 to 22.4) .43 94.3 24.9 (9.3 to 40.0) .002
 Use at least one registry§ (Values showing %) 940 61.1 67.5   6.4 (–16.5 to 25.1) .59 83.1 22.0(14.2 to 32.9) <.001
 Use of empanelment (Values showing %) 929 73.1 88.0  14.9 (6.2 to 20.8)  <.001 81.8 8.7 (1.6 to 18.9)  .04
 CVD prevention guidelines included in EHR prompts or standing orders (Values showing %) 946 60.2 65.3   5.1 (–14.3 to 21.9) .61 76.6  16.4(7.7 to 28.0) .002
 CVD management guidelines included in EHR prompts or standing orders (Values showing %) 946 57.0 61.5   4.5 (–15.4 to 21.5) .66 70.7  13.7(3.3 to 27.3)  .03
 Score for CVD improvement being a priority is 8 to 10 out of 10 (Values showing %) 929 65.2 56.7  8.5 (–20.2 to 3.8) .16 60.2  5.0 (–22.9 to 12.0)  .57
Change management processes
 CPCQ strategies score (Values showing mean) 785 10.2 8.6 1.6 (–8.5 to 2.8) >.99 8.9 1.3 (–4.1 to 1.4)  >.99
 Number of practices (Values showing numbers) 989 526 253 210
*

Based on practice surveys and practice members surveys of practices participating in EvidenceNOW, collected between October 2015 and April 2017).

The column “Observations” shows the number of practices with an observed value for the respective measure.

CQM reports refers to the following clinical quality measures: percentage of patients aged 18 years and older with ischemic vascular disease with documented use of aspirin or other antithrombotic (NQF 0068), percentage of patients aged 18 through 85 years of age who had a diagnosis of hypertension and whose blood pressure was adequately controlled (<140/90) during the measurement year (NQF 0018), and percentage of patients aged 18 years or older who were screened about tobacco use one or more times within 24 months and who received cessation counseling intervention if identified as a tobacco user (NQF 0028).

§

Use of registry refers to the following patients: ischemic vascular disease, hypertension, high cholesterol, diabetes, prevention services, and high risk (high use) patients.

The CPCQ score is based on fourteen measures of strategies to improve cardiovascular preventive care; see text and Appendix A for details.

FQHC, federally qualified health center; CI, confidential interval; CQM, clinical quality measures; CVD, cardiovascular disease; EHR, electronic health records; CPCQ, Change Process Capability questionnaire.