Table 1.
Associations Between Hospital Characteristics and Implementation and Reach
| Implementation: Scheduling 14-day Clinic Visit | Reach: TCM Billing Criteria Met | |||||
|---|---|---|---|---|---|---|
| Characteristic (no. of patients) | N (%) meeting metric | OR | (95% CI) | N (%) meeting metric | OR | (95% CI) |
| Primary Stroke | ||||||
| Center Certification | ||||||
| PSC (n = 2270) | 1713 (77.3) | 0.96 | (0.38, 2.41) | 524 (30.6) | 0.75 | (0.31, 1.81) |
| Not PSC (n = 481) | 366 (78.7) | 1.00 | (Reference) | 128 (35.0) | 1.00 | (Reference) |
| Annual Stroke Volume | ||||||
| 300+ patients (n = 1643) | 1173 (77.3) | 0.51 | (0.21, 1.23) | 323 (27.5) | 0.78 | (0.32, 1.90) |
| < 300 patients (n = 1108) | 906 (83.6) | 1.00 | (Reference) | 329 (36.3) | 1.00 | (Reference) |
| Geographic Region | ||||||
| Urban (n = 2405) | 1755 (75.0) | 0.19 | (0.07, 0.53) | 479 (27.3) | 0.58 | (0.19, 1.81) |
| Non-urban (n = 346) | 324 (94.5) | 1.00 | (Reference) | 173 (53.4) | 1.00 | (Reference) |
| Clinic Setting | ||||||
| PCP (n = 389) | 318 (84.1) | 2.02 | (0.82, 5.02) | 71 (22.3) | 0.78 | (0.32, 1.89) |
| Hospital-based (n = 461) | 358 (79.0) | 1.70 | (0.64, 4.56) | 68 (19.0) | 0.69 | (0.26, 1.84) |
| Neurology (n = 1901) | 1403 (75.8) | 1.00 | (Reference) | 513 (36.6) | 1.00 | (Reference) |
| Organizational Readinessab | 1.60 | (1.00, 2.58) | 1.25 | (0.75, 2.07) | ||
| 0–3.9 | 759 (71.7) | 166 (21.9) | ||||
| 4.0–5.0 | 1320 (81.3) | 486 (36.8) | ||||
| Partnership Synergyac | 1.13 | (0.61, 2.08) | 1.38 | (0.77, 2.48) | ||
| 0–3.9 | 951 (75.2) | 203 (21.3) | ||||
| 4.0–5.0 | 1128 (79.5) | 449 (39.8) | ||||
OR were estimated using mixed logistic regression models adjusted for age, sex, race, diagnosis, insurance status, history of stroke/TIA, presence of cardiovascular-related comorbidity, and stroke severity
Abbreviations: OR Odds Ratio, PSC Primary Stroke Center, PCP Primary Care Practice
a OR is for 1-unit increase. Subgroups based on a cut-point of 4 are shown to summarize the number and proportion of patients meeting each metric for different levels of readiness and synergy
b Organizational Readiness to Implement Change Scale was used to measure change commitment and efficacy [27]
c Partnership Synergy Scale was used to measure the level of engagement between the post-acute coordinator and the community resource network [28]