Table 2.
Predicted probability (95% confidence interval) of meeting quality metric for patients seen in primary care clinics, by category of Patient-Aligned Care Team Progress Implementation Index (PI2)
| Metric | N | PI2 − 5 to − 7 | PI2 − 4 to − 2 | PI2 − 1 to 1 | PI2 2 to 4 | PI2 5 to 8 | P* |
|---|---|---|---|---|---|---|---|
| CHF ACE† | 3486 | 89 (85–93) | 88 (85–91) | 87 (86–89) | 89 (86–92) | 84 (78–90) | 0.49 |
| Diabetes | |||||||
| A1C < 9% | 59,852 | 80 (78–81) | 81 (80–82) | 82 (82–83) | 82 (81–83) | 83 (81–84) | < 0.001 |
| Foot exam | 67,320 | 88 (85–90) | 87 (86–88) | 88 (88–89) | 88 (86–89) | 90 (88–92) | 0.10 |
| LDL < 100 | 59,826 | 86 (85–87) | 87 (86–88) | 88 (87–88) | 88 (87–89) | 88 (87–89) | 0.04 |
| BP < 140/90 | 59,852 | 78 (77–80) | 78 (77–79) | 79 (79–80) | 79 (78–80) | 80 (78–81) | 0.34 |
| IHD LDL‡ | 40,202 | 69 (67–71) | 70 (68–71) | 71 (70–72) | 72 (71–74) | 72 (70–74) | < 0.01 |
| HTN < 140/90§ | 126,364 | 77 (76–78) | 77 (76–78) | 77 (77–78) | 78 (77–79) | 79 (77–80) | 0.32 |
| Vaccines | |||||||
| 18–64 years flu | 27,481 | 64 (62–66) | 64 (63–66) | 64 (63–65) | 67 (65–68) | 66 (63–68) | 0.05 |
| > 6 years flu | 43,508 | 78 (76–80) | 78 (77–79) | 77 (76–78) | 79 (78–80) | 80 (78–82) | 0.02 |
| > 65 years PPSV23 | 79,102 | 93 (92–94) | 93 (93–94) | 93 (93–94) | 94 (93–94) | 93 (92–94) | 0.06 |
| Alcohol use | |||||||
| Screening | 185,447 | 64 (62–66) | 64 (63–66) | 64 (63–65) | 67 (65–68) | 66 (63–68) | 0.19 |
| Screen f/u‖ | 7946 | 78 (76–80) | 78 (77–79) | 77 (76–78) | 79 (78–80) | 80 (78–82) | 0.06 |
| Depression | |||||||
| Screening | 115,002 | 96 (96–97) | 96 (96–97) | 96 (96–96) | 96 (96–97) | 97 (96–97) | 0.23 |
| PTSD | |||||||
| Screening | 141,274 | 99 (99–99) | 99 (98–99) | 99 (99–99) | 99 (99–99) | 99 (99–99) | 0.74 |
| Screen f/u‖ | 3213 | 78 (72–84) | 85 (82–88) | 85 (83–91) | 88 (84–91) | 85 (80–91) | 0.02 |
Models adjusted for patient characteristics (age, sex, race/ethnicity, copay exemption, marital status, median household income by county, and travel distance to clinic), and facility characteristics (full time providers/10,000 patients, rural or urban location, and hospital or community-based affiliation). *P value for trend across categories of PI2, in ANOVA. †Congestive heart failure patients with left ventricular ejection fraction < 40%, on ACE inhibitor or ARB. ‡Ischemic heart disease patients with low-density lipoprotein under 100 or on moderate-dose statin. §Hypertensive patients with blood pressure < 140/90 mmHg. ‖Positive screening with follow-up disposition in 24 h