Table 2.

Changes in Documentation Fidelity from Pre- to Post-feedback overall and for groups of items

Checklist item	Unperformed behavior adjusted odds ratio (95% CI)	p value	Fictitious documentation adjusted odds ratio (95% CI)	p value	Undocumented behavior adjusted odds ratio (95% CI)	p value
Overall (all items)	0.67 (0.57–0.78)	< 0.001	0.74 (0.62–0.90)	0.002	0.89 (0.74–1.06)	0.19
Diabetes	1.03 (0.69–1.54)	0.90	1.31 (0.87–1.98)	0.20	2.94 (1.33–6.46)	0.008
Low back pain	0.57 (0.25–1.32)	0.19	0.62 (0.33–1.16)	0.14	N/A
Cancer screening	1.90 (1.15–3.14)	0.01	1.04 (0.63–1.71)	0.88	2.02 (0.42–9.79)	0.38
Depression	0.17 (0.11–0.28)	< 0.001	1.06 (0.54–2.09)	0.86	1.38 (0.61–3.14)	0.44
Smoking	0.11 (0.06–0.22)	< 0.001	0.84 (0.46–1.54)	0.57	0.54 (0.22–1.31)	0.17
Review of systems	0.87 (0.67–1.13)	0.29	0.94 (0.67–1.33)	0.74	0.62 (0.49 – 0.79)	<0.001

Notes: Odds ratios are relative to correct documentation of behaviors performed and heard on the visit recording, and adjusted for case, item, and provider clustering. For low back pain, there were not a sufficient number of undocumented behaviors to model the odds ratio