Skip to Main Content
Table 2—

System of care and quality improvement covariates by domain

PatientsClinic
Clinic manager survey (n = 1,424)   
    Care management strategies   
        Nonurgent appointments available the same day 162 (11.4) 5 (6.0) 
        Clinic coordinates care between providers 954 (67.0) 50 (59.5) 
        Clinic requires patients to have their own clinician 881 (61.9) 42 (50.0) 
        Clinicians to meet to discuss patient care problems 466 (32.7) 23 (27.4) 
        Clinic has medical information available when it is needed 1,171 (82.2) 54 (64.3) 
        Follow-up phone calls are made to patients after office visits 458 (32.2) 28 (33.3) 
        Patients are reminded when they need additional care 600 (42.1) 29 (34.5) 
Medical director survey (n = 1,228)   
    Patient education*   
        Diabetes education on site 843 (68.7) 35 (41.7) 
        Diabetes education off site 531 (43.2) 28 (33.3) 
    Registries   
        Clinic registry exists 915 (74.5) 46 (54.8) 
        Registry identifies the regular physician 899 (73.2) 44 (52.4) 
        Registry includes dates of laboratory tests 881 (71.8) 43 (51.2) 
        Registry includes test results 793 (64.6) 39 (46.4) 
        Registry indicates when services are due 745 (60.6) 30 (35.7) 
        Registry prioritizes patients on clinical status 296 (24.1) 14 (16.7) 
        Registries are updated regularly 795 (64.7) 38 (45.2) 
        Registry indicates patients’ levels of cardiovascular risk 243 (19.8) 12 (14.3) 
    Information support   
        Databases used to identify patients with diabetes 852 (69.3) 44 (52.4) 
        Database used to systematically monitor labs 683 (55.6) 33 (39.3) 
        EMR (provider entry of data) 366 (29.8) 14 (16.7) 
    Quality improvement efforts   
        Formal meetings held 384 (31.3) 17 (20.2) 
        Quality improvement team 562 (45.7) 28 (33.3) 
    Specific quality improvement performance-based strategies   
        Diabetes   
            Quality of care 1,032 (84.0) 51 (60.7) 
            Prescription utilization 600 (48.8) 24 (28.6) 
            Resource use 435 (35.4) 16 (19.0) 
        Heart disease   
            Quality of care 769 (62.7) 36 (42.9) 
            Prescription utilization 628 (55.6) 27 (32.1) 
            Resource use 363 (29.6) 13 (15.5) 
        Depression   
            Quality of care 48 (6.3) 5 (6.0) 
            Prescription utilization 513 (41.8) 21 (25.0) 
            Resource use 146 (11.9) 7 (8.3) 
PatientsClinic
Clinic manager survey (n = 1,424)   
    Care management strategies   
        Nonurgent appointments available the same day 162 (11.4) 5 (6.0) 
        Clinic coordinates care between providers 954 (67.0) 50 (59.5) 
        Clinic requires patients to have their own clinician 881 (61.9) 42 (50.0) 
        Clinicians to meet to discuss patient care problems 466 (32.7) 23 (27.4) 
        Clinic has medical information available when it is needed 1,171 (82.2) 54 (64.3) 
        Follow-up phone calls are made to patients after office visits 458 (32.2) 28 (33.3) 
        Patients are reminded when they need additional care 600 (42.1) 29 (34.5) 
Medical director survey (n = 1,228)   
    Patient education*   
        Diabetes education on site 843 (68.7) 35 (41.7) 
        Diabetes education off site 531 (43.2) 28 (33.3) 
    Registries   
        Clinic registry exists 915 (74.5) 46 (54.8) 
        Registry identifies the regular physician 899 (73.2) 44 (52.4) 
        Registry includes dates of laboratory tests 881 (71.8) 43 (51.2) 
        Registry includes test results 793 (64.6) 39 (46.4) 
        Registry indicates when services are due 745 (60.6) 30 (35.7) 
        Registry prioritizes patients on clinical status 296 (24.1) 14 (16.7) 
        Registries are updated regularly 795 (64.7) 38 (45.2) 
        Registry indicates patients’ levels of cardiovascular risk 243 (19.8) 12 (14.3) 
    Information support   
        Databases used to identify patients with diabetes 852 (69.3) 44 (52.4) 
        Database used to systematically monitor labs 683 (55.6) 33 (39.3) 
        EMR (provider entry of data) 366 (29.8) 14 (16.7) 
    Quality improvement efforts   
        Formal meetings held 384 (31.3) 17 (20.2) 
        Quality improvement team 562 (45.7) 28 (33.3) 
    Specific quality improvement performance-based strategies   
        Diabetes   
            Quality of care 1,032 (84.0) 51 (60.7) 
            Prescription utilization 600 (48.8) 24 (28.6) 
            Resource use 435 (35.4) 16 (19.0) 
        Heart disease   
            Quality of care 769 (62.7) 36 (42.9) 
            Prescription utilization 628 (55.6) 27 (32.1) 
            Resource use 363 (29.6) 13 (15.5) 
        Depression   
            Quality of care 48 (6.3) 5 (6.0) 
            Prescription utilization 513 (41.8) 21 (25.0) 
            Resource use 146 (11.9) 7 (8.3) 

Data are n (%).

*

A clinic could provide on-site diabetes education, and, in addition (or instead), clinics may provide off-site diabetes education through a contracted provider.

Quality improvement efforts were defined as a hierarchy. A clinic could conduct formal quality improvement meetings or support a more defined quality improvement team.

Close Modal

or Create an Account

Close Modal
Close Modal