From: The most used and most helpful facilitators for patient-centered medical home implementation
Covariate | Local PACT education | PACT collaborative | Measures | Teamlet huddles | Teamlet meetings |
---|---|---|---|---|---|
Supervisor (versus not) | 0.76 (0.64–0.91) | 0.72 (0.6–0.86) | 0.79 (0.67–0.92) | 0.74 (0.58–0.94) | 0.72 (0.57–0.91) |
Time worked in VHA (ref. is <0.5 years) | |||||
0.5–1 years | |||||
1–2 years | 2.64 (1.19–5.87) | 2.44 (1.12–5.31) | 2.66 (1.28–5.53) | ||
2–5 years | 4.18 (1.92–9.12) | 3.78 (1.8–7.92) | 3.39 (1.7–6.75) | 2.69 (1.12–6.49) | |
5–10 years | 4.95 (2.27–10.8) | 4.14 (1.97–8.67) | 4.06 (2.03–8.08) | 2.69 (1.12–6.49) | |
10–15 years | 4.48 (2.05–9.78) | 4.22 (1.97–9.03) | 2.97 (1.46–6.05) | 2.44 (1.05–5.64) | 3.1 (1.26–7.61) |
15–20 years | 4.85 (2.18–10.8) | 4.26 (1.95–9.3) | 3.56 (1.72–7.39) | 2.94 (1.15–7.54) | |
>20 years | 3.71 (1.67–8.25) | 2.94 (1.38–6.3) | 2.61 (1.26–5.42) | ||
Role in primary care (ref. is provider) | |||||
Administrative | 0.44 (0.32–0.59) | 0.39 (0.29–0.54) | 0.53 (0.39–0.7) | 0.62 (0.42–0.91) | 0.55 (0.37–0.81) |
Dietician | 0.05 (0.01–0.33) | 0.14 (0.04–0.47) | |||
LPN/LVN/CNA | 0.51 (0.39–0.65) | 0.58 (0.45–0.75) | 0.58 (0.45–0.73) | 0.64 (0.46–0.9) | 0.53 (0.38–0.74) |
Mental health professional | 0.39 (0.2–0.79) | 0.44 (0.21–0.92) | |||
Nurse care manager | 0.56 (0.44–0.71) | 0.69 (0.54–0.88) | 0.72 (0.58–0.9) | 0.55 (0.39–0.76) | 0.55 (0.4–0.77) |
Nurse case manager | 0.55 (0.37–0.84) | 0.63 (0.43–0.93) | |||
Other | 0.320.13–0.77) | 0.34 (0.15–0.76) | 0.3 (0.13–0.68) | ||
Other RN | 0.39 (0.26–0.59) | 0.57 (0.38–0.86) | 0.54 (0.38–0.77) | 0.45 (0.26–0.78) | |
Pharmacist | 0.37 (0.24–0.57) | 0.35 (0.22–0.54) | 0.49 (0.32–0.73) | ||
Social worker | 0.28 (0.15–0.53) | 0.32 (0.17–0.62) | 0.5 (0.28–0.9) | 0.19 (0.06–0.64) | 0.15 (0.04–0.51) |
Technician | 0.47 (0.29–0.75) | 0.53 (0.34–0.83) | 0.43 (0.27–0.69) | ||
PACT team member (ref. is Yes) | |||||
No | |||||
Not in teamlet | 0.66 (0.47–0.91) | 0.7 (0.51–0.98) | |||
Not sure | 2.03 (1.11–3.74) | 2.64 (1.38–5.05) | 3.35 (1.75–6.42) | 2.8 (1.4–5.58) | 2.27 (1.08–4.76) |
Time in primary care (ref. is >80%) | |||||
<20% | 0.59 (0.37–0.95) | 0.44 (0.27–0.72) | |||
20%–40% | |||||
41%–60% | 0.58 (0.36–0.92) | ||||
61%–80% | 0.61 (0.4–0.91) | ||||
Covariate | Information systems | Scheduling tools | QI methods | Disease registries | Online toolkit |
Supervisor (versus not) | 0.84 (0.7–1) | 0.72 (0.58–0.9) | 0.76 (0.63–0.93) | ||
Time worked in VHA (ref. is <0.5 years) | |||||
0.5–1 years | |||||
1–2 years | 2.86 (1.28–6.36) | 2.92 (1.05–8.08) | |||
2–5 years | 4.53 (2.12–9.68) | 1.88 (1.04–3.39) | 2.97 (1.31–6.75) | 3.9 (1.52–9.97) | 5.81 (2.18–15.5) |
5–10 years | 4.35 (1.99–9.49) | 1.86 (1.03–3.35) | 2.94 (1.3–6.69) | 4.18 (1.63–10.7) | 6.55 (2.46–17.5) |
10–15 years | 3.9 (1.79–8.5) | 1.88 (1.02–3.46) | 3.63 (1.6–8.25) | 3.67 (1.4–9.58) | 6.49 (2.39–17.6) |
15–20 years | 4.06 (1.82–9.03) | 3.1 (1.31–7.32) | 3.67 (1.38–9.78) | 5.93 (2.18–16.1) | |
>20 years | 2.51 (1.13–5.58) | 4.48 (1.65–12.2) | |||
Role in primary care (ref. is provider) | |||||
Administrative | 0.42 (0.31–0.58) | 0.72 (0.54–0.96) | 0.31 (0.21–0.44) | 0.61 (0.42–0.89) | 0.35 (0.24–0.51) |
Dietician | 0.19 (0.04–0.84) | 0.11 (0.02–0.54) | 0.05 (0.01–0.41) | ||
LPN/LVN/CNA | 0.54 (0.41–0.71) | 0.73 (0.57–0.93) | 0.45 (0.33–0.61) | 0.48 (0.35–0.65) | 0.47 (0.34–0.64) |
Mental health professional | 0.35 (0.13–0.92) | ||||
Nurse care manager | 0.68 (0.53–0.86) | 0.59 (0.44–0.79) | 0.63 (0.48–0.82) | 0.55 (0.42–0.73) | |
Nurse case manager | 0.61 (0.41–0.92) | 0.49 (0.3–0.8) | 0.44 (0.27–0.73) | ||
Other | 0.26 (0.1–0.72) | 0.31 (0.13–0.73) | |||
Other RN | 0.51 (0.34–0.76) | 0.49 (0.32–0.75) | 0.64 (0.41–1) | 0.48 (0.31–0.74) | |
Pharmacist | 0.39 (0.24–0.63) | 0.59 (0.37–0.94) | 0.41 (0.23–0.7) | 0.3 (0.17–0.53) | 0.22 (0.12–0.4) |
Social worker | 0.5 (0.25–1) | 0.44 (0.22–0.9) | 0.36 (0.16–0.78) | 0.2 (0.08–0.47) | |
Technician | 0.51 (0.31–0.84) | 0.57 (0.37–0.88) | 0.39 (0.23–0.64) | 0.46 (0.28–0.77) | |
PACT team member (ref. is Yes) | |||||
No | 0.63 (0.4–0.98) | ||||
Not in teamlet | |||||
Not sure | 3.78 (1.97–7.24) | 2.59 (1.4–4.76) | 3.03 (1.31–7.03) | 2.53 (1.25–5.16) | 3.06 (1.3–7.24) |
Time in primary care (ref. is >80%) | |||||
<20% | 0.59 (0.37–0.95) | 0.52 (0.32–0.84) | |||
20%–40% | 0.54 (0.3–1) | ||||
41%–60% | |||||
61%–80% | 0.61 (0.38–0.97) |