Table 8 Odds of a respondent’s clinic being in the lowest decile for Pi2 score (vs. middle eight deciles) as a function of reporting that barriers limited delivery of optimal patient-centered care a great deal
| Â | Low Pi2 vs. medium Pi2 | |
|---|---|---|
Odds ratio | p value | |
Lack of support from clinical leadership | 1.34 | 0.10 |
Difficulty accessing specialist care | 1.27 | 0.25 |
Poor communication with specialists within VA | 1.04 | 0.84 |
Poor communication with specialists outside the VA | 1.01 | 0.92 |
Poor communication around inpatient care | 1.14 | 0.46 |
Lack of control over my schedule | 1.37 | 0.04 |
Lack of responsiveness to my requests for assistance from my team members | 1.58 | 0.01 |
Inadequate time allotted to provide counseling or education | 1.01 | 0.95 |
Inadequate time allotted to provide follow-up care | 1.22 | 0.30 |
Patients have limited VA benefits | 1.42 | 0.05 |
Preferred medications are difficult to obtain | 1.18 | 0.36 |
Inadequate support for patient behavioral change needs | 1.40 | 0.03 |
Recruiting and retaining providers | 1.56 | 0.05 |
Recruiting and retaining non-provider clinicians | 1.69 | 0.004 |
Recruiting and retaining non-clinicians | 1.38 | 0.06 |
Clinical reminder volume | 1.15 | 0.39 |
Delivering opiate therapy | 1.08 | 0.65 |
Time & effort to input notes | 1.02 | 0.93 |
CPRS alerts volume | 1.24 | 0.20 |