As Good As It Gets? Managing Risks of Cardiovascular Disease in California’s Top-Performing Physician Organizations

Rodríguez, Hector P.; Ivey, Susan L.; Raffetto, Brian; Vaughn, Jennifer; Knox, Margae; Hanley, Hattie Rees; Mangione, Carol M.; Shortell, Stephen M.

doi:10.1016/s1553-7250(14)40019-9

Cited by 7 publications

(2 citation statements)

References 43 publications

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“…We controlled for practice ownership and practice size (number of physicians) because these characteristics have been found to be associated with CMP use and HIT functionality and may confound the estimated relationship of HIT use and exnovation of CMPs. We also controlled for pay‐for‐performance participation, measured using a 3‐point index assessing receipt of payment for quality of care measures, adoption of information technology, and/or efficient utilization of resources, as such participation may confound the relationships of interest .…”

Section: Methodsmentioning

confidence: 99%

The Exnovation of Chronic Care Management Processes by Physician Organizations

et al. 2016

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Section: Methodsmentioning

confidence: 99%

The Exnovation of Chronic Care Management Processes by Physician Organizations

et al. 2016

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“…We controlled for practice size and independent practice association (IPA) affiliation because they have been previously found to be associated with CMP use and HIT functionality (Casalino et al, 2003; Casalino et al, 2013; McClellan, Casalino, Shortell, & Rittenhouse, 2013; Nembhard, 2012; Rodriguez et al, 2014; Rundall et al, 2002; Shortell et al, 2009) and could potentially confound the estimated relationship of practice ownership and changes in CMP use and HIT functionality. We also controlled for practice revenue from uninsured patients, which was only modestly associated with practice revenue from Medicaid ( r = .24).…”

Section: Methodsmentioning

confidence: 99%

Increased Use of Care Management Processes and Expanded Health Information Technology Functions by Practice Ownership and Medicaid Revenue

et al. 2015

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Practice ownership and Medicaid revenue may affect the use of care management processes (CMPs) for chronic conditions and expansion of health information technology (HIT). Using a national cohort of medical practices, we compared the use of CMPs and HIT from 2006/2008 to 2013 by practice ownership and level of Medicaid revenue. Poisson regression models estimated changes in CMP use, and linear regression estimated changes in HIT, by practice ownership and Medicaid patient revenue, controlling for other practice characteristics. Compared with physician-owned practices, system-owned practices adopted a greater number of CMPs and HIT functions over time (p < .001). High Medicaid revenue (≥30.0%) was associated with less adoption of CMPs (p < .001) and HIT (p < .01). System-owned practices (p < .001) and community health centers (p < .001) with high Medicaid revenue were more likely than physician-owned practices with high Medicaid revenue to adopt CMPs over time. System and community health center ownership appear to help high Medicaid practices overcome CMP adoption constraints.

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Contextual Factors Affecting the Implementation of Team-Based Primary Care: A Scoping Review

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Managing Improvement in Healthcare

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As Good As It Gets? Managing Risks of Cardiovascular Disease in California’s Top-Performing Physician Organizations

Cited by 7 publications

References 43 publications

The Exnovation of Chronic Care Management Processes by Physician Organizations

The Exnovation of Chronic Care Management Processes by Physician Organizations

Increased Use of Care Management Processes and Expanded Health Information Technology Functions by Practice Ownership and Medicaid Revenue

Contextual Factors Affecting the Implementation of Team-Based Primary Care: A Scoping Review

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