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Table 1 Associations Between Hospital Characteristics and Implementation and Reach

From: Implementation of a billable transitional care model for stroke patients: the COMPASS study

 

Implementation: Scheduling 14-day Clinic Visit

Reach: TCM Billing Criteria Met

Characteristic (no. of patients)

N (%) meeting metric

OR

(95% CI)

N (%) meeting metric

OR

(95% CI)

Primary Stroke

Center Certification

 PSC (n = 2270)

1713 (77.3)

0.96

(0.38, 2.41)

524 (30.6)

0.75

(0.31, 1.81)

 Not PSC (n = 481)

366 (78.7)

1.00

(Reference)

128 (35.0)

1.00

(Reference)

Annual Stroke Volume

 300+ patients (n = 1643)

1173 (77.3)

0.51

(0.21, 1.23)

323 (27.5)

0.78

(0.32, 1.90)

  < 300 patients (n = 1108)

906 (83.6)

1.00

(Reference)

329 (36.3)

1.00

(Reference)

Geographic Region

 Urban (n = 2405)

1755 (75.0)

0.19

(0.07, 0.53)

479 (27.3)

0.58

(0.19, 1.81)

 Non-urban (n = 346)

324 (94.5)

1.00

(Reference)

173 (53.4)

1.00

(Reference)

Clinic Setting

 PCP (n = 389)

318 (84.1)

2.02

(0.82, 5.02)

71 (22.3)

0.78

(0.32, 1.89)

 Hospital-based (n = 461)

358 (79.0)

1.70

(0.64, 4.56)

68 (19.0)

0.69

(0.26, 1.84)

 Neurology (n = 1901)

1403 (75.8)

1.00

(Reference)

513 (36.6)

1.00

(Reference)

Organizational Readinessab

 

1.60

(1.00, 2.58)

 

1.25

(0.75, 2.07)

  0–3.9

759 (71.7)

  

166 (21.9)

  

  4.0–5.0

1320 (81.3)

  

486 (36.8)

  

Partnership Synergyac

 

1.13

(0.61, 2.08)

 

1.38

(0.77, 2.48)

  0–3.9

951 (75.2)

  

203 (21.3)

  

  4.0–5.0

1128 (79.5)

  

449 (39.8)

  
  1. OR were estimated using mixed logistic regression models adjusted for age, sex, race, diagnosis, insurance status, history of stroke/TIA, presence of cardiovascular-related comorbidity, and stroke severity
  2. Abbreviations: OR Odds Ratio, PSC Primary Stroke Center, PCP Primary Care Practice
  3. a OR is for 1-unit increase. Subgroups based on a cut-point of 4 are shown to summarize the number and proportion of patients meeting each metric for different levels of readiness and synergy
  4. b Organizational Readiness to Implement Change Scale was used to measure change commitment and efficacy [27]
  5. c Partnership Synergy Scale was used to measure the level of engagement between the post-acute coordinator and the community resource network [28]