Table 3 Overall Practice Characteristics of 136 HHN Practices and Summary Statistics Comparing Practices with Key Driver Implementation Scale Team Engagement Scores < 2 (n= 63) vs. ≥ 2 (n=73)
Practice Characteristics Survey items, [# missing] | N or mean (%, SD or range)a | TE < 2 N or mean (% or SE) | TE ≥ 2 N or mean (% or SE) | P-value chi-square or t-test |
 Practice Size (# of providers MD, DO, NP PA), [2] | 4.9 (4.2) | 4.9 (3.4) | 4.8 (4.7) | 0.99 |
 Practice Ownership Type, [0] | ||||
  Clinician-owned Solo or Group Practice | 70 (51.5 %) | 45 (64.3) | 25 (35.7) |  |
  Federally Qualified Health Center (FQHC) or Look-alike/Rural Health Clinic | 37 (27.2%) | 14 (37.8) | 23 (62.2) |  |
  Hospital/Health System/Academic Health Center. | 29 (21.3%) | 4 (13.8) | 25 (86.2) | <.0001 |
 Payer Mix [13], % | ||||
  Medicare [13] | 30.6% (5-82%) | 28.2 (15.1) | 32.9 (18.8) | 0.13 |
  Medicaid [13] | 15.4% (0-50%) | 14.9 (10.9) | 15.8 (11.1) | 0.66 |
  Dual Medicare/Medicaid [14] | 9.1% (0-70%) | 11.3 (11.9) | 7.1 (7.7) | 0.02 |
  Commercial [13] | 32.5% (0-79%) | 35.3 (18.0) | 29.8(17.0) | 0.09 |
  No insurance [13] | 11.8% (0-60%) | 9.4 (10.6) | 14.1 (15.5) | 0.05 |
  Other [14] | 1.5% (0-100%) | 2.6 (13.4) | 0.5 (1.97) | 0.22 |
 Patient-Centered Medical Home Recognition, [11] | ||||
  Yes | 74 (54.4%) | 36 (28.8) | 38 (30.4) |  |
  No | 51 (37.5 %) | 25 (20.0) | 26 (20.8) | 1.00 |
 Patients Seen/Day by Full Time Clinician, [12], | 21.3 (10-50) | 22.3 (6.4) | 20.4 (6.0) | 0.09 |
 Practice Location in a Medically Underserved Area (MUA), [0], | ||||
  Yes | 54 (39.7%) | 18 (33.3) | 36 (66.7) |  |
  No | 82 (60.3%) | 45 (54.9) | 37 (45.1) | 0.02 |
 Change Process Capability Questionnaire (CPCQ) SCORE (scored -28 to 28), [11] | 10 (13.3) | 9.3 (12.5) | 10.5 (14.0) | 0.63 |
 CPCQ-Cardiovascular Disease (CVD) Priority (single item, scored 1-10), [1] | 7.5 (1.7) | 7.4 (1.9) | 7.6 (1.6) | 0.49 |
 Number of Disruptive Practice Changes (0-7), [0] | 1 (1.0) | 0.8 (0.9) | 1.1 (1.1) | 0.06 |
 Prior or Ongoing Involvement in an Accountable Care Organization (ACO), [0] | ||||
  Yes | 61 (44.9%) | 24 (52.0) | 37 (48.0) |  |
  No | 75 (55.2%) | 39 (39.3) | 36 (60.7) | 0.19 |
Key Driver Implementation Scale items | ||||
bKDIS Mean Team Engagement Score of Months 4-6, [0] | 1.6 (0.7) | 0.98 (0.04) | 2.2 (0.04) | <.0001 |
  KDIS Practice Leadership Score (mean of months 4-6 scores, (0-3), [0] | 2.0 (0.7) | 1.6 (0.6) | 2.4 (0.6) | <.0001 |
Practice Member Survey Items | ||||
  Adaptive Reserve Score (18 items, aggregate score 0-1), [0] | 0.7 (0.1) | 0.7 (0.1) | 0.7 (0.1) | 0.82 |
  Practice Level of Burnout (single item, 0-4), [0] | 1.9 (0.6) | 1.9 (0.4) | 2.0 (0.7) | 0.28 |
  Practice Readiness (readiness1) single item, [0] | 4.0 (0.5) | 4.0 (0.5) | 4.0 (0.5) | 0.65 |
Practice Facilitation Experience Survey Items | ||||
  Years of Experience as a Practice Facilitator, [1] | 4.2 (3.7) | 4.0 (3.4) | 4.3 (4.0) | 0.62 |
 Practice with Prior Experience with NCAHEC Practice Support Program, [1] | ||||
  Yes | 38 (27.9%) | 17 (44.7) | 21 (55.3) |  |
  No | 97 (71.3%) | 45 (46.4) | 52 (53.6) | 1.00 |
 Practice-practice Facilitator Experience Working Together Prior to HHN, [1] | ||||
  Yes | 9 (6.7%) | 4 (44.4) | 5 (55.6) |  |
  No | 126 (92.7%) | 58 (46.0) | 68 (54.0) | 1.00^ |
 Practice facilitator has worked with the practice since the beginning of the project [1] | ||||
  Yes | 102 (75.0%) | 42 (41.2) | 60 (58.8) |  |
  No | 33 (24.3%) | 20 (60.6) | 13 (39.4) | 0.08 |