Changes in composite process scores for the provision of preventive services between EMR and non-EMR cohorts
| PROVISION OF PREVENTIVE SERVICES* | EMR COHORT | NON-EMR COHORT | DIFFERENCE | ADJUSTED DIFFERENCE BETWEEN THE GROUPS† |
|---|---|---|---|---|
| Including fecal occult blood testing | ||||
| • Composite process score in 2006, % | 63.0 | 63.6 | 0.6 | NA |
| • Composite process score in 2007, % | 65.7 | 67.1 | 1.4 | NA |
| • Difference (95% CI) | 2.7 (0.6 to 5.0) | 3.5 (0.5 to 6.6) | 0.8 (−3.0 to 4.6) | 0.7 (−2.8 to 3.9)‡ |
| Excluding fecal occult blood testing | ||||
| • Composite process score in 2006, % | 74.0 | 71.0 | 3.0 | NA |
| • Composite process score in 2007, % | 76.8 | 74.1 | 2.7 | NA |
| • Difference (95% CI) | 2.8 (0.5 to 5.1) | 3.1 (−0.2 to −6.4) | 0.3 (−3.7 to 4.4) | 0.3 (−3.0 to 3.6)§ |
CCFP—Certification in Family Medicine, CI—confidence interval, EMR—electronic medical record, NA—not applicable.
↵* Preventive services also include Papanicolaou smear tests, influenza vaccination, and screening mammograms.
↵† Adjusted for physician sex, CCFP status, number of years since graduation from medical school, and patient age.
↵‡ P = .55.
↵§ P = .53.