Quantitative
PFs completed the PHITA on all 201 practices actively participating
during the 15-month period of coaching. There were no significant
differences in PHITA scores between urban and rural sites, or by
practice size (Table 2). However, independently owned practices had
significantly lower scores on both sub-scales compared to other
ownership types.
Most practices had PHITA scores in the lower range of possible scores.
Only 66 practices (32.8%) had a high score for EHR analytic capability,
while 60 practices (29.9%) had reliable and stable HIT analytic skills
(Table 3); only 43 practices (21.4%) had both (Table 3). A higher total
PHITA score was associated with increased ability to report ABCS CQMs.
In all, 72.2% of practices with the highest PHITA total score were able
to report two or more CQMs compared to only 20.0% of practices with the
lowest score (Table 3). Each one-point increase in PHITA score was
associated with a 29% higher probability of reporting two or more CQMs,
(OR 1.29, 95% C.I 1.17 – 1.42) (Figure 1).
Both sub-scores were significantly associated with CQM reporting ability
(Table 3) and with each other (correlation coefficient 0.62,
p<0.005). The association between the PHITA sub-scales and
ability of the site to report CQM measures did not change when adjusted
for practice ownership (data not shown).