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Table 3 Organizational characteristics by implementation status

From: Implementation of automated reporting of estimated glomerular filtration rate among Veterans Affairs laboratories: a retrospective study

Characteristic

Overall N=104

Implemented N=92

Not Implemented N=12

P Value

Unadjusted Odds of Implementation1

Facility context

     

Number of Acute Care Beds (mean±SD)

115.9±87.4

118.5±89.4

96.7±70.1

0.42

 

Facility Complexity Score2

Level 1

56 (54)

50 (89)

6 (11)

0.86

1.19 (0.36-3.97)

Level 2

20 (19)

17 (85)

3 (15)

 

0.68 (0.16-2.78)

Level 3

28 (27)

25 (89)

3 (11)

 

1.12 (0.28-4.47)

Presence of Nephrologist

72 (69)

64 (89)

8 (11)

1.00

1.14 (0.32-4.11)

Presence of Dialysis Unit

54 (52)

54 (100)

0 (0)

<0.001

35.39 (2.03-615.93)

Affiliation with Academic Medical Center

84 (81)

72 (86)

8 (14)

0.12

0.14 (0.01-2.49)

Implementation activities and structures

Use of Clinical Champions3

93 (90)

81 (87)

12 (13)

0.60

0.31 (0.02-5.64)

Monitoring of Guideline Implementation

89 (86)

78 (89)

11 (12)

0.52

0.51 (0.06-4.24)

Presence of Plan for Implementation

98 (94)

86 (88)

12 (12)

1.00

0.53 (0.03-10.04)

Fostering of Collaboration among facilities3

91 (88)

80 (88)

11 (12)

0.70

0.66 (0.08-5.63)

Presence of Teamwork for Implementation

100 (96)

88 (88)

12 (12)

1.00

0.79 (0.04-15.51)

Adequate Financial Resources

30 (29)

25 (83)

5 (17)

0.30

0.52 (0.15-1.80)

Staff awareness and capabilities

Resistance from Primary Care Providers

17 (16)

17 (100)

0 (0)

0.20

5.79 (0.33-102.62)

Resistance from Subspecialists

20 (19)

20 (100)

0 (0)

0.11

7.07 (0.40-124.54)

Resistance from Local Support Staff

8 (8)

8 (100)

0 (0)

0.59

2.51 (0.14-46.32)

  1. Values represented are frequency (percentage). 1Odds ratio (95% confidence interval).
  2. 2 Complexity level 1 facilities had highest complexity and level 3 the lowest.3 N=103 for this survey question.