Research Article

Improving System Integration: The Art and Science of Engaging Small Community Practices in Health System Innovation

Table 2

(a) Physician characteristics and practice profile (). (b) UHN ED visit totals for fiscal year 2010-11 for top 50 community-based PCPs (identified in the NACRS database).
(a)

Office profile characteristic (%)

SexMale25 (83.3)
Female5 (16.7)

Age30–39 years2 (6.7)
40–49 years8 (26.7)
50–59 years8 (26.7)
60+ years12 (40.0)

Years in family practice≤5 years1 (3.3)
6–10 years1 (3.3)
11–15 years2 (6.7)
>15 years26 (86.7)

Practice size≤10001 (3.3)
1001–200011 (36.7)
2001–30006 (20.0)
>300012 (40.0)

Hours a week in patient care30 or fewer5 (16.7)
31–4016 (53.3)
More than 409 (30.0)

Practice appointment schedulingSame day appointment 24 (80.0)
Planned appointment (scheduling)23 (76.7)
Same day walk-in (no appointment)17 (56.7)

Uses email to connect withPatients12 (40.0)
Practice team20 (66.7)

Certification in the College of Family Physicians (CCFP)17 (56.7)

Experience in the ED (range 1–18 years)17 (56.7)

Mean number of patients seen in 1/2 day (range 12–50)23.4

Mean number of hours worked per week (range 24–56)37.4

Offers after-hours coverage26 (86.7)

Uses electronic medical record (EMR)22 (73.3)

Languages spoken by practice staff (other than English)Portuguese18 (60.0)
Italian13 (43.3)
Spanish11 (36.7)
French8 (26.7)
Cantonese 5 (16.7)
Mandarin4 (13.3)
Other6 (20.0)

Certification in Family Medicine from the College of Family Physicians (CCFP) is the professional designation of the specialty of family medicine in Canada. It is achieved from the College of Family Physicians of Canada (CFPC) after successful completion of both an approved training program and the certification examination.
(b)

SCOPE PCPs ()Nonparticipating PCPs ()

Mean169.4187.3
Median145149
Range74–44491–491
Total ED visits45744308