Research Article

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

Table 3

(a) Strategy importance ratings, initial interest in SCOPE (). (b) Strategy importance ratings, attendance at engagement events (). (c) Strategy importance ratings, decision to sign up for SCOPE (). (d) Strategy importance rating, continued participation in SCOPE ().
(a)

Engagement strategyImportance rating (/5)
Mean (SD)Median (range)

The acknowledgment of the challenges of providing primary care in the community ()4.38 (0.73)5 (3–5)
Involvement of family practice colleagues as members of the SCOPE team3.53 (1.04)4 (1–5)
Initial recruitment by a family physician 3.27 (1.20)4 (1–5)
Face-to-face recruitment by SCOPE team3.23 (1.33)4 (1–5)
Involvement of hospital leaders, for example, CEO ()3.28 (1.19)3 (1–5)

Higher importance rating indicates greater perceived importance in influencing PCP decision-making.
(b)

Engagement strategyImportance rating (/5)
Mean (SD)Median (range)

The time of day the event was held (i.e., evening) ()3.96 (1.00)4 (2–5)
The opportunity to network with primary care colleagues3.81 (0.94)4 (1–5)
Interaction with specialist colleagues3.81 (1.02)4 (1–5)
One-on-one conversation with the SCOPE primary care lead3.73 (1.12)4 (1–5)
CME (MAINPRO-C) credit3.05 (1.43)3 (1–5)
The availability of food at the event ()2.64 (1.35)3 (1–5)

(c)

Engagement strategyImportance rating (/5)
Mean (SD)Median (range)

Opportunity to provide better care to my patients4.90 (0.31)5 (4-5)
Access to clinical resources
 Internist on-call 4.50 (0.73) 5 (3–5)
 Nurse navigator 4.43 (0.94) 5 (1–5)
 Homecare coordinator 4.33 (0.92)5 (1–5)
 Patient results online (PRO) 4.33 (0.84) 5 (2–5)
Opportunity to participate in health system change4.43 (0.73)5 (3–5)
Opportunity to improve linkages to my local hospital4.37 (0.85)4 (1–5)
Opportunity to provide input into the intervention 3.84 (1.08)4 (1–5)
Inclusion of my front line staff in the recruitment process3.80 (1.19)4 (1–5)

(d)

Engagement strategyImportance rating (/5)
Mean (SD)Median (range)

Positive personal experiences with SCOPE4.33 (0.80)4.5 (2–5)
Positive experiences for my patients with SCOPE4.33 (0.80)4.5 (2–5)
Monthly newsletter3.73 (0.98)4 (1–5)
In-person engagement events3.73 (0.91)4 (1–5)
Office visits by the SCOPE team3.67 (1.09)4 (1–5)