Table 3

Organizational characteristics by implementation status
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)

Values represented are frequency (percentage). 1Odds ratio (95% confidence interval).

2 Complexity level 1 facilities had highest complexity and level 3 the lowest.3 N=103 for this survey question.

Hall et al.

Hall et al. BMC Medical Informatics and Decision Making 2012 12:69   doi:10.1186/1472-6947-12-69

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