Implementation for Sustained Impact in Teleophthalmology (I-SITE): applying the NIATx Model for tailored implementation of diabetic retinopathy screening in primary care

Table 3 Teleophthalmology referrals among primary care providers (PCPs) based on election of diabetic eye screening performance-based financial incentive

	Year
	2016	2017	2018	2019	2020	Average
Proportion of PCPs electing incentive (n = 25)	0 (0%)	1 (4%)	9 (36%)	4 (16%)	14 (56%)	5.6 (22%)
	Total number of referrals
All PCPs	49	138	256	279	291	177.6
PCPs who did elect incentive	0	46	179	87	165	95.4
PCPs who did not elect incentive	49	92	77	192	126	107.2
p value	N/A	N/A^a	p = 0.03	p = 0.005	p = 0.11^b	-

^aThe I-SITE intervention began in 2017. At that time, one PCP elected the incentive since no other PCPs were aware of this opportunity. Therefore, a t test was not used to compare referrals between PCPs who did and did not elect the incentive in 2017.
^b2020 data were affected by the COVID-19 pandemic in that referrals declined in Spring 2020 as a result of reductions in primary care clinic visits due to safety concerns

ISSN: 2662-2211