An empirical assessment of high-performing medical groups: results from a national study.
The performance of medical groups is receiving increased attention. Relatively little conceptual or empirical work exists that examines the various dimensions of medical group performance. Using a national database of 693 medical groups, this article develops a scorecard approach to assessing group performance and presents a theory-driven framework for differentiating between high-performing versus low-performing medical groups. The clinical quality of care, financial performance, and organizational learning capability of medical groups are assessed in relation to environmental forces, resource acquisition and resource deployment factors, and a quality-centered culture. Findings support the utility of the performance scorecard approach and identification of a number of key factors differentiating high-performing from low-performing groups including, in particular, the importance of a quality-centered culture and the requirement of outside reporting from third party organizations. The findings hold a number of important implications for policy and practice, and the framework presented provides a foundation for future research.
Shortell
Stephen M
SM
University of California, Berkeley, CA, USA.
Schmittdiel
Julie
J
Wang
Margaret C
MC
Li
Rui
R
Gillies
Robin R
RR
Casalino
Lawrence P
LP
Bodenheimer
Thomas
T
Rundall
Thomas G
TG
D019985:Benchmarking; D017598:Efficiency, Organizational; D036262:Empirical Research; D005376:Financial Management; D006123:Group Practice / Q000458:organization & administration*; D006302:Health Services Research; D006801:Humans; D007193:Independent Practice Associations / Q000458:organization & administration*; D007858:Learning; D015279:Organizational Culture; D017060:Patient Satisfaction; D011216:Practice Management, Medical / Q000458:organization & administration*; D011320:Primary Health Care / Q000458:organization & administration*; D015397:Program Evaluation; D019984:Quality Indicators, Health Care; D014481:United States