Objective: To identify positive deviant (PD) physician organizations of Accountable Care Organizations (ACOs) with robust performance management systems (PMSYS).
Data source: Third National Survey of Physician Organizations (NSPO3, n = 1,398).
Study design: Organizational and external factors from NSPO3 were analyzed.
Data collection/extraction methods: Linear regression estimated the association of internal and contextual factors on PMSYS. Two cutpoints (75th/90th percentiles) identified PDs with the largest residuals and highest PMSYS scores.
Principal findings: A total of 65 and 41 PDs were identified using 75th and 90th percentiles cutpoints, respectively. The 90th percentile more strongly differentiated PDs from non-PDs. Having a high proportion of vulnerable patients appears to constrain PMSYS development.
Conclusions: Our PD identification method increases the likelihood that PD organizations selected for in-depth inquiry are high-performing organizations that exceed expectations.
Keywords: Healthcare organizations and systems; health policy/politics/law/regulation; incentives in health care; information technology in health; quality improvement/report cards (interventions); quality of care/patient safety (measurement).
© Health Research and Educational Trust.