Table 4.
High Outliers | Low Outliers | |||||
---|---|---|---|---|---|---|
Site 1 | Site 2 | Site 3 | Site 4 | Site 5 | Site 6 | |
Domains related to performance | ||||||
Staffing | ✓ | ✓ | ✓ | |||
Innovation | ✓ | ✓ | ✓ | ✓ | ||
Champion | ✓ | ✓ | ✓ | |||
Qualifications | ✓ | ✓ | ✓ | ✓ | ||
Group learning | ✓ | ✓ | ✓ | ✓ | ||
Measurement | ✓ | ✓ | ✓ | |||
Domains not related to performance | ||||||
Telephone clinic | ✓ | ✓ | ✓ | |||
Commitment | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
Integration | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
Patient selection | ||||||
Tenure | ✓ | ✓ | ✓ | ✓ | ✓ |
Key to table:
✓ = present during measurement period of 2007–2008.
No symbol = absent during measurement period of 2007–2008.
Key to domains:
Staffing: Sufficient staffing to handle workload without rushing.
Innovation: Innovations to encourage evidence-based practice.
Champion: Presence of one or more quality champions for the ACC.
Qualifications: Hiring residency-trained pharmacists.
Group learning: Creating a climate of ongoing group learning.
Measurement: Internal performance measurement.
Telephone clinic: Majority of patients managed via telephone rather than face-to-face.
Commitment: Demonstrated commitment to serving veterans.
Integration: Effectively leverages the advantages of membership in an integrated health system.
Patient selection: Selectively refusing to treat difficult or troublesome patients (gaming).
Tenure: Clinic established more than 20 years ago.