Table 3. Technical Expert Panel Summary Findings.

Panelists were asked to rate the final list of attributes from “very important” to “not at all important” in influencing health system implementation and performance. The table below provides a binary presentation of the panelist’s groupings of attributes.

Very Important Characteristics	Less Important Characteristics
Organizational/Structural Characteristics   Patient characteristics   Risk bearing contracts – assuming full risk   Risk bearing contracts – upside/downside risk only	Organizational/Structural Characteristics   Size   Profit status   Ownership   Structural organizational integration   Teaching status   Layout and physical facilities
Business Execution   Financial position   Ability to manage cost	Business Execution   Market position   Business competencies
Market Context	Market Context   Geographic location   Healthcare environment   Community characteristics
Culture   Teamwork   Patient-centered culture   Accountability	Culture   Innovation   Safety/reliability
Leadership   Leadership behaviors   Leader engagement in quality and performance efforts   Leadership incentives	Leadership   Board engagement in quality and performance efforts   Strategic planning in quality and performance efforts   Board composition   Mission   Leadership intent (priorities)   Interorganizational leadership competencies
Care Delivery Characteristics   Availability of resources for care delivery and improvement   Effective use of provider teams   Use of population management strategies   Care comprehensiveness and care coordination	Care Delivery Characteristics   Use of clinical decision support including utilization management   Shared decision making/support   Use of clinical champions   Prompt and easy access to care   Emerging care models
Quality Improvement Activities and Infrastructure   Use of physician performance monitoring and feedback   Staff and provider involvement in QI   Leadership for QI   Resources for QI   Trained staff and training for staff	Quality Improvement Activities and Infrastructure   Publicly reporting performance   Scope of hospital QI activities   QI communication efforts
Health Information Technology   Electronic health records (EHR) and functions   Use of data and predictive analytics to drive changes   IT leadership and clinical informatics	Health Information Technology IT infrastructure IT leadership (systems and governance)
Human Resources   Staff engagement   Staff quality	Human Resources   Staff support   Staff morale   HR bundle