Transforming Medical Care: Case Study of an Exemplary, Small Medical Group " Most published descriptions of organizations providing or improving quality of care concern large medical groups or systems; however, 90% of the medical care in the United States is provided by groups of no more than 20 physicians. We studied one such group to determine the organizational and cultural attributes that seem related to its achievements in care quality. These were the principal attributes they founds.
1. Strong visionary leadership
2. Patient centered
3. Strong support for physician-patient relationship
4. Strong group, team, and standardization orientation
5. Extensive involvement and engagement of all physicians and staff
6. Highly organized change management
8. Strong change and improvement orientation
9. Broad physician sense of ownership and responsibility
10. Market driven
11. Data-based, transparent, and accountable
12. Pride and joy"
Excellent model - and it's possible to replicate it. However, I don't think it's one which it's possible to scale up. I believe medical care is a very personal service, which is best provided in the setting of a small medical practise.