Volume 53 | Number 3 | June 2018

Abstract List

Alexander F. Pimperl Mag. (FH), Hector P. Rodriguez Ph.D., M.P.H., Julie A. Schmittdiel Ph.D., Stephen M. Shortell Ph.D., M.P.H., M.B.A.


To identify positive deviant () physician organizations of Accountable Care Organizations (s) with robust performance management systems ().

Data Source

Third National Survey of Physician Organizations (3,  = 1,398).

Study Design

Organizational and external factors from 3 were analyzed.

Data Collection/Extraction Methods

Linear regression estimated the association of internal and contextual factors on . Two cutpoints (75th/90th percentiles) identified s with the largest residuals and highest scores.

Principal Findings

A total of 65 and 41 s were identified using 75th and 90th percentiles cutpoints, respectively. The 90th percentile more strongly differentiated s from non‐s. Having a high proportion of vulnerable patients appears to constrain development.


Our identification method increases the likelihood that organizations selected for in‐depth inquiry are high‐performing organizations that exceed expectations.