A driving force for health equity

OCHIN's High Performers Project Update

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Brought to you by OCHIN HCCN

By Arielle Goranson, Quality Metrics Program Manager, and Cally Johnson, Quality Improvement Advisor

OCHIN’s High Performers Project

OCHIN built a methodology to better support health centers across the performance continuum to deliver the highest quality of care to the greatest number of vulnerable patients. We identified a shared definition of performance and are using it to understand key attributes that drive success, so that we can spread learnings, and increase performance of the collaborative.

Defining High Performance

We developed a way to describe performance that is meaningful to the organizations we work with. We adapted a methodology used by the Commonwealth Fund (1). The result is an evolving definition we use to identify organizations that are consistently outperforming the collaborative across a variety of indicators.

Learnings from High Performers

We explored quantitative and qualitative data, and assembled a constellation of observations that guide our understanding of what it takes to be a high performer:

Environmental Factors. Organizations across the performance spectrum operate in a variety of environments and serve diverse patient populations. This tells us that environment is a consideration, but does not appear to be a definitive factor for performance.

Electronic Health Record (EHR) and Analytics Factors. The longer an organization has been on an EHR seems to favorably correlate to performance. High-performing organizations’ care teams tend to interact more frequently with the EHR. Analytics play a critical role, driving action throughout the organization.

Organizational Factors. High performers appear to actively cultivate a learning organization model. We observed this through leadership styles, investment in organizational development, and a focus on aligning systems and teams to achieve the purpose of the organization.

Want to Learn More?

If you are interested in learning more about OCHIN’s High Performers Project, please reach out to Arielle Goranson (goransona@ochin.org) and Cally Johnson (johnsonc@ochin.org).


(1) The Commonwealth Fund. (2017). Aiming Higher: Results from the Commonwealth Fund Scorecard on State Health System Performance, 2017 Edition. Retrieved on March 26, 2018 from: http://www.commonwealthfund.org/interactives/2017/mar/state-scorecard/#chapter6.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number H2QCS30280 “Health Center Controlled Networks”, through the use of funds from the total annual award of $1,500,000. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.