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Table 3 Barriers and Facilitators

From: Innovation in patient-centered care: lessons from a qualitative study of innovative health care organizations in Washington State

 

Health Plans

Provider Organizations

Barriers

Public Plans or Purchasers

Private Plans

Multispecialty Groups

Independent Practice Association

Insufficient analytic power

X

X

  

Regulatory restrictions

X

X

  

Economic constraints

X

   

Insufficient creativity

 

X

  

Pay for production

 

X

X

 

Insufficient financial capital

X

 

X

X

External Inertia

X

X

X

X

Internal Inertia

X

X

X

X

Insufficient information technology

  

X

 

Insufficient human capital

  

X

X

Facilitators

    

Data resources

X

X

  

Size

X

X

  

Experience

 

X

  

PPACA

 

X

  

Leadership

X

X

X

 

Personnel

  

X

X

Agility/responsiveness

  

X

X

Culture of continuous improvement

  

X

 

Willingness to take risks

  

X

X

  1. * No clear barriers or facilitators emerged from the clinic site interviews.