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Henriksen K, Battles JB, Marks ES, et al., editors. Advances in Patient Safety: From Research to Implementation (Volume 1: Research Findings). Rockville (MD): Agency for Healthcare Research and Quality (US); 2005 Feb.
Advances in Patient Safety: From Research to Implementation (Volume 1: Research Findings).
Show detailsTable 3Organizational climate domains from the MEMO study
| Leadership/Governance alignment scale | mean (sd) alpha |
| 2.2* (0.7) .86 | |
| c. Our physician compensation formula is well aligned with our organization's goals. | 2.4 (0.9) |
| e. There is broad involvement of physicians in most financial decisions. | 1.8 (0.9) |
| f. Our administrators obtain and provide us with information that helps us improve the cost effectiveness of our patient care. | 2.0 (0.9) |
| g. Our compensation plan rewards those who work hard for our group. | 2.3 (1.1) |
| k. Our physician compensation formula is well understood by our physicians. | 2.1 (1.0) |
| l. Our administrative decision-making process is described as consensus building. | 2.1 (0.9) |
| o. The business office and administration are considered to be a very important part of our group practice. | 2.4 (1.0) |
| r. There is rapid change in clinical practice among our physicians when studies indicate that we can improve quality/reduce costs. | 2.3 (0.7) |
| Quality emphasis scale: | mean (sd) alpha |
| 2.5* (0.6) .86 | |
| b. Physicians who develop inappropriate patient care practices will be “talked to.” | 2.6 (1.0) |
| i. We emphasize patient satisfaction. | 2.9 (0.9) |
| j. The quality of each physician's work is closely monitored. | 2.1 (0.8) |
| m. There is an identifiable practice style that we all try to adhere to. | 2.3 (0.8) |
| u. There is a high level of commitment to measuring clinical outcomes. | 2.4 (0.8) |
| v. Quality of care is goal one. | 3.0 (0.8) |
| bb. We have developed a common standard of care. | 2.5 (0.8) |
| cc. Our clinical leadership is concerned with quality of care issues. | 2.9 (0.8) |
| dd. Adequate training is provided in dealing with quality of care issues. | 2.4 (0.8) |
| ee. Making changes to reduce the possibility of substandard care is difficult. | 2.7 (0.8) |
| aa. There is a general agreement on treatment methods. | 2.8 (0.7) |
| Organizational trust/Belonging scale | mean (sd) alpha |
| 2.6* (0.7) .79 | |
| q. There is a strong sense of belonging to the group. | 2.7 (0.9) |
| s. There is a great deal of organizational loyalty. | 2.5 (0.8) |
| t. There is a strong sense of responsibility to help one of our physicians if he/she has a personal problem. | 2.9 (0.9) |
| y. We encourage the internal reporting of all adverse patient care events. | 2.5 (0.9) |
| z. There is a high degree of organizational trust. | 2.2 (0.9) |
| Information/Communication scale | mean (sd) alpha |
| 2.6* (0.7) .68 | |
| n. We have very good methods to assure that our physicians change their practices to include new technologies and research findings. | 2.1 (0.8) |
| p. We rely heavily on electronic information systems to provide cost effective care. | 2.4 (1.0) |
| w. We rely heavily on computer-based information when seeing a patient. | 2.5 (1.0) |
| x. Candid and open communications exist between physicians and nurses. | 2.9 (0.8) |
| Cohesiveness scale | mean (sd) alpha |
| 2.6* (0.6) .66 | |
| a. There is widespread agreement about most moral/ethical issues. | 3.0 (0.8) |
| d. There is a great deal of sharing of clinical information. | 2.8 (0.8) |
| h. There is an open discussion of clinical failures. | 1.9 (0.8) |
- *
In response to the question, “To what degree do the following statements reflect the conditions in your group practice?” on a scale from 1 to 4, where 1 = not at all, and 4 = to a great extent. The letter prior to each statement refers to item on the MEMO Clinician Survey. Adapted from: Kralewski JD, et al. Assessing the culture of medical group practices. Medical Care 1996 34:377–388.
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