Key Strengths and Weaknesses of Team-Level Quality Incentives
Strengths |
Quality improvement for the team |
Compelled to do better so colleagues are not “hurt” |
Working harder with partners’ patients because of team incentive |
Less patient “dumping” (shifting patients with poor outcomes to other physicians) |
Mixed |
Positive team dynamics |
Greater collaboration and teamwork |
More learning from colleagues |
Report helping others to improve quality metrics |
Negative team dynamics |
Greater overall tension and peer pressure |
Resentment over how others are practicing/level of quality |
Weaknesses |
Lack of control over compensation |
Free riding |