Characteristics of High-Performing Physicians: Reviewing Behavioral Outcomes

Posted on 12.11.14

This is our second post in a three-part series, examining what characteristics distinguish high-performing physicians. The second characteristic that distinguishes high-performing physicians is behavioral outcomes.

Behavioral outcomes and communication are vitally important for patient engagement and compliance, which in turn impacts claims costs.

Below are some items to take into consideration when examining a physician’s behavioral outcomes:


·        Review claims examiner satisfaction. When looking at the communication between claims examiner and the physician, there needs to be a clear work status. The physician should also respond to questions when necessary and request authorization when appropriate prior to treatment or service. It is also recommended to stay within the specific designated network for medical services.


·        Examine patient/injured worker satisfaction. Overcome the “company doctor” mentality and the relationship between the patient and physician will be much improved.  Explain the extent of the injury and treatment plan to the patient so they have an understanding of what will happen over the course of an extended period of time. Making the patient feel comfortable about the injury and gaining the injured workers’ trust is crucial in helping that individual recover. Communication and building a rapport is very important and it can be difficult to measure but it becomes a pattern of practice when enough complaints are coming in.


·        Look at the quality of office interaction. Office staff can make or break a medical practice, and the attitude of the staff is significant when trying to determine high-performing physicians. There needs to be proactive, regular communication with the claims examiner. Physical condition of the office is also important, making sure everything is professional and clean will go a long way to reassuring the patient during this stressful time.

Looking at these various behavioral-related factors will help to determine whether a physician meets Harbor’s requirements to be included in the Harbor One MPN, and whether these physicians can truly be considered high-performing or best-in-class.

Stay tuned for our final post in this three-part series on how to identify high-performing physicians.

Did you miss the first blog on this topic? Not to worry, we’ve got you covered. Click here:


To learn more about how Harbor Health Systems can help lower claims costs for your organization, contact us today at (949) 273-7020.

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