Tensions | Cluster 1 Stable high fidelity | Cluster 2 Moderate and improving fidelity |
---|---|---|
1. Organization’s vision and program’s fidelity | Organization’s vision focused - Mainly high or moderate starting positions - Generally more experienced at start | Program’s fidelity focused - Mainly low starting positions |
2. Active engagement of physicians and buffering physicians’ engagement | Active engagement of physicians - Mainly small organizations - Mainly stable organizational circumstances | Buffering physicians’ engagement - Mainly large organizations - Relatively more reorganizations |
3. High fidelity and cost-efficient implementation | High fidelity implementation - Stable/linear trajectory - Mainly high or moderate starting position - Mainly small organizations | Cost-efficient implementation - Developmental/incremental trajectory - Mainly low starting positions - Mainly large organizations |