16 Distillation Guidebook Co-Lab • 9.18–9.19 2025 High performing system that is actvely growing: strong employer and quality care access, but significant local real estate footprint. Mixed perceptions of quality of care and of the institution’s relationship with the surrounding neighborhood as change outpaces quality. 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0 2.0 3.0 4.0 5.0 Change Overreliance on a single institution creates vulnerability if its role or presence declines. Insitutions are taking too much of a load in the region. Described as an “essential service” providing “nearby care,” but also noted as “re-seeding its mark in the community.” Quality Meds Quality and Change, Co-Lab City Portraits The chart above displays participants’ ratings of medical institutions in their small cities based on quality and change. Each bubble represents one institution. The X-axis measures the institution’s quality, rated from 1 (liability) to 5 (asset) by each participant. The Y-axis measures the pace of change, from 1 (slow) to 5 (fast). Each bubble therefore shows how participants perceive an institution’s quality in relation to how quickly it is changing.
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