creators_name: Zejdlova, IA
creators_id: andreazejdl@seznam.cz
editors_name: Kakkilaya, Srinivas
editors_id: Kakkilaya BS
type: journale
datestamp: 2013-05-04 23:08:56
lastmod: 2013-05-04 23:08:56
metadata_visibility: show
title: Strategy to Support Improvement of Healthcare Quality.
ispublished: pub
subjects: OJHAS
full_text_status: public
keywords: Pay for performance; Quality; Health care; Payment models; Quality indicators
abstract: One of the latest market-based solutions to the rising costs and quality gaps in health care is pay for performance. Pay for performance is the use of financial incentives to promote the delivery of designated standards of care. It is an emerging movement in health insurance (initially in Britain and United States). Providers under this arrangement are rewarded for meeting pre-established targets for delivery of healthcare services. This is a fundamental change from fee for service payment.Also known as "P4P" or “value-based purchasing,” this payment model rewards physicians, hospitals, medical groups, and other healthcare providers for meeting certain performance measures for quality and efficiency. Disincentives, such as eliminating payments for negative consequences of care (medical errors) or increased costs, have also been proposed. In the developed nations, the rapidly aging population and rising health care costs have recently brought P4P to the forefront of health policy discussions. Pilot studies underway in several large healthcare systems have shown modest improvements in specific outcomes and increased efficiency, but no cost savings due to added administrative requirements. Statements by professional medical societies generally support incentive programs to increase the quality of health care, but express concern with the validity of quality indicators, patient and physician autonomy and privacy, and increased administrative burdens. This article serves as an introduction to pay for performance. We discuss the goals and structure of pay for performance plans and their limitations and potential consequences in the health care area.
date: 2013-01-25
date_type: published
publication: Online Journal of Health and Allied Sciences
volume: 11
number: 4(1)
publisher: Kakkilaya BS
refereed: TRUE
referencetext: 1.	Scott I. Pay for performance in health care: strategic issues for Australian experiments. The Medical Journal of Australia. 2007;187:31-35.
2.	Rosenthal B, Frank R. What Is the Empirical Basis for Paying for Quality in Health Care? Medical Care Research and Review. 2006;63:135-57.
3.	Aspden P, Wolcoit AJ, Bootman JL, Cronenwett RL. Preventing medication errors. Institute of Medicine of the National Academies. 2006. ISBN - 13: 978-0-309-10147-9
4.	Doran T, Fullwood C, Gravelle H et al. Pay-for-Performance Programs in Family Practices in the United Kingdom. The New England Journal of Medicine. 2006;375-384.
5.	Epstein A. Pay for Performance at the Tipping Point. The New England Journal of Medicine 2007;356(3);515-517.
6.	Snyder L, Richard L, Neubauer MD. Pay-for-Performance Principles That Promote Patient-Centered Care: An Ethics Manifesto. Annals of Internal Medicine 2007;147:792-794.
7.	Board on Health Care Services. Rewarding provider performance. Institute of Medicine of the National Academies. 2006. ISBN -13: 978-0-309-10216-2
citation:   Zejdlova, IA  (2013) Strategy to Support Improvement of Healthcare Quality.  [Journal (On-line/Unpaginated)]     
document_url: http://cogprints.org/8930/1/2012-4-1.pdf