Pay for Performance

Patient safety - Pay for performance (P4P) 1 Current methods of healthcare payment may actually reward less- safe care, since some insurance companies will not pay for new practices to reduce errors, while physicians and hospitals can bill for additional services that are needed when patients are injured by mistakes.The Commonwealth Fund: [ Five Years After To Err Is Human: What Have We Learned?] However, early studies showed little gain in quality for the money spent, as well as evidence suggesting unintended consequences, like the avoidance of high-risk patients, when payment was linked to outcome improvements.US Congress, House Committee on Employer-Employee Relations: Pay For Performance Measures and Other Trends in Employer Sponsored Healthcare, May 17, 2005 The 2006 Institute of Medicine report Preventing Medication Errors recommended incentives...so that profitability of hospitals, clinics, pharmacies, insurance companies, and manufacturers (are) aligned with patient safety goals;...(to) strengthen the business case for quality and safety.

Pay for performance 1 *Pay for performance (human resources), a system of employee payment in the United States that links compensation to measures of work quality or goals

Pay for performance 1 *Pay for performance (healthcare), an emerging movement in health insurance in Britain and the United States, in which providers are rewarded for quality of healthcare services

Pay for performance (healthcare) 1 'Pay for performance' in healthcare gives financial incentives to clinicians for better health outcomes. Clinical outcomes, such as longer survival, are too difficult to measure, so pay for performance systems usually measure process outcomes, such as measuring blood pressure, lowering blood pressure, or counseling patients to stop smoking.

Pay for performance (healthcare) 1 Critics say that pay for performance is a technique borrowed from corporate management, where the main outcome of concern is profit

Pay for performance (healthcare) - Preliminary studies and trends 1 Current methods of healthcare payment may actually reward less-safe care, since some insurance companies will not pay for new practices to reduce errors, while physicians and hospitals can bill for additional services that are needed when patients are injured by mistakes.The Commonwealth Fund: [ _id= Five Years After To Err Is Human: What Have We Learned?] However, early studies showed little gain in quality for the money spent, as well as evidence suggesting unintended consequences, like the avoidance of high-risk patients, when payment was linked to outcome improvements.US Congress, House Committee on Employer- Employee Relations: Pay For Performance Measures and Other Trends in Employer Sponsored Healthcare, May 17,

Pay for performance (healthcare) - Preliminary studies and trends 1 The report recommends pay for performance programs as an immediate opportunity to align incentives for performance improvement

Pay for performance (healthcare) - Commentary by physician organizations 1 *American Academy of Family Physicians: there are a multitude of organizational, technical, legal and ethical challenges to designing and implementing pay for performance programsAmerican Academy of Family Physicians: [ /policies/p/payforperformance.html Pay- For-Performance] (Retrieved )

Pay for performance (healthcare) - United Kingdom 1 In the United Kingdom, the National Health Service (NHS) began a major pay for performance initiative in 2004, known as the Quality and Outcomes Framework (QOF).National Health Service: [ Quality and Outcomes Framework data] Retrieved July 8, 2006 General practitioners agreed to increases in existing income according to performance with respect to 146 quality indicators covering clinical care for 10 chronic diseases, organization of care, and patient experience

Pay for performance (healthcare) - California 1 Responding to public backlash to managed care in the 1990s, California health care plans and physician groups developed a set of quality performance measures and public report cards, emerging in 2001 as the California Pay for Performance Program, now the largest pay-for-performance program in the country.Integrated Healthcare Association (February 2006): [ Advancing Quality Through Collaboration: The California Pay for Performance Program] (Retrieved ) Financial incentives based on utilization management were changed to those based on quality measures

Pay for performance (healthcare) - Medicare 1 In the United States, Medicare (United States)|Medicare has various pay-for- performance (P4P) initiatives in offices, clinics and hospitals, seeking to improve quality and avoid unnecessary health care costs.Medicare: [ lease.asp?Counter=1343 Pay For Performance (P4P) Initiatives] The Centers for Medicare and Medicaid Services (CMS) has several demonstration projects underway offering compensation for improvements:

Pay for performance (healthcare) - Medicare 1 Preliminary data from the second year of the study indicates that pay for performance was associated with a roughly 2.5% to 4.0% improvement in compliance with quality measures, compared with the control hospitals

Pay for performance (healthcare) - Multiple providers for complex disorders 1 Pay for performance programs often target patients with serious and complex illnesses; such patients commonly interact with multiple healthcare providers and facilities

Pay for performance (human resources) 1 'Performance-related pay' or 'pay for performance' is money paid relating to how well one works. Car salesmen or production line workers, for example, may be paid in this way, or through commission (remuneration)|commission.

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