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Medicare Picks N.J. to Test Innovative Incentive System
Date:8/18/2009

e as ensuring the operating room starts on time each morning (to prevent backlogs that keep patients waiting, while also increasing expenses such as employee overtime) and encouraging physicians to write discharge orders for patients in the morning, so they can be released in a timely manner.

Quality Standards

  • In a first for a federal pilot project, participating hospitals have agreed to implement a system to track patients to their initial destinations following their discharge - to a nursing home, for example, or to their own home with home health support. The goal is to provide follow-up services to assess patients' recoveries, quickly address any problems that may arise and prevent costly readmissions to the hospital. This project will initially be limited to patients with strokes or congestive heart failure, but the goal is to make it a workable model for replication.
  • All participating hospitals have agreed to take part in the many quality collaboratives offered by NJHA's Institute for Quality and Patient Safety or equivalent programs. These efforts address healthcare concerns such as improving care in the intensive care unit, reducing pressure ulcers, fighting infection and removing racial disparities in heart care.
  • All participants will take part in data reporting requirements consistent with the Joint Commission (a national group that accredits hospitals) as well as National Patient Safety Goals. Both process measures (how well physicians adhere to best practices) and outcome measures (how well the patients fare) will be collected.

Financial Incentives

  • The program is strictly voluntary for physicians.
  • Physicians' accomplishments will be measured based on factors such as costs per case and adherence to nationally accepted best practices. All data will be adjusted t
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SOURCE New Jersey Hospital Association
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