Navigation Links
Pay-for-performance for hospitals
Date:6/29/2010

Pay-for-performance initiatives in which health care providers are rewarded with more funds for meeting clinical targets have been adopted in the UK and Australia. The approach has been piloted in the US by the Centers for Medicare and Medicaid Services (CMS), which is responsible for government-sponsored health insurance. The first wave of implementation across the US is slated for 2013, when hospitals will have some revenues withheld and then returned if they meet clinical targets. However, pay-for-performance assumes that hospitals have the economic and human resources they need to meet the targets despite the current inequalities in resources in the health care system. Jan Blustein, of New York University, and colleagues tested this assumption in a new study published this week in PLoS Medicine by examining the association between local economic and human resources and hospital performance for two common heart conditions.

Identifying hospitals that had reported performance for treating heart failure and heart attack between 2004 and 2007, the researchers used the pay-for-performance model to calculate scores for these hospitals. They looked for associations between the hospitals' performance scores and measures of local human and economic conditions. Hospitals in counties with longstanding population poverty had lower average performance scores for treating heart failure and heart attack than those in affluent counties. Hospitals in areas with a lower percentage of college graduates in the workforce also had lower average performance scores.

Despite improvement over the study period, hospitals in disadvantaged areas lagged behind with lower performance scores, even after four years. This suggests that pay-for-performance may transfer resources from hospitals in disadvantaged areas to those with better local resources, exacerbating inequalities in the health care system. They researchers suggest that the "reverse Robin Hood" consequences of the program could be avoided if a previously-proposed model for scoring were modified. "Holding providers accountable is not an unreasonable approach to quality improvement" the study concludes, but "it must be done in a way that attends to the profound inequalities in local circumstances that shape life in the twenty-first century."


'/>"/>

Contact: Andrew Hyde
press@plos.org
44-122-346-3330
Public Library of Science
Source:Eurekalert

Related medicine news :

1. Pay-for-performance programs may worsen medical disparities, study finds
2. ATS endorses pay-for-performance for pulmonary, critical care and sleep medicine
3. Panel: Properly designed pay-for-performance models can support medical professionalism
4. Pay-for-performance programs show positive impact on low-performing physicians
5. Green And Greener Survey Shows Hospitals Embrace Environmentally Sustainable Practices, Though Room for Improvement Remains
6. Infection Rate in Accredited Ambulatory Facilities is Lower than in Hospitals
7. University Hospitals Case Medical Center cardiologists discover cancer risks in blood pressure meds
8. The Mount Sinai Hospital Ranked in Top 25 of Best Children's Hospitals in Two Specialties by U.S. News & World Report
9. University Hospitals Case Medical Center experts present at ASCO Annual Meeting
10. MedStar Hospitals Honored at Obstetric Care Conference: The Third Annual PeriGen Knowledge Summit
11. ACR task force makes recommendations for improving relationships between radiologists and hospitals
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/27/2016)... ... June 27, 2016 , ... "FCPX editors can now reveal their ... Cut Pro X," said Christina Austin - CEO of Pixel Film Studios. , ... Pro X users can now reveal the media of their split screens with ...
(Date:6/26/2016)... ... ... Quality metrics are proliferating in cancer care, and are derived from many ... the beholder, according to experts who offered insights and commentary in the current issue ... the full issue, click here . , For the American Society of Clinical ...
(Date:6/26/2016)... ... June 26, 2016 , ... ... have been diagnosed with endometriosis. These women need a treatment plan to not ... comprehensive approach that can help for preservation of fertility and ultimately achieving a ...
(Date:6/25/2016)... ... 25, 2016 , ... First Choice Emergency Room , the largest network ... the Medical Director of its new Mesquite-Samuell Farm facility. , “We are pleased ... location,” said Dr. James M. Muzzarelli, Executive Medical Director of First Choice Emergency Room. ...
(Date:6/24/2016)... ... 2016 , ... A recent article published June 14 on E ... goes on to state that individuals are now more comfortable seeking to undergo not ... as calf and cheek reduction. The Los Angeles area medical group, Beverly Hills Physicians ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... , June 23, 2016  Guerbet announced today that ... Supplier Horizon Award . One of ... was recognized for its support of Premier members through ... clinical excellence, and commitment to lower costs. ... this recognition of our outstanding customer service from Premier," ...
(Date:6/23/2016)... 2016 Research and Markets has ... Global Analysis (United States, China, Japan, Brazil, United Kingdom, ... their offering. Surgical ... business planners, provides surgical procedure volume data in a ... an in-depth analysis of growth drivers and inhibitors, including ...
(Date:6/23/2016)... , June 23, 2016 The ... it continues to present great opportunities to investors. Stock-Callers.com ... today: Intrexon Corp. (NYSE: XON ), Vertex ... Inc. (NASDAQ: ARNA ), and Regeneron Pharmaceuticals ... these stocks and receive your complimentary trade alerts at: ...
Breaking Medicine Technology: