Pay for performance for antibiotic timing in pneumonia: Caveat emptor

Joint Commission Journal on Quality and Patient Safety

Volumn 32, Issue 9, 2006, Pages 531-535

  Pines, Jesse M ^a   Hollander, Judd E ^a   Datner, Elizabeth M ^b   Metlay, Joshua P ^b  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

^b VETERANS AFFAIRS MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIINFECTIVE AGENT;

ARTICLE; COMMUNICABLE DISEASE; ECONOMICS; EMERGENCY HEALTH SERVICE; GOVERNMENT; HUMAN; PNEUMONIA; REIMBURSEMENT; TIME; UNITED STATES;

ANTI-BACTERIAL AGENTS; CENTERS FOR MEDICARE AND MEDICAID SERVICES (U.S.); COMMUNITY-ACQUIRED INFECTIONS; EMERGENCY SERVICE, HOSPITAL; HUMANS; PNEUMONIA; REIMBURSEMENT, INCENTIVE; TIME FACTORS; UNITED STATES;

EID: 33748551305     PISSN: 15537250     EISSN: None     Source Type: Journal    
DOI: 10.1016/s1553-7250(06)32069-7     Document Type: Article

References (22)

1. Wennberg J., Gittlesohn A.: Variations in medical care among small areas. Sci Am 2466:120-135, Apr. 1982.
2. Chassin M.R., et al.: Variations in the use of medical and surgical services by the Medicare population. N Engl J Med 314: 285-290, Jan. 30, 1986.
3. Centers for Medicare & Medicaid Services: Medicare "Pay for Performance (P4P)" Initiatives. http://www.cms.hhs.gov/media/press/release. asp?Counter=1343 (last accessed Jun. 28, 2006).
4. Infectious Diseases Society of America: Misuse of Pneumonia Guidelines Raises Concerns. http://www.idsociety.org/Template.cfm?Section= Home&CONTENTID=15225&TEMPLATE=/ContentManagement/ContentDisplay.cfm (last accessed Jun. 28, 2006).
5. Agency for Healthcare Research and Quality: National and Regional Estimates on Hospital Use for All Patients. http://hcup.ahrq.gov/HCUPneLasp (National and regional statistics; professional, medical researcher, last accessed Jul. 5, 2006).
6. Dean N.C., et al.: Decreased mortality after implementation of a treatment guideline for community-acquired pneumonia. Am J Med 110:451-457, Apr. 15, 2001.
7. Kahn K.L., et al.: Measuring quality of care with explicit process criteria before and after implementation of the DRG-based prospective payment system. JAMA 264:1969-1973, Oct. 17, 1990.
8. McGarvey R.N., Harper J.J.: Pneumonia mortality reduction and quality improvement in a community hospital. Qual Rev Bull 19:124-130, Apr. 1993.
9. Meehan T.P., et al.: Quality of care, process, and outcomes in elderly patients with pneumonia. JAMA 278:2080-2084, Dec. 17, 1997.
10. Dedier J., et al.: Process of Care, Illness Severity, and Outcomes in the Management of Community-Acquired Pneumonia at Academic Hospitals. Arch Intern Med 161:2099-2104, Sept. 24, 2001.
11. Houck P.M., et al.: Timing of antibiotic administration and outcomes for Medicare patients hospitalized with community-acquired pneumonia. Arch Intern Med 164:637-644, Mar. 22, 2004.
12. Centers for Medicare & Medicaid Services: Medicare Pay-for-Performance Demonstration Shows Significant Quality of Care Improvement at Participating Hospitals (news release), May 3, 2005. http://www.cms.hhs.gov/ apps/media/press/release.asp?Counter=1441 (last accessed Jun. 28, 2006).
13. McGlynn E.A.: Choosing and evaluating clinical performance measures. Jt Comm J Qual Improv 24:470-479, Sep. 1998.
14. Fishman P.E., et al.: The impact of trauma alert activation on care of emergency department patients with potential acute coronary syndromes. Ann Emerg Med, in press.
15. Metlay J.P., et al.: Influence of age on symptoms at presentation in patients with community-acquired pneumonia. Arch Intern Med 157:1453-1459, Jul. 14, 1997.
16. Pines J.M., et al.: Systematic delays in antibiotic administration in the emergency department for adult patients admitted with pneumonia. Acad Emerg Med, in press.
17. Joint Commission on Accreditation of Healthcare Organizations: Performance Measurement Initiatives - Current Specification Manual for National Hospital Quality Measures. http://www.jointcommission.org/ PerformanceMeasurement/PerformanceMeasurement/Current+NHQM+Manual.htm (last accessed Jun. 27, 2006).
18. Keeley E.C., Grines C.L.: Primary coronary intervention for myocardial infarction. JAMA 291: 736-739, Feb. 11, 2004.
19. Pines J.M., et al.: The association between emergency department crowding and hospital performance on antibiotic timing for pneumonia and percutaneous intervention for myocardial infarction. Acad Emerg Med, Jun. 9, 2006 [Epub ahead of print].
20. Pines J.M.: Profiles in patient safety: Antibiotic timing and pay-for-performance. Acad Emerg Med 13:787-790, Jul. 2006.
21. American Medical Association: Guidelines for Pay-for-Performance Programs. http://www.ama-assn.org/ama1/pub/upload/mm/368/guidelines4pay62705.pdf (last accessed Jul. 5, 2006).
22. Gordon J.A., et al.: Safety net research in emergency medicine. Acad Emerg Med 8:1024-1029, Nov. 2001.