Increasing performance of health care services within economic constraints: Working towards improved incentive structures

Zeitschrift fur Arztliche Fortbildung und Qualitatssicherung

Volumn 101, Issue 6, 2007, Pages 381-388

  Custers, Thomas ^a,b,c   Klazinga, Niek S ^b   Brown, Adalsteinn D ^a  

^a MINISTRY OF HEALTH   (Canada)

^b UNIVERSITY OF AMSTERDAM   (Netherlands)

^c ONTARIO MINISTRY OF HEALTH AND LONG TERM CARE   (Canada)

Author keywords

Incentives; Pay for performance; Performance improvement strategies

Indexed keywords

EID: 34548680063     PISSN: 14317621     EISSN: 16180992     Source Type: Journal    
DOI: 10.1016/j.zgesun.2007.05.004     Document Type: Article

References (46)

1. "Incentives" A Dictionary of Economics. John Black. Oxford University Press, 2002. Oxford Reference Online. Oxford University Press.
2. Moore KJ. Getting Paid. Medicare, 2000 and you. Family Practice Management 1999;6(6):17.
3. Kerr S. On the folly of rewarding A, while hoping for B. Acad. Management J. 1975 (18): 769-783.
4. Institute of Medicine. Committee on quality of health care in America. Crossing the quality chasm: A new healthcare system for the twenty-first century. Washington, DC: National Academies Press; 2001.
5. Maio V, Goldfarb NI, Carter C, Nash DB, Value-Based Purchasing: A review of the literature. May 2003, http://www.cmwforg/usr_doc/maio valuebased 536.pdf (April 10, 2006).
6. Midwest Business Group on Health. Reducing the costs of poor-quality health care through responsible purchasing leadership. Chicago, II; 2002.
7. Rosenthal MB, Fernandopulle H, Song HR, Landon B. Paying for quality: providers' Incentives for quality Improvement. Health Affairs 2004;23(2):127-41.
8. Pink GH, Brown AD, Studer ML, Reiter KL, Leatt P. Pay-for-performance in publicly financed healthcare: some international experiences and considerations for Canada. Healthcare papers 2006;6(4):8-26.
9. Baker G, Carter B. Provider Pay-for-Performance Incentive Programs: 2004 National Study Results. San Francisco, CA: NedVantage; 2005.
10. Schekelle P. New Contract for general practitioners. BMJ 2003;326:457-8.
11. Velasco-Garrido M, Borowitz M, Ovretveit J, Busse R. Purchasing for quality of care. In: Figueras J, Robinson R, Jakubowskl E, editors. European Observatory on Health Systems and Policies Series: purchasing to improve health systems performance. Berkshire, England: Open University Press; 2005.
12. Medicare Australia. Formula for calculating PIP payments; 2005 http://www.medicareaustralla.gov.au/providers/incentives_allowances/pip/ calculating_payments.htm (July 13, 2006).
13. Wruck KH. Compensation, Incentives and Organizational Change: Ideas and Evidence from Theory and Practice, In: Michael Beer A, Nitin Nohria A, editors, Breaking the Code of Change. Boston, MA: Harvard Business School Press; 2000.
14. Dudley RA, Frolich A, Robinowitz DL, et al, Strategies to Support Quality-Based Purchasing A Review of the Evidence, Rockville, MD: Agency for Healthcare Research and Quality; 2004.
15. Petersen LA, Woodward LCD, Urech T, Daw C, Sookanan S. Does pay-for-performance improve the quality of health care? Annals of Internal Medicine 2006;145:265-72.
16. Rosenthal MB, et al. Early Experiences with Pay-for-Performance: From Concept to Practice, JAMA 2005;294:1788-93.
17. Premier, Inc. Centers for Medicare and Medicaid Services (CMS).Premler Hospital Quality Incentive Demonstration Project: Findings from Year One. Charlotte, NC; 2006. http://premierinc.com/all/quallty/hqi/resources/ HQIwhltepaper-4-13-06.pdf#search=%22Centers%20for%20Medicare %20and%20Medicaid%20Services%20measurs%20pay-for- performance%20Premier%20Hospital%20Quality%20Incentive%20Demonstratlon%22 (May 24, 2006).
18. Integrated Healthcare Association. Advancing quality through collaboration: the California pay for performance program. Oakland, CA; 2006.
19. American Health Consultants, Michigan P4P program given high grades; seven RWJF grantees honoured, Healthcare Benchmarks and Quality Improvement 2006;13(1):5-7.
20. Christensen DB, Neil N, Fassett WE, Smith DH, Holmes G, Stergachis A, Frequency and characteristics of cognitive services provided in response to a financial incentive. J Am Pharm Assoc (Wash) 2000;40:609-17.
21. Health Care Advisory Board. Pay-for-performance - how far, how fast? The Advisory Board Company. Washington, DC; 2005.
22. Kahneman D, Tversky A. Prospect theory: an analysis of decision under risk. Econometrica 1979;47(2):263-91.
23. Camerer CF. Prospect theory in the wild: evidence from the field. California Institute of Technology, Division of the Humanities and Social Sciences, Working Papers: No 1037; 1998.
24. Whyte G. Decision failures: why they occur and how to prevent them. Academy of Management Executive 1991;5:23-31.
25. Mannion R, et al. Decentralisation Strategies and Provider Incentives in Healthcare. Evidence from the English National Health Service. Appl Health Econ Health Policy. 2005;4(1).
26. Brown AD, Bhimanl H, Macleod H. Making performance reports work. Healthcare papers 2005;6(2).
27. Werner RM, Asch DA. The unintended consequences of publicly reporting quality information. JAMA 2005;293:1239-44.
28. Mannion R, Davies H, Marshall M. Impact of star performance ratings In English acute hospital trusts, J. Health Serv, Res. Policy. 2005;10(1):18-24.
29. Hibbard JH, Stockard J, Tusler M. Does publicizing hospital performance stimulate quality Improvement efforts? Health Affairs. 2003; March/April: 84-94.
30. Hibbard JH, Stockard J, Tusler M. Hospital Performance Reports: Impact on quality, market share and reputation. Health Affairs. 2005; July/August: 1150-1160.
31. Bevan G, Hood C. Have targets improved performance In the English NHS? BMJ 2006;332:419-22.
32. Robert Wood Johnson Foundation, Rewarding Results, Pay for Performance Initiative - Ten lessons learned; Press release; November 15, 2005, http://www.rwjf.org/files/newsroom/RewardingResulstsLessons_110705.pdf (February 10, 2006).
33. Mannion R, Goddard M, Public disclosure of comparative clinical performance data: lessons form the Scottish experience, Journal of Evaluation in Clinical Practice 2003;9(2).
34. Smith P, On the unintended consequences of publishing performance data In the public sector, International Journal of Public Administration 1995;18:277-310.
35. Marshall MNPS, Romano, et al. How do we maximize the impact of the public reporting of quality of care? International Journal for Quality In Health Care 2004;15(1):i57-63.
36. Kohn A. Why incentive plans cannot work. Harvard Business Review 1993; September/October.
37. Davies H. Measuring and reporting the quality of health care: issues and evidence from the international research literature. NHS Quality Improvement Scotland; 2005.
38. Frey BS, Oberholzer-Gee F. The Cost of Price Incentives: An Empirical Analysis of Motivation Crowding- Out. American Economic Review 1997;87(4):746-55.
39. Marshall M, Harrison S. It's about more than money; financial incentives and internal motivation. Quality and Safety in Health Care 2005;14:4-5.
40. Blue Cross Blue Shield of Michigan. Blue Cross Blue Shield of Michigan among seven Robert Wood Jonson grantees to highlight pay-for-performance results during a national press club briefing, http://www.bcbsm.com/pr/pr_11-15- 2005_25203.shtml. (July 20, 2006)
41. Shermer J. Blue Cross & Blue Shield of Michigan Participating Hospital Agreement Incentive System. In: Gutman A, editor. Case studies in health plan pay-for-performance programs. Washington, DC: Atlantic Information Services; 2004.
42. The Leapfrog Group. Leapfrog Group Incentives & Rewards Lily Pad Basic Toolkit for Frogs, http://www.leapfroggroup.org/media/flle/Leapfrog- Incentives and Rewards_Toolklt.pdf. (July 20, 2006).
43. Baker G. Pay for Performance Incentive Programs in Healthcare: Market Dynamics and Business Process. Baltimore: VIPS; 2004.
44. The Leapfrog Group. Incentives and Rewards Compendium, http://www.leap-froggroup.org/about_us/other_initiatives/incentives_and_rewards/ rewards_compendium (March 18, 2006)
45. Bott J. Measuring Hospital Efficiency: Employer Health Care Alliance Cooperation. (Presentation) Madison, WI: Employer Health Care Alliance Cooperation; 2006.
46. Integrated Healthcare Association. Pay-for performance Report Cards. http://www.iha.org/p4prptcd.htm (May 4, 2006).