Quality and financial outcomes from gainsharing for inpatient admissions: A three-year experience

Journal of Hospital Medicine

Volumn 5, Issue 9, 2010, Pages 501-507

  Leitman, I Michael ^a   Levin, Ruth ^a   Lipp, Michael J ^a   Sivaprasad, Latha ^a   Karalakulasingam, Christine J ^a   Bernard, David S ^a   Friedmann, Patricia ^a   Shulkin, David J ^a  

^a ALBERT EINSTEIN COLLEGE OF MEDICINE   (United States)

Author keywords

Core measures; Financial outcome; Gainsharing; Healthcare delivery systems; Hospital costs; Pay for performance; Physician incentives; Quality

Indexed keywords

ARTICLE; FINANCIAL MANAGEMENT; HEALTH CARE COST; HEALTH CARE QUALITY; HEALTH PROGRAM; HEALTH SERVICE; HOSPITAL ADMISSION; HOSPITAL CHARGE; HOSPITAL COST; HOSPITAL PATIENT; HOSPITAL PURCHASING; HUMAN; LENGTH OF STAY; MEDICARE; OPERATING ROOM; PHYSICIAN; PRIORITY JOURNAL;

COST CONTROL; COSTS AND COST ANALYSIS; FINANCIAL AUDIT; HOSPITAL COSTS; HOSPITAL-PHYSICIAN RELATIONS; HOSPITALS, RELIGIOUS; HUMANS; LENGTH OF STAY; NEW YORK CITY; PHYSICIAN INCENTIVE PLANS; QUALITY OF HEALTH CARE; REIMBURSEMENT, INCENTIVE;

EID: 78650328547     PISSN: 15535592     EISSN: 15535606     Source Type: Journal    
DOI: 10.1002/jhm.788     Document Type: Article

References (22)

1. Leff B, Reider L, Frick KD, et al. Guided care and the cost of complex healthcare: a preliminary report. Am J Manag Care. 2009; 15(8): 555-559.
2. Ketcham JD, Furukawa MF. Hospital-physician gainsharing in cardiology. Health Aff (Millwood). 2008; 27(3): 803-812.
3. Dirschl DR, Goodroe J, Thornton DM, Eiland GW. AOA Symposium. Gainsharing in orthopaedics: passing fancy or wave of the future? J Bone Joint Surg Am. 2007; 89(9): 2075-2083.
4. All Patient Defined Diagnosis Related Groups™ - 3M Health Information Systems, St Paul, MN.
5. Leff B, Reider L, Frick KD, et al. Guided care and the cost of complex healthcare: a preliminary report. Am J Manag Care. 2009; 15(8): 555-559.
6. Doyon C. Best practices in record completion. J Med Pract Manage. 2004; 20(1): 18-22.
7. Curtin K, Beckman H, Pankow G, et al. Return on investment in pay for performance: a diabetes case study. J Healthc Manag. 2006; 51(6): 365-374; discussion 375-376.
8. Collier VU. Use of pay for performance in a community hospital private hospitalists group: a preliminary report. Trans Am Clin Climatol Assoc. 2007; 188: 263-272.
9. Williams J. Making the grade with pay for performance: 7 lessons from best-performing hospitals. Healthc Financ Manage. 2006; 60(12): 79-85.
10. Millett C, Gray J, Saxena S, Netuveli G, Majeed A. Impact of a pay-for-performance incentive on support for smoking cessation and on smoking prevalence among people with diabetes. CMAJ. 2007; 176(12): 1705-1710.
11. Young GJ, Meterko M, Beckman H, et al, Effects of paying physicians based on their relative performance for quality. J Gen Intern Med. 2007; 22(6): 872-876.
12. Mandel KE, Kotagal UR. Pay for performance alone cannot drive quality. Arch Pediatr Adolesc Med. 2007; 161(7): 650-655.
13. Grossbart SR. What's the return? Assessing the effect of "pay-for-performance" initiatives on the quality of care delivery. Med Care Res Rev. 2006; 63(1 suppl)(): 29S-48S.
14. Berthiaume JT, Chung RS, Ryskina KL, Walsh J, Legorrets AP. Aligning financial incentives with "Get With the Guidelines" to improve cardiovascular care. Am J Manag Care. 2004; 10(7 pt 2): 501-504.
15. Rogliano J. Sampling best practices. Managing delinquent records. J AHIMA. 1997; 68(8): 28, 30.
16. Greene SE, Nash DB. Pay for performance: an overview of the literature. Am J Med Qual. 2009; 24; 140-163.
17. McMahon LF, Hofer TP, Hayward RA. Physician-level P4P:DOA? Can quality-based payments be resuscitated? Am J Manag Care. 2007; 13(5): 233-236.
18. Casalino LP, Elster A, Eisenberg A, et al. Will pay for performance and quality reporting affect health care disparities? Health Aff (Millwood). 2007; 26(3): w405-w414.
19. Campbell SM, McDonald R, Lester H. The experience of pay for performance in English family practice: a qualitative study. Ann Fam Med. 2008; 8(3): 228-234.
20. Teleki SS, Damberg CL, Pham C., et al. Will financial incentives stimulate quality improvement? Reactions from frontline physicians. Am J Med Qual. 2006; 21(6): 367-374.
21. Pierce RG, Bozic KJ, Bradford DS. Pay for performance in orthopedic surgery. Clin Orthop Relat Res. 2007; 457: 87-95.
22. Seidel RL, Baumgarten DA. Pay for performance survey of diagnostic radiology faculty and trainees. J Am Coll Radiol. 2007; 4(6): 411-415.