Pay for performance improves quality across demographic groups

Quality Management in Health Care

Volumn 22, Issue 3, 2013, Pages 199-209

  Bhalla, Rohit ^a,b   Schechter, Clyde B ^b   Strelnick, A H ^a,b   Deb, Nandini ^a   Meissner, Paul ^a,b   Currie, Brian P ^a,b  

^a MONTEFIORE MEDICAL CENTER   (United States)

^b ALBERT EINSTEIN COLLEGE OF MEDICINE   (United States)

Author keywords

Ambulatory care; Health care disparities; Pay for performance; Quality improvement

Indexed keywords

AGED; CONFIDENCE INTERVAL; DEMOGRAPHY; ETHNOLOGY; FEMALE; HEALTH CARE DISPARITY; HEALTH CARE QUALITY; HUMAN; MALE; MEDICAL AUDIT; MIDDLE AGED; MINORITY GROUP; REGRESSION ANALYSIS; REIMBURSEMENT; RISK; TOTAL QUALITY MANAGEMENT; UNITED STATES; ARTICLE;

AGED; CONFIDENCE INTERVALS; DEMOGRAPHY; FEMALE; HEALTHCARE DISPARITIES; HUMANS; MALE; MEDICAL AUDIT; MIDDLE AGED; MINORITY GROUPS; ODDS RATIO; QUALITY ASSURANCE, HEALTH CARE; QUALITY IMPROVEMENT; QUALITY INDICATORS, HEALTH CARE; REGRESSION ANALYSIS; REIMBURSEMENT, INCENTIVE; UNITED STATES;

EID: 84880087039     PISSN: 10638628     EISSN: 15505154     Source Type: Journal    
DOI: 10.1097/QMH.0b013e31829a6b4f     Document Type: Article

References (30)

1. Institute of Medicine. Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington, DC: National Academies Press; 2003.
2. Agency forHealthcareQuality and Research. NationalHealthcare Disparities Report, 2010. Rockville, MD: US Department of Health and Human Services; 2011. AHRQ Publication No. 11-0005.
3. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the Twenty-first Century. Washington, DC: National Academies Press; 2001.
4. Institute of Medicine. Rewarding Provider Performance: Aligning Incentives in Medicare (Pathways to Quality Health Care Series). Washington, DC: National Academies Press; 2007.
5. Epstein AM, Lee TH, Hamel MB. Paying physicians for highquality care. N Engl J Med. 2004;350: 406-410.
6. Leapfrog Group. The Leapfrog Group Incentive and Rewards Compendium. Washington, DC; 2007. http://www .leapfroggroup.org/compendium2. Accessed June 2, 2013.
7. Kuhmerker K, Hartman T. Pay for Performance in State Medicaid Programs: A Survey of State Medicaid Directors and Programs. New York, NY: The Commonwealth Fund; 2007.
8. Rosenthal MB, Landon BE, Normand SL, Frank RG, Epstein AM. Pay for performance in commercial HMOs. N Engl J Med. 2006;18(355): 1895-1902.
9. Centers for Medicare & Medicaid Services. Roadmap for implementing value driven healthcare in the traditional Medicare fee-for-service program. https://www.cms.gov/ QualityInitiativesGenInfo/downloads/VBPRoadmap-OEA-1- 16-508.pdf. Accessed September 1, 2011.
10. Casalino LP. The unintended consequences of measuring quality on the quality of medical care. N Engl J Med. 1999;341(15): 1147-1150.
11. Casalino LP, Elster A, Einsenberg A, Lewis E, Montgomery J, Ramos D. Will pay-for-performance and quality reporting affect health care disparities? Health Aff. 2007;26(3):w405- w414.
12. Friedberg MW, Gelb Safran D, Cotin K, Dresser M, Schneider EC. Paying for performance in primary care: potential impact on practices and disparities. Health Aff. 2010;29(5): 926-932.
13. Rosenthal MB, Frank RG, Li Z, Epstein AM. Early experience with pay-for-performance. JAMA. 2005;294(14): 1788-1793.
14. Hood RG. Pay-for-performance - financial health disparities and the impact on healthcare disparities. J Natl Med Assoc. 2007;99(8): 953-958.
15. Blustein J, Weissman JS, Ryan AM, Doran T, Hasnain-Wynia R. Analysis raises questions on whether pay-for-performance can efficiently reduce racial and ethnic disparities. Health Aff. 2011;30(6): 1165-1175.
16. VanHerck P, De SmedtD, Annemans L, Remmen R, Rosenthal MB, Sermeus W. Systematic review: effects, design choices, and context of pay-for-performance in health care. BMC Health Serv Res. 2010;10(247): 1-13.
17. Alshamsan R, Majeed A, Asthworth M, Car J, Millett C. Impact of pay for performance on inequalities in health care: a systematic review. J Health Serv Res Policy. 2010;15(3): 178-184.
18. US Census Bureau. Bronx County, New York fact sheet. 2007-2011 American Community Survey 5-year estimates. http://factfinder2.census.gov/faces/nav/jsf/ pages/index.xhtml###. Accessed June 2, 2013.
19. Robert Wood Johnson Foundation. Expecting Success: Excellence in Cardiac Care. Program Results Report. Princeton, NJ: Robert Wood Johnson Foundation; 2011. http://www.rwjf.org/content/dam/farm/reports/program-results-reports/2011/ rwjf70497. Accessed June 2, 2013.
20. Hasnain-Wynia R, Pierce DA. Toolkit for Collecting Race, Ethnicity, and Primary Language Information From Patients. Chicago, IL: The Health Research and Educational Trust; 2005.
21. US Office of Management and Budget. Revisions to the standards for the classification of federal data on race and ethnicity. Federal Register Notice. October 30, 1997. http://www.whitehouse.gov/omb/fedreg/1997standards.html. Accessed July 30, 2010.
22. Scott A, Sivey P, Ait Ouakrim D, et al. The effect of financial incentives on the quality of health care provided by primary care physicians.Cochrane Database Syst Rev. 2011;(9): CD008451.
23. Hasnain-Wynia R, Baker DW, Nerenz D, et al. Disparities in health care are driven by where minority patients seek care: examination of the hospital quality alliance measures. Arch Intern Med. 2007;167: 1233-1239.
24. Werner RM, Goldman LE, Dudley RA. Comparison of change in quality of care between safety-net and non-safety-net hospitals. JAMA. 2008;299(18): 2180-2187.
25. Blustein J, Borden WB, Valentine M. Hospital performance, the local economy, and the local workforce: findings from a US national longitudinal study. PLoS Med. 2010;7(6): e1000297.
26. Trivedi AN, Grebla RC, Wright SM, Washington DL. Despite improved quality of care in the Veterans Affairs health system, racial disparity persists for important clinical outcomes. Health Aff. 2011;30(4): 707-715.
27. Asch SM, Kerr EA, Keesey J, et al. Who is at greatest risk for receiving poor-quality health care? New Engl J Med. 2006;354: 1147-1156.
28. Institute of Medicine. Subcommittee on Standardized Collection of Race/Ethnicity Data for Healthcare Quality Improvement. Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement.Washington, DC: National Academies Press; 2009.
29. Chin MH, Goldmann D. Meaningful disparities reduction through research and translation programs. JAMA. 2011;305(4): 404-405.
30. Marantz PR, Strelnick AH, Currie B, et al. Developing a multidisciplinary model of comparative effectiveness research within a clinical and translational science award. Acad Med. 2011;86: 712-717.