The business case for pediatric asthma quality improvement in low-income populations: Examining a provider-based pay-for-reporting intervention

International Journal for Quality in Health Care

Volumn 27, Issue 3, 2015, Pages 189-195

  Reiter, Kristin L ^a   Lemos, Kristin Andrews ^b   Williams, Charlotte E ^c   Esposito, Dominick ^b   Greene, Sandra B ^a,c  

^a University of North Carolina at Chapel Hill   (United States)

^b MATHEMATICA POLICY RESEARCH   (United States)

^c UNIVERSITY OF NORTH CAROLINA   (United States)

Author keywords

Asthma; Audit and feedback; Business case; Medicaid; Pay for reporting; Return on investment

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; ASTHMA; CHILD; CHILD CARE; CHILD HEALTH CARE; CONTROLLED STUDY; FEMALE; HEALTH CARE COST; HEALTH CARE PERSONNEL; HEALTH CARE PLANNING; HEALTH EDUCATION; HUMAN; INVESTMENT; LOWEST INCOME GROUP; MAJOR CLINICAL STUDY; MALE; MEDICAID; PHYSICIAN ASTHMA CARE EDUCATION; PRESCHOOL CHILD; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; SCHOOL CHILD; TOTAL QUALITY MANAGEMENT; YOUNG ADULT; DOCUMENTATION; ECONOMICS; NEW YORK; ORGANIZATION AND MANAGEMENT; PERSONNEL MANAGEMENT; POVERTY; PRACTICE GUIDELINE; PRIMARY HEALTH CARE; PROTOCOL COMPLIANCE; UNITED STATES;

ADOLESCENT; ASTHMA; CHILD; CHILD, PRESCHOOL; DOCUMENTATION; FEMALE; GUIDELINE ADHERENCE; HUMANS; MALE; MEDICAID; NEW YORK; PHYSICIAN INCENTIVE PLANS; POVERTY; PRACTICE GUIDELINES AS TOPIC; PRIMARY HEALTH CARE; PROSPECTIVE STUDIES; QUALITY IMPROVEMENT; UNITED STATES; YOUNG ADULT;

EID: 84930844561     PISSN: 13534505     EISSN: 14643677     Source Type: Journal    
DOI: 10.1093/intqhc/mzv018     Document Type: Article

References (26)

1. Rodney J, Dinakar C. Pediatric pay-for-performance in asthma: who pays? Curr Allergy Asthma Rep 2010;10:405-10.
2. Doran T, Fullwood C, Kontopantelis E et al. Effect of financial incentives on inequalities in the delivery of primary clinical care in England: analysis of clinical activity indicators for the quality and outcomes framework. Lancet 2008;372:728-36.
3. US Department of Health and Human Services. Medicaid Cost-Savings Opportunities 2011. http://www.hhs.gov/news/press/2011pres/02/20110203tech.html (16 October 2012, date last accessed).
4. Goodman DC, Stukel TA, Chang C. Trends in pediatric asthma hospitalization rates: regional and socioeconomic differences. Pediatrics 2000;101:208-13.
5. Adams K, Corrigan J. Priority areas for national action: transforming health care quality. Washington, DC: National Academies Press, 2004.
6. Bravata DM, Sundaram V, Lewis R et al. Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies (Vol. 5: Asthma Care). Rockville, MD: Agency for Healthcare Research and Quality, 2007.
7. Ducharme FM, Bhogalb SK. The role of written action plans in childhood asthma (review). Curr Opin Allergy Clin Immunol 2008;8:177-88.
8. Ducharme FM, Zemek RL, Chalut D et al. Written action plan in pediatric emergency room improves asthma prescribing, adherence, and control. Am J Respir Crit Care Med 2011;183:195-203.
9. Dinakar C, Van Osdol TJ,Wible K. How frequent are asthma exacerbations in a pediatric primary care setting and do written asthma action plans help in their management? J Asthma 2004;41:807-12.
10. Coffman JM, Cabana MD, Halpin HA et al. Effects of asthma education on children's use of acute care services: a meta-analysis. Pediatrics 2008;121:575-86.
11. Gibson PG, Powell H, Coughlan J et al. Self-management education and regular practitioner review for adults with asthma. Cochrane Database Syst Rev 2003;1:1-84.
12. Zemek RL, Bhogal SK, Ducharme FM. Systematic review of randomized controlled trials examining written action plans in children. Arch Pediatr Adolesc Med 2008;162:157-63.
13. National Asthma Education and Prevention Program Coordinating Committee. Guidelines for the Diagnosis and Management of ASthma (EPR-3). National Heart Lung and Blood Institute, 2007. http://www.nhlbi.nih.gov/guidelines/asthma/ (16 October 2012, date last accessed).
14. Ross TT, Sin DD, Sharpe HM et al. Management of asthma among community-based primary care physicians. J Asthma 2005;42:163-7.
15. Ivers N, Jamtvedt G, Flottorp S et al. Audit and feedback: effects on professional practice and healthcare outcomes (Review). Cochrane Database Syst Rev 2012: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000259.pub3/abstract (24 March 2015, date last accessed).
16. Foels TJ. Second-Generation P4P: Rational Design, Purposeful Implementation, Proven Results. Presentation at National Pay for Performance Summit, Los Angeles, CA, February 7, 2006.
17. Leatherman S, Berwick D, Iles D et al. The business case for quality: case studies and an analysis. Health Affairs 2003;22:17-30.
18. Perlin JB, Horner SJ, Englebright JD et al. Rapid core measure improvement through a "business case for quality". J Healthc Qual 2014;36:50-61.
19. Reiter KL, Kilpatrick KE, Greene SB et al. How to develop a business case for quality. Int J Qual Health Care 2007;19:50-5.
20. Micklethwaite A, Brownson CA, O'Toole ML et al. The business case for a diabetes self-management interventionin a community general hospital. Popul Health Manag 2012;15:230-5.
21. McKethan A, Brammer C, Jain SH. Toward a business case for performance improvement. Am J Manag Care 2011;17:e459-61.
22. Domino ME, Humble C, Lawrence WW Jr et al. Enhancing the medical homes model for children with asthma. Med Care 2009;47:1113-20.
23. Centers for Disease Control. Asthma Prevalence and Control Characteristics by Race/Ethnicity - United States, 2002. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5307a1.htm (20 January 2015, date last accessed).
24. Singh K, Speizer I, Handa S et al. Impact evaluation of a quality improvement intervention on maternal and child health outcomes in Northern Ghana: early assessment of a national scale-up project. Int J Qual Health Care 2013;25:477-87.
25. Rahimzai M, Amiri M, Burhani NH et al. Afghanistan's national strategy for improveing quality in health care. Int J Qual Health Care 2013;25:270-6.
26. Mate KS, Sifrim ZK, Chalkidou K et al. Improving health system quality in low- and middle-income countries that are expanding health coverage: a framework for insurance. Int J Qual Health Care 2013;25:497-504.