메뉴 건너뛰기




Volumn 53, Issue 10, 2015, Pages 901-907

Calculations of financial incentives for providers in a pay-for-performance program: Manual review versus data from structured fields in electronic health records

Author keywords

Incentives; Payment system design; Performance measurement

Indexed keywords

ANTIHYPERTENSIVE AGENT;

EID: 84941616689     PISSN: 00257079     EISSN: 15371948     Source Type: Journal    
DOI: 10.1097/MLR.0000000000000418     Document Type: Article
Times cited : (8)

References (31)
  • 1
    • 84872513944 scopus 로고    scopus 로고
    • Accuracy of electronically reported "meaningful use" clinical quality measures
    • Kern LM, Malhotra S, Barron Y, et al. Accuracy of electronically reported "meaningful use" clinical quality measures. Ann Intern Med. 2013;158:77-83.
    • (2013) Ann Intern Med. , vol.158 , pp. 77-83
    • Kern, L.M.1    Malhotra, S.2    Barron, Y.3
  • 2
    • 84865174655 scopus 로고    scopus 로고
    • Validity of electronic health record-derived quality measurement for performance monitoring
    • Parsons A, McCullough C, Wang J, et al. Validity of electronic health record-derived quality measurement for performance monitoring. J Am Med Inform Ass. 2012;19:604-609.
    • (2012) J Am Med Inform Ass. , vol.19 , pp. 604-609
    • Parsons, A.1    McCullough, C.2    Wang, J.3
  • 3
    • 84904969613 scopus 로고    scopus 로고
    • Using computer-extracted data from electronic health records to measures the quality of adolescent well-care
    • Gardner W, Morton S, Byron SC, et al. Using computer-extracted data from electronic health records to measures the quality of adolescent well-care. Health Serv Res. 2014;49:1226-1248.
    • (2014) Health Serv Res. , vol.49 , pp. 1226-1248
    • Gardner, W.1    Morton, S.2    Byron, S.C.3
  • 4
    • 84892571733 scopus 로고    scopus 로고
    • Medicare and Medicaid programs: Hospital outpatient prospective payment and ambulatory surgical center payment systems and quality reporting programs
    • Hospital Value-Based Purchasing Program; organ procurement organizations; quality improvement organizations; Electronic Health Records (EHR) Incentive Program; provider reimbursement determinations and appeals. Final rule with comment period and final rules
    • Centers for Medicare & Medicaid Services (CMS), HHS. Medicare and Medicaid programs: hospital outpatient prospective payment and ambulatory surgical center payment systems and quality reporting programs; Hospital Value-Based Purchasing Program; organ procurement organizations; quality improvement organizations; Electronic Health Records (EHR) Incentive Program; provider reimbursement determinations and appeals. Final rule with comment period and final rules. Fed Regist. 2013;78:74825-75200.
    • (2013) Fed Regist. , vol.78 , pp. 74825-75200
    • Centers for Medicare & Medicaid Services (CMS) HHS1
  • 5
    • 84907045000 scopus 로고    scopus 로고
    • More than half of US hospitals have at least a basic EHR, but stage 2 criteria remain challenging for most
    • Adler-Milstein J, Des Roches CM, Furukawa MF, et al. More than half of US hospitals have at least a basic EHR, but stage 2 criteria remain challenging for most. Health Aff (Millwood). 2014;33:1664-1671.
    • (2014) Health Aff (Millwood) , vol.33 , pp. 1664-1671
    • Adler-Milstein, J.1    Des Roches, C.M.2    Furukawa, M.F.3
  • 8
    • 84878171917 scopus 로고    scopus 로고
    • New York City ties doctors' income to quality of care
    • January 12, Accessed October 3, 2014
    • Hartocollis A. New York City ties doctors' income to quality of care. New York Times. January 12, 2013:A1. Available at: http://www.nytimes.com/2013/01/12/nyregion/new-york-city-hospitals-to-tiedoctorsperformance-pay-to-quality-measures.html?pagewanted=all&-r=2&. Accessed October 3, 2014.
    • (2013) New York Times , pp. A1
    • Hartocollis, A.1
  • 11
    • 80053435358 scopus 로고    scopus 로고
    • Design, rationale, and baseline characteristics of a cluster randomized controlled trial of pay for performance for hypertension treatment: Study protocol
    • Petersen LA, Urech T, Simpson K, et al. Design, rationale, and baseline characteristics of a cluster randomized controlled trial of pay for performance for hypertension treatment: study protocol. Implement Sci. 2011;6:114.
    • (2011) Implement Sci. , vol.6 , pp. 114
    • Petersen, L.A.1    Urech, T.2    Simpson, K.3
  • 12
    • 84883718408 scopus 로고    scopus 로고
    • Effects of individual physicianlevel and practice-level financial incentives on hypertension care: A randomized trial
    • Petersen LA, Simpson K, Pietz K, et al. Effects of individual physicianlevel and practice-level financial incentives on hypertension care: a randomized trial. JAMA. 2013;310:1042-1050.
    • (2013) JAMA , vol.310 , pp. 1042-1050
    • Petersen, L.A.1    Simpson, K.2    Pietz, K.3
  • 13
    • 84869209045 scopus 로고    scopus 로고
    • Financial incentives and physician commitment to guideline-recommended hypertension management
    • Hysong SJ, Simpson K, Pietz K, et al. Financial incentives and physician commitment to guideline-recommended hypertension management. Am J Manage Care. 2012;18:e378-e391.
    • (2012) Am J Manage Care , vol.18 , pp. e378-e391
    • Hysong, S.J.1    Simpson, K.2    Pietz, K.3
  • 14
    • 0038460302 scopus 로고    scopus 로고
    • The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: The JNC 7 report
    • Chobanian AV, Bakris GL, Black HR, et al. National Heart, Lung, and Blood Institute Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure; National High Blood Pressure Education Program Coordinating Committee. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA. 2003;289:2560-2572.
    • (2003) JAMA , vol.289 , pp. 2560-2572
    • Chobanian, A.V.1    Bakris, G.L.2    Black, H.R.3
  • 15
    • 0347952486 scopus 로고    scopus 로고
    • VistA-US Department of Veterans Affairs national-scale HIS
    • Brown SH, Lincoln MJ, Groen PJ, et al. VistA-US Department of Veterans Affairs national-scale HIS. Int J Med Inform. 2003;69:135-156.
    • (2003) Int J Med Inform. , vol.69 , pp. 135-156
    • Brown, S.H.1    Lincoln, M.J.2    Groen, P.J.3
  • 17
    • 84905995605 scopus 로고    scopus 로고
    • Insights from advanced analytics at the Veterans Health Administration
    • Fihn SD, Francis J, Clancy C, et al. Insights from advanced analytics at the Veterans Health Administration. Health Aff. 2014;33:1203-1211.
    • (2014) Health Aff. , vol.33 , pp. 1203-1211
    • Fihn, S.D.1    Francis, J.2    Clancy, C.3
  • 18
    • 4544237659 scopus 로고    scopus 로고
    • Informatics resources to support health care quality improvement in the Veterans Health Administration
    • Hynes DM, Perrin RA, Rappaport S, et al. Informatics resources to support health care quality improvement in the Veterans Health Administration. J Am Med Inform Assoc. 2004;11:344-350.
    • (2004) J Am Med Inform Assoc. , vol.11 , pp. 344-350
    • Hynes, D.M.1    Perrin, R.A.2    Rappaport, S.3
  • 19
    • 0042242561 scopus 로고    scopus 로고
    • Pharmacy data in the VA health care system
    • Smith MW, Joseph GJ. Pharmacy data in the VA health care system. Med Care Res Rev. 2003;60:92S-123S.
    • (2003) Med Care Res Rev. , vol.60 , pp. 92S-123S
    • Smith, M.W.1    Joseph, G.J.2
  • 23
    • 0025281244 scopus 로고
    • High agreement but low kappa: II. Resolving the paradoxes
    • Cicchetti DV, Feinstein AR. High agreement but low kappa: II. Resolving the paradoxes. J Clin Epidemiol. 1990;43:551-558.
    • (1990) J Clin Epidemiol. , vol.43 , pp. 551-558
    • Cicchetti, D.V.1    Feinstein, A.R.2
  • 24
    • 62549155284 scopus 로고    scopus 로고
    • Measuring agreement of administrative data with chart data using prevalence unadjusted and adjusted kappa
    • Chen G, Faris P, Hemmelgarn B, et al. Measuring agreement of administrative data with chart data using prevalence unadjusted and adjusted kappa. BMC Med Res Methodol. 2009;9:5.
    • (2009) BMC Med Res Methodol. , vol.9 , pp. 5
    • Chen, G.1    Faris, P.2    Hemmelgarn, B.3
  • 25
    • 79959203530 scopus 로고    scopus 로고
    • Patient self-report and medical records: Measuring agreement for binary data
    • Barbara AM, Loeb M, Dolovich L, et al. Patient self-report and medical records: Measuring agreement for binary data. Can Fam Physician. 2011;57:737-738.
    • (2011) Can Fam Physician , vol.57 , pp. 737-738
    • Barbara, A.M.1    Loeb, M.2    Dolovich, L.3
  • 26
    • 84973587732 scopus 로고
    • A coefficient of agreement for nominal scales
    • Cohen J. A coefficient of agreement for nominal scales. Edu and Psychol Meas. 1960;20:37-46.
    • (1960) Edu and Psychol Meas , vol.20 , pp. 37-46
    • Cohen, J.1
  • 27
    • 0017360990 scopus 로고
    • The measurement of observer agreement for categorical data
    • Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159-174.
    • (1977) Biometrics , vol.33 , pp. 159-174
    • Landis, J.R.1    Koch, G.G.2
  • 28
    • 33750987906 scopus 로고    scopus 로고
    • Assessing the validity of national quality measures for coronary artery disease using an electronic health record
    • Persell SD, Wright JM, Thompson JA, et al. Assessing the validity of national quality measures for coronary artery disease using an electronic health record. Arch Intern Med. 2006;166:2272-2277.
    • (2006) Arch Intern Med. , vol.166 , pp. 2272-2277
    • Persell, S.D.1    Wright, J.M.2    Thompson, J.A.3
  • 29
    • 3242749023 scopus 로고    scopus 로고
    • Can we use automated data to assess quality of hypertension care?
    • Borzecki AM, Wong AT, Hickey EC, et al. Can we use automated data to assess quality of hypertension care? Am J Manag Care. 2004;10:473-479.
    • (2004) Am J Manag Care , vol.10 , pp. 473-479
    • Borzecki, A.M.1    Wong, A.T.2    Hickey, E.C.3
  • 30
    • 33847258856 scopus 로고    scopus 로고
    • Automated review of electronic health records to assess quality of care for outpatients with heart failure
    • Baker DW, Persell SD, Thompson JA, et al. Automated review of electronic health records to assess quality of care for outpatients with heart failure. Ann Intern Med. 2007;146:270-277.
    • (2007) Ann Intern Med. , vol.146 , pp. 270-277
    • Baker, D.W.1    Persell, S.D.2    Thompson, J.A.3
  • 31
    • 84890450624 scopus 로고    scopus 로고
    • E-Measures: Insight into the challenges and opportunities of automating publicly reported quality measures
    • Garrido T, Kumar S, Lekas J, et al. e-Measures: insight into the challenges and opportunities of automating publicly reported quality measures. J Am Med Inform Assoc. 2014;21:181-184.
    • (2014) J Am Med Inform Assoc. , vol.21 , pp. 181-184
    • Garrido, T.1    Kumar, S.2    Lekas, J.3


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.