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A hospital payment system with incentives for improvement in quality of care: first lessons.
- Source :
-
QRB. Quality review bulletin [QRB Qual Rev Bull] 1990 Jul; Vol. 16 (7), pp. 252-6. - Publication Year :
- 1990
-
Abstract
- A demonstration program of five member hospitals of the Rochester Area Hospitals Corporation in Rochester, New York, is introducing two major changes into traditional quality assurance programs in hospitals: (1) a shift of focus from structure and process to outcomes and (2) replacement of punitive approaches with a positive, reward-oriented approach. Relying on the MedisGroups information system to measure outcomes and on statistical techniques to identify variations in hospitals' performance, the demonstration offers financial awards in the form of a payment adjustment incorporated into the hospital reimbursement system, based on each hospital's outcomes compared to both an external and a local standard. The authors report the first experiences with the demonstration and the prospects for continuous improvement of quality of care.
- Subjects :
- Databases, Bibliographic
Diffusion of Innovation
Humans
Interinstitutional Relations
New York
Pilot Projects
Professional Staff Committees
Salaries and Fringe Benefits
Hospitals, Community economics
Motivation
Outcome and Process Assessment, Health Care
Quality Assurance, Health Care economics
Reimbursement Mechanisms
Subjects
Details
- Language :
- English
- ISSN :
- 0097-5990
- Volume :
- 16
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- QRB. Quality review bulletin
- Publication Type :
- Academic Journal
- Accession number :
- 2120664
- Full Text :
- https://doi.org/10.1016/s0097-5990(16)30374-8