Pediatric Pay-for-performance in Asthma: Who Pays?
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Pay-for-performance is a term referring to a system that uses incentives to reward health care providers for producing an improvement in performance based on quality measures. It has become part of a growing movement to improve the quality of the health care system. The purpose of this article is to review and discuss pay-for-performance and how it relates to pediatrics and asthma.
KeywordsPay-for-performance Pay-for-performance asthma Value-based purchasing Asthma measures Asthma quality measures Quality measures Pediatric quality measures Pediatric asthma measures
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
- 2.Baker G: Pay for performance incentive programs in healthcare: market dynamics and executive process. Executive briefing. Available at http://www.leapfroggroup.org/media/file/Leapfrog-Pay_for_Performance_Briefing.pdf Accessed May 2010.
- 4.Agency for Healthcare Research and Quality, US Department of Health and Human Services: What is AHRQ? Available at http://www.ahrq.gov/about/whatis.htm. Accessed May 2010.
- 5.Agency for Healthcare Research and Quality, US Department of Health and Human Services: AHRQ profile: advancing excellence in health care. Available at http://www.ahrq.gov/about/profile.htm. Accessed May 2010.
- 6.Institute for Healthcare Improvement: About IHI. Available at http://www.ihi.org/ihi/about. Accessed May 2010.
- 10.National Committee for Quality Assurance: Measures assessing resource use highlight HEDIS. Available at http://ncqa.org/tabid/517/Default.aspx. Accessed June 2010.
- 11.National Committee for Quality Assurance: HEDIS 2010. Available at http://ncqa.org/tabid/1044/Default.aspx. Accessed June 2010.
- 12.The Leapfrog Group: About us. Available at http://www.leapfroggroup.org/about_us. Accessed June 2010.
- 13.•• Schatz M, Blaiss M, Green G, Aaronson D: Pay for performance for the allergist-immunologist: potential promise and problems. J Allergy Clin Immunol 2007, 120:769–775. This is an excellent review article discussing the evolution of P4P and how it relates to an allergist/immunologist.CrossRefPubMedGoogle Scholar
- 14.Hahn J: CRS Report for Congress: Pay-for-performance in health care. Available at http://188.8.131.52/professionals/Government_Relations/PDF_Doc/CRS%20report%20on%20P4P.pdf. Accessed July 2010.
- 18.National Committee for Quality Assurance: Quality of care measurement asthma. Available at http://www.ncqa.org/Portals/0/PublicComment/PCPI/NCQA-PCPI_Physician_Quality_of_Care_Measurement_for_Asthma.pdf. Accessed June 2010.
- 27.• Nelson A: Pay-for-performance programs: ethical questions and unintended consequences. J Fam Pract 2007, 56(10 Suppl A):16A–18A. This review raises several questions regarding P4P. It is presented here as a supplement. It is helpful in understanding some of the concerns regarding P4P.PubMedGoogle Scholar
- 42.National Heart Lung and Blood Institute: Expert Panel Report 3 (EPR3): guidelines for the diagnosis and management of asthma. Available at http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm. Accessed June 2010.