Pediatric Pay-for-performance in Asthma: Who Pays?

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

1. 1.
   Freed GL, Uren RL: Pay-for-performance: an overview for pediatrics. J Pediatr 2006, 149:120–124.CrossRefPubMedGoogle Scholar
2. 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.
3. 3.
   Qaseem A, Snow V, Gosfield A, et al.: Pay for performance through the lens of medical professionalism. Ann Intern Med 2010, 152:366–369.PubMedGoogle Scholar
4. 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. 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. 6.
   Institute for Healthcare Improvement: About IHI. Available at http://www.ihi.org/ihi/about. Accessed May 2010.
7. 7.
   Sidawy AN: Pay for performance: the process and its evolution. J Vasc Surg 2006, 44:892–902.CrossRefPubMedGoogle Scholar
8. 8.
   Corrigan JM, Burstin H: Measuring quality of performance: where is it headed, and who is making the decisions? J Fam Pract 2007, 56(10 Suppl A):4A–7A.PubMedGoogle Scholar
9. 9.
   Mainous AG 3rd, Talbert J: Assessing quality of care via HEDIS 3.0. Is there a better way? Arch Fam Med 1998, 7:410–413.CrossRefPubMedGoogle Scholar
10. 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. 11.
    National Committee for Quality Assurance: HEDIS 2010. Available at http://ncqa.org/tabid/1044/Default.aspx. Accessed June 2010.
12. 12.
    The Leapfrog Group: About us. Available at http://www.leapfroggroup.org/about_us. Accessed June 2010.
13. 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. 14.
    Hahn J: CRS Report for Congress: Pay-for-performance in health care. Available at http://65.17.197.220/professionals/Government_Relations/PDF_Doc/CRS%20report%20on%20P4P.pdf. Accessed July 2010.
15. 15.
    • Glickman SW, Peterson ED: Innovative health reform models: pay-for-performance initiatives. Am J Manag Care 2009, 15(10 Suppl):S300–S305. This is a brief and general overview of P4P that may be particularly helpful as an introduction to the concept.PubMedGoogle Scholar
16. 16.
    Kmetik K: PCPI: what you should know about Consortium performance measures. J Fam Pract 2007, 56(10 Suppl A):8A–12A.PubMedGoogle Scholar
17. 17.
    Gelfand EW, Colice GL, Fromer L, et al.: Use of the health plan employer data and information set for measuring and improving the quality of asthma care. Ann Allergy Asthma Immunol 2006, 97:298–305.CrossRefPubMedGoogle Scholar
18. 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.
19. 19.
    Schatz M, Broder M, Chang E, et al.: Asthma quality-of-care measures using administrative data: identifying the optimal denominator. Ann Allergy Asthma Immunol 2009, 102:98–102.CrossRefPubMedGoogle Scholar
20. 20.
    Mosen DM, Macy E, Schatz M, et al.: How well do the HEDIS asthma inclusion criteria identify persistent asthma? Am J Manag Care 2005, 11:650–654.PubMedGoogle Scholar
21. 21.
    Gellad WF, Detsky AS, Choudhry NK: Implications of recent clinical trials on pay-for-performance. Am J Health Syst Pharm 2009, 66:864–867.CrossRefPubMedGoogle Scholar
22. 22.
    Fink KS: Value-driven health care: proceed with caution. J Am Board Fam Med 2008, 21:458–460.CrossRefPubMedGoogle Scholar
23. 23.
    Hayward RA: Performance measurement in search of a path. N Engl J Med 2007, 356:951–953.CrossRefPubMedGoogle Scholar
24. 24.
    Christianson JB, Leatherman S, Sutherland K: Lessons from evaluations of purchaser pay-for-performance programs: a review of the evidence. Med Care Res Rev 2008, 65(Suppl 6):5S–35S.CrossRefPubMedGoogle Scholar
25. 25.
    Rosenthal MB, Dudley RA: Pay-for-performance: will the latest payment trend improve care? JAMA 2007, 297:740–744.CrossRefPubMedGoogle Scholar
26. 26.
    Rosenthal MB: Nonpayment for performance? Medicare’s new reimbursement rule. N Engl J Med 2007, 357:1573–1575.CrossRefPubMedGoogle Scholar
27. 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
28. 28.
    Khanduja K, Scales DC, Adhikari NK: Pay for performance in the intensive care unit—opportunity or threat? Crit Care Med 2009, 37:852–858.CrossRefPubMedGoogle Scholar
29. 29.
    Rowe JW: Pay-for-performance and accountability: related themes in improving health care. Ann Intern Med 2006, 145:695–699.PubMedGoogle Scholar
30. 30.
    Rosenthal MB, Frank RG, Li Z, Epstein AM: Early experience with pay-for-performance: from concept to practice. JAMA 2005, 294:1788–1793.CrossRefPubMedGoogle Scholar
31. 31.
    Petersen LA, Woodard LD, Urech T, et al.: Does pay-for-performance improve the quality of health care? Ann Intern Med 2006, 145:265–272.PubMedGoogle Scholar
32. 32.
    Greene SE, Nash DB: Pay for performance: an overview of the literature. Am J Med Qual 2009, 24:140–163.CrossRefPubMedGoogle Scholar
33. 33.
    Schatz M: Does pay-for-performance influence the quality of care? Curr Opin Allergy Clin Immunol 2008, 8:213–221.CrossRefPubMedGoogle Scholar
34. 34.
    Fisher ES: Paying for performance—risks and recommendations. N Engl J Med 2006, 355:1845–1847.CrossRefPubMedGoogle Scholar
35. 35.
    Vonnegut M: Is quality improvement improving quality? A view from the doctor’s office. N Engl J Med 2007, 357:2652–2653.CrossRefPubMedGoogle Scholar
36. 36.
    Snyder L, Neubauer RL: Pay-for-performance principles that promote patient-centered care: an ethics manifesto. Ann Intern Med 2007, 147:792–794.PubMedGoogle Scholar
37. 37.
    Henley E: Pay-for-performance: what can you expect? J Fam Pract 2005, 54:609–612.PubMedGoogle Scholar
38. 38.
    Mehrotra A, Damberg CL, Sorbero ME, Teleki SS: Pay for performance in the hospital setting: what is the state of the evidence? Am J Med Qual 2009, 24:19–28.CrossRefPubMedGoogle Scholar
39. 39.
    Greenberg JO, Dudley JC, Ferris TG: Engaging specialists in performance-incentive programs. N Engl J Med 2010, 362:1558–1560.CrossRefPubMedGoogle Scholar
40. 40.
    Taub SJ: Pay for performance: is it ethical? Compr Ophthalmol Update 2007, 8:277–283.PubMedGoogle Scholar
41. 41.
    Chien AT, Dudley RA: Pay-for-performance in pediatrics: proceed with caution. Pediatrics 2007, 120:186–188.CrossRefPubMedGoogle Scholar
42. 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.
43. 43.
    Eisner MD, Iribarren C: The influence of cigarette smoking on adult asthma outcomes. Nicotine Tob Res 2007, 9:53–56.CrossRefPubMedGoogle Scholar