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Should the principle of “pay for performance” be applied to nutrition support?

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Abstract

Americans spent 2.4 trillion dollars on health care in 2008. The massive size of this expenditure has led to perpetual efforts to improve health care quality while attempting to reduce overall cost. A recent development in reimbursement strategies is the “pay-for-performance” model. Retrospective reports showed variable success for this model for the treatment of acute myocardial infarction, pneumonia, and congestive heart failure. As the model gains popularity, there is pressure to apply pay for performance to an increasing number of diseases and treatment settings. In this article, we evaluate the appropriateness of the pay-for-performance model with regard to nutritional support in the hospitalized patient.

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References and Recommended Reading

  1. Jones R, Brown C, Opelka F: Surgeon compensation: “pay for performance,” the American College of Surgeons National Surgical Quality Improvement Program, the Surgical Care Improvement Program, and other considerations. Surgery 2005, 138:829–836.

    Article  PubMed  Google Scholar 

  2. Doran T, Fullwood C, Gravelle H, et al.: Pay-for-performance programs in family practices in the United Kingdom. N Engl J Med 2006, 355:375–384.

    Article  PubMed  CAS  Google Scholar 

  3. Leaphart C, Graham D, Pieper P, et al.: Surgical quality improvement: a simplified method to apply national standards to pediatric trauma care. J Pediatr Surg 2009, 44:156–159.

    Article  PubMed  Google Scholar 

  4. Rosenthal M, Landon B, Normand S, et al.: Pay for performance in commercial HMOs. N Engl J Med 2006, 355:1895–1902.

    Article  PubMed  CAS  Google Scholar 

  5. Glickman S, Ou F, DeLong E, et al.: Pay for performance, quality of care, and outcomes in acute myocardial infarction. JAMA 2007, 297:2373–2380.

    Article  PubMed  CAS  Google Scholar 

  6. Bratzler D, Hunt D: The surgical infection prevention and surgical care improvement projects: national initiatives to improve outcomes for patients having surgery. Clin Infect Dis 2006, 43:322–330.

    Article  PubMed  Google Scholar 

  7. Neuman H, Michelassi F, Turner J, Bass B: Surrounded by quality metrics: what do surgeons think of ACS-NSQIP? Surgery 2009, 145:27–33.

    Article  PubMed  Google Scholar 

  8. Lindenauer P, Remus D, Roman, et al.: Public reporting and pay for performance in hospital quality improvement. N Engl J Med 2007, 356:489–496.

    Article  Google Scholar 

  9. Medicare program: revisions to hospital outpatient prospective payment system and calendar year 2007 payment rates; final rule. Fed Register 2006, 71(226):67959–68401.

  10. Mehrotra A, Damberg C, Sorbero M, Teleki S: Pay for performance in the hospital setting: what is the state of the evidence? Am J Med Qual 2009, 24:19–28.

    Article  PubMed  Google Scholar 

  11. Martindale R, McClave S, Vanek V, et al.: Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition: executive summary. Crit Care Med 2009, 37:1757–1761.

    Article  PubMed  Google Scholar 

  12. McClave S, Martindale R, Vanek V, et al.: Guidelines for the provision and assessment of nutrition support in the adult critically ill patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (ASPEN). JPEN J Parenter Enteral Nutr 2009, 33:277–316.

    Article  PubMed  Google Scholar 

  13. Khanduja K, Scales D, Adhikari N: Pay for performance in the intensive care unit—opportunity or threat? Crit Care Med 2009, 37:852–858.

    Article  PubMed  Google Scholar 

  14. Lochs H, Allison S, Meier R, et al.: Introductory to the ESPEN guidelines on enteral nutrition: terminology, definitions and general topics. Clin Nutr 2006, 25:180–186.

    Article  PubMed  CAS  Google Scholar 

  15. Doig G, Simpson F, Finfer S, et al.: Effect of evidence-based feeding guidelines on mortality of critically ill adults. JAMA 2008, 300:2731–2741.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Nicholas Spoerke.

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Spoerke, N., Martindale, R. Should the principle of “pay for performance” be applied to nutrition support?. Curr Gastroenterol Rep 11, 332–335 (2009). https://doi.org/10.1007/s11894-009-0048-9

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  • DOI: https://doi.org/10.1007/s11894-009-0048-9

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