ICHRN Knowledge Library

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ICHRN Knowledge Library
  • Date
  • Title
    Pay for Performance, Quality of Care, and Outcomes in Acute Myocardial Infarction
  • Journal

  • Publisher
    Journal of the American Medical Association
  • Year
  • Author
    Glickman SW, Ou FS, DeLong ER, Roe MT,Lytle BL, Mulgund J, Rumsfeld JS, Gibler WB, Ohman M, Schulman KA and Peterson ED,
  • Description
    [Excerpt from authors]Context: Pay for performance has been promoted as a tool for improving quality of care. In 2003, the Centers for Medicare & Medicaid Services (CMS) launched the largest pay-for-performance pilot project to date in the United States, including indicators for acute myocardial infarction. Objective: To determine if pay for performance was associated with either improved processes of care and outcomes or unintended consequences for acute myocardial infarction at hospitals participating in the CMS pilot project. Conclusions: Among hospitals participating in a voluntary quality-improvement initiative, the pay-for-performance program was not associated with a significant incremental improvement in quality of care or outcomes for acute myocardial infarction. Conversely, we did not find evidence that pay for performance had an adverse association with improvement in processes of care that were not subject to financial incentives. Additional studies of pay for performance are needed to determine its optimal role in quality-improvement initiatives.
  • Categories
    Nursing Human Resources Management
  • Keywords
    Pay for performance; monetary incentives
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