Home > Publications . Search All . Browse All . Country . Browse PSC Pubs . PSC Report Series

PSC In The News

RSS Feed icon

Thompson says LGBT social movement will bring new strength in push for tighter gun control

Yang says devalued pound will decrease resources for the families of migrant workers in Britain

Work by Brown, Ryan, Jackson cited in brief for UT Supreme Court case on race-conscious college admissions

Highlights

Overview of Michigan's advanced research computing resources, Monday, June 27, 9-10:30 am, BSRB - Kahn Auditorium

U-M's Data Science Initiative offers expanded consulting services via CSCAR

Elizabeth Bruch promoted to Associate Professor

Susan Murphy elected to the National Academy of Sciences

Next Brown Bag

PSC Brown Bags
will resume fall 2016

Lauren Nicholas photo

Do Hospitals Alter Patient Care Effort Allocations Under Pay-for-Performance?

Publication Abstract

Nicholas, Lauren, Justin B. Dimick, and Theodore J. Iwashyna. 2011. "Do Hospitals Alter Patient Care Effort Allocations Under Pay-for-Performance?" Health Services Research, 46(1 part I): 61–81.

This paper looks at whether hospitals increase efforts on easy tasks relative to difficult tasks to improve scores under pay-for-performance (P4P) incentives. Using the Centers for Medicare and Medicaid Services Hospital Compare data, FY 2003-2005, and 2003 American Hospital Association Annual Survey data, we classified measures of process compliance targeted by the Premier Hospital Quality Incentive Demonstration as easy or difficult to improve based on whether they introduce additional per-patient costs. We compared process compliance on easy and difficult tasks at hospitals eligible for P4P bonus payments relative to hospitals engaged in public reporting using random effects regression models.

We found P4P hospitals did not preferentially increase efforts for easy tasks in patients with heart failure or pneumonia, but they did exhibit modestly greater effort on easy tasks for heart attack admissions. There is no systematic evidence that effort was allocated toward easier processes of care and away from more difficult tasks.

DOI:10.1111/j.1475-6773.2010.01192.x (Full Text)

PMCID: PMC3034262. (Pub Med Central)

http://onlinelibrary.wiley.com/doi/10.1111/j.1475-6773.2010.01192.x/full

Country of focus: United States of America.

Browse | Search : All Pubs | Next