ipl-logo

P4P In Healthcare

550 Words3 Pages
bulb-icon

Recommended: Effective patient clinician communication

Healthcare has become a competitive environment where each member of the team must take an active role for the quality care and the cost. Studies have shown that if we are able to improve the patient experience by incorporating patients and families in their care, we are able to better manage their chronic diseases, lesson anxiety levels and shorten hospital stays. Therefore, by improving our quality of care we improve our clinical practice, safety and finance. The Center of Medicare and Medicaid Services (CMS) (Balik, 2011) provides support of these measures by posting patient experience ratings on of the Hospital Compare website. Hospitals rankings when compared with other hospitals will affect hospitals reimbursements; patient and family experiences are weighted as heavily as quality care, safety and finance p6. This is a perfect example of a pay for performance (P4P) model. P4P is an incentive for healthcare facilities to improve, in a positive manner, their healthcare outcomes (Baker, 2003). This form of payment model rewards healthcare providers, hospitals, clinics and other healthcare systems, for meeting certain performance measures and outcomes, which are measured for quality and efficiency p3. Providers and Healthcare facilities are then …show more content…

Goals which include improving staff communication, patient identifiers, and medication safety helps to improve quality care; by improving quality measures we can also reduce costs p4. For example Medicare has stopped payments for hospital based medication errors, measure have been implemented and pressure has been placed of providers to prevent costly errors. As a preventative measure hospitals have placed into effect a computerized physician order entry (CPOE), electronic medication administration record (eMAR), smart pumps and designated areas where nurses can prepare medication

Show More
Related
1027 Words | 5 Pages

Accountable Care Organizations (ACOs) are comprised of doctors, practitioners, and hospitals, to give healthcare services to patients. The goal of coordinated care is provide high quality of care through an integrated service model while avoiding unnecessary duplication of services and preventing medical errors. The ACO is evaluated through a quality metrics to assess care provided to patients in a cost efficient manner. CMS has established five domains in which to evaluate the quality of an ACO 's performance which include 1) patient/caregiver experience, 2) care coordination, 3) patient safety, 4) preventative health, and 5) at-risk population/frail elderly health. When the ACO is successful in providing care through this system, the savings

Read More
370 Words | 2 Pages

Healthcare leaders seeking to change the current system must work to maximize value for patients—that is, increasing access and achieving the best outcomes at the lowest possible costs. This transformation is not a single step but an overarching strategy of quality improvement (QI). Dr. Robert Janet, MD is the Medical Director at Mount Auburn Independent Practice Association, and a leader in the field doing exactly this: challenging current practices in order to improve both the physician-patient relationship and the physician experience through innovation and collaboration. I consider Rob the quality-guru in my life. With his patients, he helps them make changes by altering their outlook; they need to have enough humility and self-awareness

Read More
1117 Words | 5 Pages

Introduction In this case study we will be analyzing the Triple Aim Initiative. An initiative formed in October of 2007, by the Institute for Healthcare Improvement (IHI). This initiative was aimed to help improve healthcare organizations, patients’ experience of care (quality, access, and reliability) and lowering or reducing the per capita cost of care (Douglas McCarthy, 2010). Overview

Read More
1582 Words | 7 Pages

P4P- Pay for performance Also known as value based purchasing, pay for performance allots financial incentives to health care providers or hospitals who met certain standards like measures to improve quality of life or counselling for healthy life style. In contrary this model can penalize for poor health care outcomes (11). ALOS- Average length of stay As name suggest it is the average number of days a patient admitted in hospital in treatment process. Calculated by dividing total number of inpatient days for all patients with total admissions in a fiscal year(12).

Read More
593 Words | 3 Pages

PROBLEM SOLUTION With patients today using the threat of reporting low satisfaction rates in the hopes of receiving faster or higher quality care, they seem to have taken the upper hand in some of the decision making of what takes place in the healthcare world today (Sullivan). But is it really the survey results that will make the drastic changes that are needed? Instead of questioning whether providers spend enough time with patients, ensuring that the provider gives the patient the option of which medical treatment or drug is best for them, or simply having the patient rate the provider from 0-10, zero being “worst provider possible” to ten being “best provider possible,” (Ganey) patients should simply be asked to leave comments or concerns about their visit. It is understandable and unfortunate that not everyone in the healthcare field can do their job professionally and appropriately, and those people should be reported.

Read More
549 Words | 3 Pages

MIPS judges provider performance based on 4 categories: Quality, Cost, Advancing care information, and Improvement activities. A score is created and if the given score is above the threshold, a positive payment adjustment is given, and likewise, a score below the threshold returns a negative payment adjustment. We can see how this payment model incentivizes provider performance, whereas fee-for-service does not. The base capitatation model that is built into MIPS also incentivizes lower utilization of unnecessary services, as they are no longer cost

Read More
197 Words | 1 Pages

The Accountable Care Organization (ACO) is the most aggressive organization in place to improve health care services and financially rewards their ACO members. The Accountable Care Organization has major emerging opportunities for cost reduction in health services. The ACO is continuously searching for methods to diminish the cost of medicinal services. Providing high quality care with a lower cost can increase their member’s quality of life and reduce the probability of their members utilizing health services. ACOs are working towards cutting health care expenses and increasing the quality of patient care in most organizations.

Read More
928 Words | 4 Pages

It is fundamental that hospitals improve their quality of care provide the best health service to patients. “A hospital is an institution with at least six beds whose primary function is to deliver patient services, diagnostic and therapeutic, for particular or general medical conditions” (Shi, Singh & Pratt, 2010 p. 2). However, in this paper, I will compare and contrast two health care facilities (Alaska regional hospital and Providence Alaska medical center) on their overall quality of care delivery. Quality of care plays an essential role in health care. Alaska regional hospital and Providence Alaska medical center are acute care institutions that are both located in the state of Alaska and they provide care and treatment

Read More
838 Words | 4 Pages

The purpose of this post is to answer questions related to the patient experience model at my hospital system. I will describe the model and how well it works, citing two examples of its effectiveness. I will also describe the model in my department and how we measure patient satisfaction. Also, it is important to mention why customer satisfaction is now linked to insurance reimbursement.

Read More
473 Words | 2 Pages

With the passing of the Patient Protection and Affordable Care Act (ACA), to create a healthcare reform law for the U.S in an effort to improve the quality and safety of healthcare. “Health care improvement efforts have focused on the Institute for Healthcare Improvement’s Triple Aim of improving patient care quality, decreasing total cost of care, and improving the experience of care for patients” (Spinelli, 2013). Many health care systems is embracing the Triple Aim goals to help understand and measure patient experience care and the quality of care they are receiving. Using the Triple Aim strategies to be able to enhance the core function and essential services in health care for public health improvement, monitoring health status to identify community health problems, diagnose and investigate problems and health hazards in the community, and inform, educate, and empower people about health issues.

Read More
287 Words | 2 Pages

INTRODUCTION In the United states(U.S) hospital care is the largest component of the health services which accounts for about 31% of all money spent on health care in 2005 (Catlin et al. 2005; AHA 2006).Contemporarily, enormous use of limited facilities by patients is the supplementary issue of the diverse mixture of hospitals, patients, market settings and financial resources have compromised the health care providers to strike a balance between efficiency and quality.(Woolhandler, and Himmelstein,2004; Coulter et al. 2000). A mix of public and private organization’s hospitals in the US in which Not-For-Profit (NFP) and For-Profit (FP) institutions are found. Healthcare organizations can begin either like FP or NFP.

Read More
828 Words | 4 Pages

Reporting how the data was collected in the report card would also be beneficial as it generates accountability and trust in the minds of the user, making it more probable that the patients actually use the report cards in choosing their healthcare professional. Providing guidelines, and educating consumers on the use of report cards could be the key factors in improving its overall usage. Further, in order to ensure equal healthcare access, authorities need to figure out a way to avoid situations where physicians choose patients based on the severity of their illness. Finally, tying quality outcomes to reimbursements is an effective way to ensure that healthcare providers stay on the path of continuous quality improvement. Altogether, report cards are a great way to educate healthcare consumers and generate better accountability among providers leading to higher quality of care, but we all, as consumers or providers need to perform our roles in order to make this a successful

Read More
670 Words | 3 Pages

The top challenge faced by healthcare institutions today is providing evidence based, cost effective, quality care that will improve practice and improve patient outcomes. Evidence based practice

Read More
1926 Words | 8 Pages

Improving quality can lead to better patient outcomes, increased patient satisfaction, and improved financial performance for healthcare organizations. The main points of what was addressed include The importance of measuring and monitoring quality in healthcare organizations to identify areas for improvement, track progress over time, and make data-driven decisions about quality improvement initiatives. Examples of successful quality measurements and monitoring strategies in healthcare organizations, such as HCAHPS, HAIs, and PSIs. The use of quality improvement tools, such as Lean Six Sigma, to identify areas for improvement, track progress over time, and make data-driven decisions about quality improvement initiatives. The benefits of improving quality in healthcare organizations include better patient outcomes, increased patient satisfaction, and improved financial performance.

Read More
1483 Words | 6 Pages

The health care industry has only in recent years begun to see its stakeholders as customers and realize how central customer satisfaction is to the success of a health care entity. At the same time, their customers increasingly expect a positive experience as well as the best possible outcomes from the services they receive, having raised their standards as they have been given more choice in meeting their needs. While patients are the ultimate customers, health care entity employees are the customers upon which the success of the organization rests, as they drive the experience for all other customer types. The operating principles of total quality management (TQM) include eight key practices, which also serve as the most important areas

Read More

More about P4P In Healthcare

Open Document