Performance Measurement, Public Reporting, and Pay-for-Performance

Rhoads, Kim F.; Konety, Badrinath M.; Dudley, R. Adams

doi:10.1016/j.ucl.2008.08.003

Cited by 12 publications

(3 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[24] Few have reported prospective studies using Clavien system of complication reporting but there is need for standard guidelines. [1113–1618]…”

Section: Discussionmentioning

confidence: 99%

Perioperative morbidity of radical cystectomy: A review

Kulkarni¹

2011

Indian J Urol

View full text Add to dashboard Cite

A systematic review of the literature on perioperative morbidity (POM) was done using Medline software with a combination of keywords like mortality, morbidity, and complications. In addition, we review the analysis of our hospital data of 261 Radical cystectomies (RCs) performed in an 11-year period and our latest clinical pathway for RC. Age range in our series was 50 to 81 years with 240 males and 21 females. RCs were performed by intraperitoneal method in 172 patients and by our extraperitoneal (EP) method in 89 patients. Urinary diversion was ileal conduit in 159 patients and neobladder in 102 patients. Blood loss ranged between 500 and 1500 ccs. Postoperative mortality occurred in eight patients (3%). Among the other early post-op complications, major urinary leak was seen in nine and minor in 11, requiring PCN in five patients and reoperation in four patients. Bowel leak or obstruction was seen in six and four patients, respectively, requiring reoperation in six patients. EP RC in our series showed some benefit in reduction of POM. The mortality of RC has declined but the POM still ranges from 11 to 68%, as reported in 23 series (1999-2008) comprising of 14 076 patients. Various risk factors leading to POM and some corrective measures are discussed in detail. However, most of these series are retrospective and lack standard complication reporting, which limits the comparison of outcomes. Various modifications in open surgical technique and laparoscopic and Robotic approaches are aimed at reduction in mortality and POM of RC.

show abstract

“…[24] Few have reported prospective studies using Clavien system of complication reporting but there is need for standard guidelines. [1113–1618]…”

Section: Discussionmentioning

confidence: 99%

Perioperative morbidity of radical cystectomy: A review

Kulkarni¹

2011

Indian J Urol

View full text Add to dashboard Cite

show abstract

“…die Landesgeschäftsstellen für Qualitätssicherung übermittelt und ausgewertet und führen bei Handlungsbedarf zur Einleitung von Qualitätssicherungsmaßnahmen. Diese Informationen können ebenfalls für Public Reporting eingesetzt und zur Arzt-und Patienteninformation krankenhausindividuell auf Internetportalen dargestellt werden, was die Effektivität und Effizienz der Leistungserbringung stärken soll [10]. Dies soll erreicht werden, in dem Patienten vor einem Eingriff die Qualität der Einrichtungen bei der Auswahl berücksichtigen [11] sowie schlechter abschneidende Leistungserbringer zu Qualitätsverbesserungen motiviert werden [12]; die Evidenz bezüglich beider Zielsetzungen kommt bislang allerdings zu gemischten Resultaten.…”

Section: Abstract ▼unclassified

Internetportale für die Krankenhauswahl in Deutschland: Eine leistungsbereichsspezifische Betrachtung

Emmert¹,

Meszmer²,

Simon

et al. 2015

Gesundheitswesen

View full text Add to dashboard Cite

Aims of this study are to provide (i) a presentation of quality of care information about German hospitals on internet report cards, and (ii) derive a guidance tool for using certain report cards. We undertook (i) a systematic internet search to identify hospital report cards, (ii) whereby several inclusion and exclusion criteria were applied, (iii) We developed a scheme to describe the presented quality information, (iv) We also analysed the report cards and (v) evaluated the results and derived further usage guidance. 18 report cards were included. 8 report cards present nationwide quality information while ten report cards focus on regional areas. The AOK Krankenhaus-navigator provides the most information about 5 clinical areas of the external quality assurance (§ 137 SGB V). Regarding the remaining 26 clinical areas, the TK Klinikführer, the Barmer Krankenhausnavi, and the Weisse Liste provide the largest amount of quality information. Qualitätskliniken.de reports on 9, the Klinikführer Rheinland on 8, the Bremer Krankenhausspiegel on 4, and the Hamburger Krankenhausspiegel on 2 additional clinical areas. This study shows that a differentiated view for each clinical area is necessary when searching for information about the quality of hospitals. Further studies should assess the quality of the report cards as well as the information that they display.

show abstract

“…The need to improve both the quality and the safety of health care in the United States is well documented. Reporting of quality data and pay for performance for physicians have emerged as two of the most widely advocated strategies for accelerating quality improvement (Rhoads, Konety, and Dudley ; Rodriguez et al. ; Gavagan et al.…”

mentioning

confidence: 99%

Use of Care Management Practices in Small‐ and Medium‐Sized Physician Groups: Do Public Reporting of Physician Quality and Financial Incentives Matter?

Alexander

Maeng

Casalino

et al. 2012

Health Services Research

View full text Add to dashboard Cite

Objective. To examine the effect of public reporting (PR) and financial incentives tied to quality performance on the use of care management practices (CMPs) among smalland medium-sized physician groups. Data. Survey data from The National Study of Small and Medium-sized Physician Practices were used. Primary data collection was also conducted to assess communitylevel PR activities. The final sample included 643 practices engaged in quality reporting; about half of these practices were subject to PR. Study Design. We used a treatment effects model. The instrumental variables were the community-level variables that capture the level of PR activity in each community in which the practices operate. Findings.(1) PR is associated with increased use of CMPs, but the estimate is not statistically significant; (2) financial incentives are associated with greater use of CMPs; (3) practices' awareness/sensitivity to quality reports is positively related to their use of CMPs; and (4) combined PR and financial incentives jointly affect CMP use to a greater degree than either of these factors alone. Conclusion. Small-to medium-sized practices appear to respond to PR and financial incentives by greater use of CMPs. Future research needs to investigate the appropriate mix and type of incentive arrangements and quality reporting. Key Words. Quality improvement, public reporting, physician groups, financial incentives The need to improve both the quality and the safety of health care in the United States is well documented. Reporting of quality data and pay for performance for physicians have emerged as two of the most widely advocated strategies for accelerating quality improvement (Rhoads, Konety, and Dudley

show abstract

Performance Measurement, Public Reporting, and Pay-for-Performance

Cited by 12 publications

References 26 publications

Perioperative morbidity of radical cystectomy: A review

Perioperative morbidity of radical cystectomy: A review

Internetportale für die Krankenhauswahl in Deutschland: Eine leistungsbereichsspezifische Betrachtung

Use of Care Management Practices in Small‐ and Medium‐Sized Physician Groups: Do Public Reporting of Physician Quality and Financial Incentives Matter?

Contact Info

Product

Resources

About