The Centers for Medicare and Medicaid Services Proposal to Pay for Performance

Darr, Kurt

doi:10.1080/00185860309598019

Cited by 10 publications

(6 citation statements)

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“…Process measures, such as prophylactic antibiotic administration for patients having total joint arthroplasty, are already being used in some surgical quality initiatives 29, 30. Because most process measures are performed by the surgeon or therapist directly, or under his/her direct supervision, they are considered as “fair” quality measures compared to structural measures, which are often outside of surgeons’ or therapists’ control 28.…”

Section: Measuring Surgical Qualitymentioning

confidence: 99%

“…The program uses a classic pay-for-performance model. Core performance measures were developed in areas such as acute myocardial infarction, coronary artery bypass graft, heart failure, community-acquired pneumonia and hip and knee replacement 29. Quality in these areas was based almost exclusively on process measures.…”

Section: Applications Of Quality Datamentioning

confidence: 99%

“…Quality in these areas was based almost exclusively on process measures. Hospitals report their compliance with the performance measures and CMS then ranks the hospitals based on this performance 29. These rankings will be published on the internet, as well as be used to distribute incentives and assess penalties.…”

Section: Applications Of Quality Datamentioning

confidence: 99%

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Measuring Quality in Health Care and Its Implications for Pay-For-Performance Initiatives

Chung

Shauver

2009

Hand Clinics

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The quality of healthcare is important to American consumers, and discussion on quality will be a driving force towards improving the delivery of healthcare in America. Funding agencies are proposing a variety of quality measures, such as Centers of Excellence, Pay-for-Participation and Pay-for-Performance initiatives, to overhaul the healthcare delivery system in this country. However, it is quite uncertain whether these quality initiatives will succeed in curbing the unchecked growth in healthcare spending in this country, and physicians understandably are concerned about more intrusion into the practice of medicine. This article will outline the genesis of the quality movement and discuss its effect on the surgical community.

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Section: Measuring Surgical Qualitymentioning

confidence: 99%

Section: Applications Of Quality Datamentioning

confidence: 99%

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Measuring Quality in Health Care and Its Implications for Pay-For-Performance Initiatives

Chung

Shauver

2009

Hand Clinics

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“…(16) Hence, in 2003, when the Center for Medicare and Medicaid Services (CMS) introduced a pay-for-performance initiative, this was met by skepticism, anger, and, predictably, disinterest among many specialty societies. (17) These feeling were particularly prevalent in certain surgical societies who feel that the metrics used for measuring quality in surgical care are not accurate, and the payment for participation in these quality of care initiatives are meager at best to justify support. (18)…”

Section: Recent Initiatives To Assess Qualitymentioning

confidence: 99%

Measuring Quality of Surgical Care: Is It Attainable?

Chung

Rohrich

2009

Plastic and Reconstructive Surgery

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“…16 Hence, in 2003, when the Centers for Medicare and Medicaid Services introduced a pay-for-performance initiative, this was met by skepticism, anger, and lack of interest among many specialty societies. 17 These feeling were particularly prevalent in certain surgical societies that believe the metrics used for measuring quality in surgical care are not accurate, and the payment for participation in these quality-of-care initiatives is meager at best to justify support. 18…”

Section: Recent Initiatives To Assess Qualitymentioning

confidence: 99%

Discussion

Wt¹

2009

Plastic and Reconstructive Surgery

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Healthcare quality has emerged as an important discussion topic for the American people. With the continued lack of health insurance coverage for over 15 percent of Americans, questions are being posed regarding why the United States has spent $2.1 trillion per year in healthcare and is still unable to provide the highest quality of healthcare in the world. The World Health Organization's 2000 World Health Report ranked the United States at 24 out of 191 member countries in healthcare indices. Because of a looming reduction in the number of Americans covered through the Medicare and Medicaid programs due to budgetary constraints, many initiatives have been proposed to cut the cost of healthcare and at the same time improve the quality of the American system. In this article, the authors summarize the history of these quality initiatives and discuss current and future directions of programs to achieve better healthcare for the country. They also discuss how the American Society of Plastic Surgeons is engaging national organizations to be part of the solution for this crisis. (Plast. Reconstr. Surg. 123: 741, 2009.)

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The Centers for Medicare and Medicaid Services Proposal to Pay for Performance

Cited by 10 publications

References 0 publications

Measuring Quality in Health Care and Its Implications for Pay-For-Performance Initiatives

Measuring Quality in Health Care and Its Implications for Pay-For-Performance Initiatives

Measuring Quality of Surgical Care: Is It Attainable?

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