HOME >> MEDICINE >> NEWS
Extra pay does not improve hospital performance

DURHAM, N.C. Paying hospitals extra money does not appear to significantly improve the way they treat heart attack patients or how well those patients do. But giving hospitals the information that they need to improve heart attack care does help.

A team of researchers led by the Duke Clinical Research Institute looked at whether financial incentives to hospitals for adhering to specific treatment guidelines would improve patient outcomes. They found no evidence that financial incentives were associated with improved outcomes, nor that hospitals had shifted their focus from other areas in order to concentrate on the areas being evaluated for possible increased payments.

These findings will add to the national debate over the use of pay for performance as a strategy for encouraging hospitals to use drugs and therapies that have been proven to save lives in large-scale clinical trials, the researchers said. The theory is that the possibility of receiving higher reimbursements will motivate hospitals to improve the quality of their care.

A study recently conducted by Premier, Inc., a group that represents hospitals participating in a large Center for Medicare & Medicaid Services (CMS) pilot project of pay for performance, found that paying hospitals extra money for following specific guidelines led to better patient care and outcomes. However, that study did not include a group of hospitals not receiving incentives as a comparison. So the Duke team compared the CMS data with that of a registry of 105,383 patients treated for a heart attack at 500 hospitals involved in a national quality improvement effort.

This is one of the first analyses of the impact of a pay for performance initiative on heart attack care, said Seth Glickman, M.D., M.B.A., first author of a paper appearing June 6, 2007, in the Journal of the American Medical Association. We found that the pay-for-performance program was not associated with a significant i
'"/>

Contact: Richard Merritt
Merri006@mc.duke.edu
919-684-4148
Duke University Medical Center
5-Jun-2007


Page: 1 2 3

Related medicine news :

1. Margaret Foti receives AACR Award for Leadership and Extraordinary Achievements in Cancer Research
2. Extra cortisol protects womens mood under stress
3. Extra payments to Medicare Advantage plans totaled $5.2 billion over fee-for-service costs in 2005
4. Early-childhood intervention may improve well-being through young adulthood
5. U of M report says early-childhood intervention improves well-being through young adulthood
6. Health reform bills could improve quality and efficiency, but fall short of national plan
7. Program announced to improve care in developing areas for patients with blood disorders
8. LSUHSC awarded designation resulting in improved patient safety and outcomes
9. When minority patients have insurance and a medical home, their health care improves
10. A new direction: Integrating best-practices to improve food responses
11. Columbia dentists to improve oral health in sub-Saharan Africa

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:9/19/2017)... ... September 19, 2017 , ... ... country with the Davidson Fellows Scholarship on September 27 at a reception in ... Science, Technology, Engineering, Mathematics, Literature and Music. , “I am honored to be ...
(Date:9/19/2017)... , ... September 19, 2017 , ... ... positively linked to the Certified Emergency Nurse (CEN®) certification according to ... (BCEN). The value of certification study, conducted by the Human Resources Research Organization ...
(Date:9/18/2017)... ... September 19, 2017 , ... ... ingredient market , expected to grow at the fastest CAGR of 9.1% over ... ‘Global Food Protein Trends & Growth Opportunities in Asia’ – highlighting alternative proteins, ...
(Date:9/18/2017)... , ... September 18, 2017 , ... ... recently expanded the finance role on the executive team adding a Chief Financial ... to an independent company. This expansion will support the strategic growth strategy Aegis ...
(Date:9/18/2017)... ... September 18, 2017 , ... While Floridians confront the ... jersey based company, has launched an aid effort focused on the elderly population that ... state over two days and left thousands homeless and displaced. , “The elderly are ...
Breaking Medicine News(10 mins):
(Date:9/13/2017)... --  OrthoAtlanta has been named the official orthopedic and ... for the 2018 College Football Playoff (CFP) National Championship to ... in Atlanta, Georgia . OrthoAtlanta is proud ... participating in many activities leading up to, and including the ... ...
(Date:9/9/2017)... , Sept. 8, 2017 Dealmed Medical Supplies, ... supplier of medical equipment, supplies, drugs, vaccines, and specialty ... entered into an agreement to acquire Vantage Medical Supplies, ... in Holtsville, New York . ... supplying new and emerging medical practices, will operate under ...
(Date:9/7/2017)... , Sept. 7, 2017 NuvoAir (formerly ... Spirometer, announced today a partnership with Novartis Pharma AG to ... NuvoAir,s position as the leading mobile spirometry platform and Novartis, ... ... ...
Breaking Medicine Technology:
Cached News: