Forming a coronary services network on the basis of quality of care.
An Ohio insurance company's initiative to emphasize risk-adjusted clinical outcomes as criteria for selecting and reimbursing members of a network is stimulating a new emphasis on quality of care throughout the market area. Hospitals inside the network are cooperating to improve their collective results, while providers on the outside have launched major quality improvement programs in the effort to become measurably competitive with these centers of excellence. This case study in network selection demonstrates a new role for fiscal intermediaries in health care.
Pine
M
M
Department of Medicine, University of Chicago, IL, USA.
Berman
J I
JI
Byrwa
K J
KJ
D016507:Cardiology Service, Hospital / Q000458:organization & administration* / Q000592:standards; D019058:Community Networks / Q000458:organization & administration*; D003195:Computer Communication Networks / Q000458:organization & administration*; D003327:Coronary Disease / Q000401:mortality / Q000628:therapy; D006751:Hospital Information Systems; D017052:Hospital Mortality; D006801:Humans; D007343:Insurance Carriers; D009820:Ohio / Q000453:epidemiology; D017063:Outcome Assessment, Health Care / Q000458:organization & administration*