title: The perceived financial impact of quality improvement efforts in community health centers.
abstract: We administered surveys to 100 chief executive officers (CEOs) of community health centers to determine their perceptions of the financial impact of the Health Disparities Collaboratives, a national quality improvement initiative. One third of the CEOs believed that the HDC had a negative financial impact on their health center, and this perception was significantly correlated with centers having a higher proportion of uninsured patients. Performance-based payment incentives may improve care but may also add new financial burdens to facilities that treat the uninsured population. As such, a provider's payer mix may need to be considered in the design of QI programs if they are to be sustainable.
authors: National Opinion Research Center, Washington, DC, USA.
authors: Karen
authors: K
authors: Cheung
authors: Adil
authors: A
authors: Moiduddin
authors: Marshall H
authors: MH
authors: Chin
authors: Melinda L
authors: ML
authors: Drum
authors: Sydney E S
authors: SE
authors: Brown
authors: Jessica E
authors: JE
authors: Graber
authors: Loretta
authors: L
authors: Heuer
authors: Michael T
authors: MT
authors: Quinn
authors: Cynthia T
authors: CT
authors: Schaefer
authors: Amy E
authors: AE
authors: Schlotthauer
authors: Elbert S
authors: ES
authors: Huang
mesh_terms: D000328:Adult; D000368:Aged; D003151:Community Health Centers / Q000191:economics* / Q000592:standards; D005260:Female; D019538:Health Care Surveys; D006270:Health Facility Administrators / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011787:Quality of Health Care / Q000191:economics*