Performance measurement, public reporting, and pay-for-performance.
The use of incentives to improve quality of care is spreading rapidly across the health care system. Public reporting (PR) and pay-for-performance (PFP) are two examples of incentive-based programs. Although conclusive level I evidence for the positive impacts of these PR and PFP is limited, individual states and the federal government have begun to adopt and pilot these programs for a variety of specific clinical conditions. This article reviews the principles of health care quality performance measurement; current reporting and pay-for-performance programs; and the most recent literature documenting positive, negative and future impacts of these types of programs on urologic practice.
Rhoads
Kim F
KF
Department of Surgery, Stanford University, Stanford, CA 94305, USA.
Konety
Badrinath M
BM
Dudley
R Adams
RA
D013502:General Surgery; D006282:Health Personnel; D006278:Medicare; D009042:Motivation; D010361:Patients / Q000523:psychology; D010816:Physician Incentive Plans / Q000191:economics*; D011787:Quality of Health Care; D014481:United States; D014572:Urology