Variations_08 - Geographical Variations in Medical Care PAM...

Info iconThis preview shows pages 1–10. Sign up to view the full content.

View Full Document Right Arrow Icon
Geographical Variations in Medical Care PAM 435 April 10, 2008
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Background image of page 2
How Can the Quality of Medical Care be Improved?
Background image of page 3

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Source: Landro, Wall Street Journal , September 17, 2004. 2. P4P: Example of a Physician’s Scorecard in a California Program Being Run by 6 Health Insurance Plans % of 2-year olds who received Chicken Pox and Measles/Mumps/Rubella shots % of women age 50-69 who receive a mammogram % of women age 18-64 who received a Pap test % of patients with persistent asthma who received at least 1 prescription for an inhaler % of patients age 18-75 w/ major heart condition who were screened for cholesterol % of patients age 18-75 w/ diabetes who had their blood sugar level screened Clinical process measures account for 50% of total score Patient experience: 40% of total score Investment in info technology: 10% Approximately $2,000 will be paid to each high- performing primary care physician.
Background image of page 4
P4P Bonus Payments Currently Represent a Small Percentage of a Payer’s Reimbursement to Providers Source: Nicholson et al., 2007. 5.1 2.1 Physicians Hospitals
Background image of page 5

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Example: Cardiac Surgery Mortality Report Card Pennsylvania 1998 3. Providing Information on Quality of Health Plans, Physicians, and Hospitals
Background image of page 6
Few patients use physician/hospital report cards: only 12% of Pennsylvania cardiac surgery patients were aware of the report cards (Schneider and Epstein, 1998). Cardiologists drive referral decisions to surgeons: Only 5% of cardiologists reported that more than 10% of their patients failed to follow their initial referral recommendation (Schneider and Epstein, 1996). Few consumers shift to health plans that score well. Plans that scored well were already popular. Report Cards Appear to Have a Small Impact
Background image of page 7

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Conclusions on the Quality of Medical Care Quality of medical care in the United States is worse than one would expect for $2 trillion in annual spending Problems: too much clinical information for providers to retain more patients have multiple chronic conditions, which complicates treatment decisions there are few financial incentives to improve quality Possible solutions: information technology to assist providers pay for performance (P4P) programs to promote quality information and patient choice
Background image of page 8
document the large differences in spending that exist between geographic areas
Background image of page 9

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Image of page 10
This is the end of the preview. Sign up to access the rest of the document.

Page1 / 29

Variations_08 - Geographical Variations in Medical Care PAM...

This preview shows document pages 1 - 10. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online