This 94 page Pay for Performance report includes history, concepts, pros, cons, quality issues, example programs now functioning successful, Medicare plans for P4P compensation, extensive references, resources, web links, and benchmarks.

Table of Contents

• Introduction/Disease Management/Guidelines
• Pay for Performance
• Bridges to Excellence
• Commonwealth Fund Opinion Leaders Survey
• Supporting P4P - example
• Requirements for physician ‘buy-in’
• American Academy of Family Practice Guideline - P4P
• Massachusetts Medical Society Guidelines for Measuring, Reporting, and Rewarding Physician Performance
• BlueCross BlueShield of Minnesota P4P by condition audit form links
• Computer order entry (CPOE)
• Group visits
• Quality improvement tool box, ambulatory care
• Definitions, introduction
• CQI Obstacle Busting/Bridge Building Teams
• Electronic Medical Records (EMR)
• Medical Group Service Evaluation – patient questionnaire form
• Brief patient satisfaction example survey question
• Quality measures
• Reminders
• 7 types of interventions
• Preventive health care interventions for high risk populations
• Improving provider compliance
• HEDIS Measures
• Clinical performance measures for CAD
• Presurgical screening tests
• Follow-up tracking
• Abnormal pap smear follow-up
• Mammogram follow-up tool
• Unplanned readmissions, data collection tool
• Unplanned readmissions - example data
• Case or care management
• Controlling Costs while Improving Quality of Care for Patients with Multiple Medical Conditions
• Clinical Performance Measures for Ambulatory Care – table (ACP)
• Case Mix Adjustment/Severity of Illness Measurement
• Ohio KePro physician office quality improvement tool kit - links
• Sentinel event reports, root analysis format – P & P
• Quality notes
• Provider profiles – P & P
• Feedback
• Steps to improve productivity, resource management, physician/patient satisfaction
• Ambulatory visit data

• Ethics Manual - link
• Medicare pay for performance initiatives
• Provider Profiles: Example indicators for tracking/trending
• Provider Profiling or Report Cards – Medical Group Example
• Health Plan QI/UM Clinical Indicators/Performance Goals
• Hospital/SNF QA Screens
• Surgical Quality Indicators
• Crosby Quality Quotes
• AHRQ ‘Prevention Quality Indicators’
• Staff quality certification resource
• Survey sampling error estimates
• References
• Thoughts for the unwary
• Web sites - links