HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER		Author Keyword(s) Vol Page [Advanced]

This Article Full Text Full Text (PDF) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Citation Map Services Email this link to a friend Similar articles in this journal Similar articles in PubMed Add article to my folders Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Millenson, M L Search for Related Content PubMed PubMed Citation Articles by Millenson, M L

Pay for performance: the best worst choice

Correspondence to:
M L Millenson
The Kellogg School of Management, Northwestern University, Evanston, IL, USA; m-millenson@northwestern.edu

Keywords: pay for performance ("P4P"); organisation of health care; quality improvement

The first 150 words of the full text of this article appear below.

Pay for performance ("P4P") is the latest catch phrase to cross over from the world of commerce to the work of clinicians. The basic concept is simple: rather than paying for care by the piecework method (fee for service) or using administered price arrangements (for example, daily rates, fee schedules and capitation), reimbursement should be linked at least in part to adherence to safety and quality measures.

According to the American Academy of Family Physicians, typical measures center on utilization and cost management (for example, average number of emergency department visits per patient per year); clinical quality/effectiveness (for example, the percentage of patients with asthma on controller medications); patient satisfaction (for example, the percentage of patients who would recommend the physician to a family member or friend); administrative (for example, the practice’s level of information technology); and patient safety (for example, the percentage of patients questioned about . . . [Full text of this article]

This article has been cited by other articles:

				P. K. Lindenauer, D. Remus, S. Roman, M. B. Rothberg, E. M. Benjamin, A. Ma, and D. W. Bratzler Public Reporting and Pay for Performance in Hospital Quality Improvement N. Engl. J. Med., February 1, 2007; 356(5): 486 - 496. [Abstract] [Full Text] [PDF]

				C. N. Sciamanna, K. Alvarez, J. Miller, T. Gary, and M. Bowen Attitudes toward nurse practitioner-led chronic disease management to improve outpatient quality of care. American Journal of Medical Quality, November 1, 2006; 21(6): 375 - 381. [Abstract] [PDF]

				W. Hersh Health Care Information Technology: Progress and Barriers JAMA, November 10, 2004; 292(18): 2273 - 2274. [Full Text] [PDF]