Missing the Mark on Pay-for Performance: Questionable Validity in Quality Metrics Limit Medicare P4P Program in Orthopedic Surgery

This study, using administrative data, aimed to evaluate the metrics used in a Medicare Pay-for-Performance (P4P) project in 2003, which included 260 hospitals across 38 states, with plans to expand nationally in 2009. Arthroscopic surgery is an ideal candidate condition Continue Reading …

Competence and capacity: the right practitioner for the right procedure?

British researchers conducted a pragmatic, randomized trial aiming to compare the effectiveness of doctors and nurses performing upper and lower endoscopy.  The authors enrolled 29 hospitals comparing 67 doctors to 30 nurses who performed endoscopic procedures on 1888 randomized patients Continue Reading …