Advocates for Evidence-Based Health Policy Speakers
Category: Quality
Where would you hang your shingle?
A unique survey of graduates from New York State residency programs sought to determine variables affecting the flow of new residency graduates into the physician workforce. 55 percent of respondents were excluded because they were pursuing additional training (fellowship) or Continue Reading …
Measuring Efficiency: The Association of Hospital Costs and Quality of Care
The U.S. health care system faces two challenges: increased costs and concerns about quality. It is argued that low-cost hospitals are more efficient with better management and are therefore able to provider higher-quality care. 3,794 hospitals were included in the Continue Reading …
Cost Effectiveness / Comparative Effectiveness: Rationing or Priority Setting?
“My question . . . is how can we get our policy makers and legislatures . . . to better use data . . . to inform their decisions?” A qualitative study addressing the controversial topic of cost-effectiveness analysis Continue Reading …
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 …
Pay-for-Performance Update
RAND researchers investigated the nations largest pay-for-performance (P4P) system, California’s Integrated Healthcare Association’s P4P. This system represents 225 independent practice associations and integrated medical groups covering over 6 million patients. The enrollees of this program have insurance coverage which provides Continue Reading …