PUP 4931r Lecture Notes - Lecture 54: Massachusetts General Hospital, 6 Years, Quartile
16 May 2018
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Department
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Professor
Same Premier Demo Six Year Results
End of 6 years:
no difference in treatment vs controls
11.82 vs 11.74% 30-day mortality.
Eah group’s ortality delied at .0%/year
More Premier Disappointment
After 2006, incentives were changed to encourage improvement in lowest
performing hospitals
Rewards tied to improvement in heart attack, heart failure, pneumonia
Did’t work. Best hospitals got etter. Worst did ot.
Overall, no difference.
Other Studies, Similar Results
Mass Medicaid Hospital P4P 2001-2003
Financial incentives for improving care for pneumonia & and prevention of
surgical infections.
No improvement.
Mass General Hospital 2001 -2003 compared improvement in physician groups
Found improvement across all groups
No difference between whether P4P in place or not.
California 2002 to 2005 Medicaid-focused health plans paid docs for improving
well-child care.
No significant effects.
P4P & the ACA
2015: More than Half of US Hospitals Punished for Preventable Readmits
4th year in a row that majority of US hospitals fined for too many readmits within
30 days
Fines apply to all patients, readmitted or not
All but 209 of the 2,592 fined were also fined last year.
Some fined even though some got better than last year.
Readmits were for June 2011 thru 2014.
Any of five conditions: heart attack, heart failure, pneumonia, chronic lung
problems or elective hip or knee replacements.
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
End of 6 years: no difference in treatment vs controls. After 2006, incentives were changed to encourage improvement in lowest performing hospitals. Rewards tied to improvement in heart attack, heart failure, pneumonia. Financial incentives for improving care for pneumonia & and prevention of surgical infections. Mass general hospital 2001 -2003 compared improvement in physician groups. No difference between whether p4p in place or not. California 2002 to 2005 medicaid-focused health plans paid docs for improving well-child care. 2015: more than half of us hospitals punished for preventable readmits. 4th year in a row that majority of us hospitals fined for too many readmits within. Fines apply to all patients, readmitted or not. All but 209 of the 2,592 fined were also fined last year. Some fined even though some got better than last year. Any of five conditions: heart attack, heart failure, pneumonia, chronic lung problems or elective hip or knee replacements. But 500+ were cut 1%; 38 cut 3%.
