Download or read book Private Performance Feedback Reporting for Physicians written by Department of Health & Human Services and published by CreateSpace. This book was released on 2014-05-29 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the past decade, a growing body of research and online resources has emerged to provide guidance on effective practices for publicly reporting information on provider performance for consumers. These recommendations are for the most part evidence based and assume that an effective report is one that contains performance information that consumers understand and find both credible and relevant. In addition, information is conveyed in a way that makes it as easy as possible for consumers to use it to make good choices among providers. Another key audience for performance reporting is physicians themselves. Health plans and medical groups have sponsored private physician “performance feedback” reports for many years, with the intention of supporting internal quality improvement efforts as well as patient care management. More recently, multistakeholder community quality collaboratives, including roughly half of the Chartered Value Exchanges (CVEs) supported by the Agency for Healthcare Research and Quality (AHRQ), have begun to produce some type of private report for physicians in parallel to their public report for consumers. These groups recognize that a single report designed for one audience cannot meet the needs of both. In addition, the Centers for Medicare & Medicaid Services (CMS) has sponsored pilot studies of the effects of providing individual physicians and medical groups with performance feedback based on claims data and CMS's Physician Quality Reporting System. In contrast with public reports, private reports are often confidential and limited in distribution to those with a “need to know.” Thus, little research even of a descriptive nature has been conducted on the various forms that private reporting has taken. Limited discussion of how to define and measure the effectiveness of such reports and little published evaluation research are available. Therefore, the science of private “feedback reporting” for physicians is nascent at best. As CVEs and other community quality collaboratives consider strategies for private feedback reporting to physicians and other health care providers, they will need to address basic issues such as report design and distribution. They also will need to examine their role in relation to existing and planned internal performance reporting activities of the health systems and medical practices in their markets. In contrast to public reporting for consumers, where the role of a neutral, multistakeholder collaborative is relatively well accepted as a source of objective, communitywide performance data, the role of community collaboratives in private feedback reporting is not always so clearly defined. Many health plans and health systems, which may themselves be collaborative members, have developed very sophisticated internal reporting systems of their own based on electronic health records. In the context of these and other private performance reporting initiatives, community collaboratives will need to determine the unique value-added features that their private feedback reports can provide. The goal is to complement rather than compete with reports from their provider members or other report sponsors. This resource document is intended to provide practical information and guidance primarily to CVEs and other community quality collaboratives interested in the design, dissemination, and use of private feedback reports on physician performance.

Download or read book Private Performance Feedback Reporting for Physicians written by United States. Agency for Healthcare Research and Quality and published by . This book was released on 2012 with total page 35 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicare Certain Physician Feedback Reporting Practices of Private Entities Could Improve CMS s Efforts written by U.s. Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-07-27 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt: " Health care payers-including Medicare-are increasingly using VBP to reward the quality and efficiency instead of just the volume of care delivered. Both traditional and newer delivery models use this approach to incentivize providers to improve their performance. Feedback reports serve to inform providers of their results on various measures relative to established targets. The American Taxpayer Relief Act of 2012 mandated that GAO compare private entity and Medicare performance feedback reporting activities. GAO examined (1) how and when private entities report performance data to physicians, and what information they report; and (2) how the timing and approach CMS uses to report performance data compare to that of private entities. GAO contacted nine entities-health insurers and statewide collaboratives-recognized for their performance reporting programs. Focusing on physician feedback, GAO obtained information regarding report recipients, data sources used, types of performance measures and benchmarks, frequency of reporting, and efforts to enhance the utility of performance reports. GAO obtained similar information from CMS about its Medicare feedback efforts. "

Download or read book Physician Performance Management written by Christine N. Micklitsch and published by Medical Group Management Assn. This book was released on 1996-09 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book guides you through the process, covering such essential steps as the movement toward physician performance management, the physician leader's role, conducting the review, integrating compensation and addressing physician behavior.

Download or read book Improving Healthcare Quality in Europe Characteristics Effectiveness and Implementation of Different Strategies written by OECD and published by OECD Publishing. This book was released on 2019-10-17 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.

Download or read book Medicare written by James Cosgrove and published by . This book was released on 2014-04-26 with total page 51 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health care payers -- including Medicare -- are increasingly using value-based payment (VBP) to reward the quality and efficiency instead of just the volume of care delivered. Both traditional and newer delivery models use this approach to incentivize providers to improve their performance. Feedback reports serve to inform providers of their results on various measures relative to established targets. This report examined (1) how and when private entities report performance data to physicians, and what information they report; and (2) how the timing and approach that the Centers for Medicare & Medicaid Services (CMS) uses to report performance data compare to that of private entities. Tables and figures. This is a print on demand report.

Download or read book 10 Steps to Successful Physician Profiling written by Robert Marder and published by . This book was released on 2004 with total page 111 pages. Available in PDF, EPUB and Kindle. Book excerpt: Physician profiling to assess physicians' competence is essential in the reappointment process. But more important than simply reappointing physicians, Medical Staff leaders must provide meaningful feedback to help them improve their quality of care. To do that, they must decide what data to collect, how to collect it, and how to communicate it to help physicians improve performance. HCPro's new book: 10 Steps to Successful Physician Profiling: How to Achieve Excellent Physician Performance, shows how to create and use "physician performance feedback reports," a tool that makes it easier to communicate meaningful data to physicians, to help them change their behavior. Customizable CD-ROM included: 10 Steps to Successful Physician Profiling: How to Achieve Excellent Physician Performance comes with a customizable color-coded physician performance report. The CD-ROM consolidates collected data - from clinical quality, service quality, and activity to resource utilization and even peer relationships - and creates a functional color display so physicians can easily see where they need to improve. Pre-calculated formulas show performance trends and help communicate to physicians where they rank in comparison to their peers

Download or read book Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care Health Systems and Health Policy written by Mark W. Friedberg and published by Rand Corporation. This book was released on 2013-10-09 with total page 149 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report presents the results of a series of surveys and semistructured interviews intended to identify and characterize determinants of physician professional satisfaction.

Download or read book Effective Peer Review written by Robert J. Marder and published by Hcpro, a Division of Simplify Compliance. This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Effective Peer Review The Complete Guide to Physician Performance Improvement, Third Edition Robert J. Marder, MD Peer review continues to rate as a top problematic issue in healthcare organizations. Even if they are meeting regulatory standards, most organizations struggle to develop a peer review program that is meaningful to physicians, causing them to become resistant to this performance measurement tool. This new edition explains the connection between peer review, OPPE, and FPPE. It also contains updated information on OPPE and FPPE as related to The Joint Commission''s standards. This book also incorporates three previous books: Effective Peer Review, Peer Review Best Practices, and Measuring Physician Competency. Now readers have one, all-encompassing resource to answer their peer review and physician performance questions. This completely updated book will help you: Engage physicians in the peer review process Create tools to recognize and celebrate excellence Design OPPE profiles and create a plan for distributing the information to physicians Eliminate bias and improve case reviewer efficiency Determine if your peer review policies comply with regulatory standards Take a look at the Table of Contents: Chapter 1: Peer Review: Why Do We Need to Measure Physician Competence? What Peer Review Is What Peer Review Is Not Who Is a Peer? Impartiality and Conflicts of interest Sham Peer Reviews The Duty to Perform Effective Peer Review Should Physicians Be Paid to Perform Peer Reviews? Chapter 2: From Punitive to Positive: Creating a Performance Improvement Culture for Peer Review How Can Culture Change? Values of a Performance Improvement-Focused Peer Review Culture Peer Review and the Just Culture Chapter 3: Legal Considerations: Impact of Regulations and Liability on Peer Review Redefining Peer Review: OPPE, FPPE, and the Core Competencies How the Standards Apply Peer Review Protection Laws Affirmative Duty to Keep Information Confidential Fair Hearings The National Practitioner Data Bank Negligent Peer Review Chapter 4: Peer Review Structures: The Impact of Multi-Specialty Peer Review Peer Review Structures: Three Primary Functions Goals for Peer Review Redesign Basic Peer Review Models Who Should Oversee Peer Review? Selecting the Right Model Physician Behavior: Who Should Handle It? Chapter 5: Measuring Physician Performance: What to Measure and How to Do It Fairly? What Is a Physician Performance Indicator? Indicator Validity: Selecting Physician-Driven Measures What Are You Required to Measure? What to Measure: Structure, Process, and Outcome How to Measure Physicians Fairly: Review, Rate, and Rule Indicators Understanding and Improving Risk- Adjusted Data Using Perception Data to Evaluate Physician Performance Case Study Indicator Selection Chapter 6: Case Review: Reducing Bias and Improving Reviewer Efficiency and Effectiveness Standardizing the Case Review Process Case Identification and Screening Physician Reviewer Assignment Physician Review and Initial Case Rating Initial Committee Review and Physician Input Committee Decision and Improvement Opportunity Identification Communication of Findings and Follow-Up Accountability Case Rating Systems Case Review and the Electronic Age Chapter 7: Selecting Physician-Driven Measures for OPPE: Understanding and Applying the Six Core Competencies ACGME, ABMS, and The Joint Commission: Where Did the Core Competencies Come From and How Are They Used? Alternative Frameworks to the Core Competencies Using the Competency Statement and Expectations to Drive Physician Performance Measures Applying the Core Competencies to OPPE Chapter 8: Physician Data Attribution: Making OPPE Data Meaningful to Individual Physicians Using Imprecise Data for OPPE Attribution and Case Review Improving Attribution for Process Measures Outcome Measure Attribution in a Multiple-Provider World Attribution and Patient Satisfaction Data Chapter 9: Evaluating OPPE Data: Using Benchmarks and Targets for FPPE and the Pursuit of Excellence Understanding Normative Data Interpreting OPPE Data for a Time Interval How to Set Indicator Targets Targets for Indicator Types Interpreting OPPE Data for Trends Chapter 10: From OPPE to FPPE: Creating Accountability for Physician Performance Improvement Accountability for FPPE Initiation, Monitoring, and Follow-Up Designing an Effective FPPE Plan Getting Physician Buy-In for Improvement Opportunities and FPPE What Happens If FPPE Fails? Chapter 11: OPPE Profiles and Physician Performance Feedback: Practical Principles for Competency Report Design and Distribution OPPE Profile and Physician Performance Feedback Report: What Is the Difference? Designing the Report Define the Principles: 10 Questions to Guide Your Design Create a Format That Reflects the Design Principles Preparing and Distributing Competency Data Reports Develop the Infrastructure and Support Materials Pilot-Test Your Design Create a Policy for Physician Competency Reports Chapter 12: External Peer Review in a Physician Improvement Culture EPR Uses The EPR Policy What Circumstances Typically Require EPR? Who Determines When EPR Is Needed? Who Will Select the Reviewer? How Will the Cases Be Selected? Who Will Review the EPR Report Findings? How Will the Results Be Used? Beyond Case-Based EPR: Physician Assessment Programs Chapter 13: Reporting Peer Review: What Does the Board Need to Know? Contemporary Board Accountabilities for Hospital Quality What Keeps the Board Awake at Night? Filling In the Knowledge Gap: Helping Boards Understand Physician Competency Measurement What Data Should the Board Get? Chapter 14: Running an Effective Peer Review Committee Meeting Elements of an Effective Meeting Role of the Committee Chair Responsibilities of Committee Members in Meeting Preparation and Management Practical Tips for Managing Committee Discussion to Avoid Wasting Physician Time Chapter 15: Beyond the Hospital Walls: Peer Review in Ambulatory Care and ACOs Why Would You Want to Do Peer Review in a Nonhospital Setting? Can You Do Peer Review in the Nonhospital Setting? What Data Can You Obtain From the Hospital and What Are You Willing to Share? Peer Review Outside the Hospital: How Should You Organize It? Peer Review Outside the Hospital: What Can You Measure? Chapter 16: Creating Effective Peer Review Policies and Procedures What Do Your Policies and Procedures Need to Cover? Redesigning Your Peer Review Program: A Step-by-Step Guide Should You Do This Yourself or Get Some Help?

Download or read book Registries for Evaluating Patient Outcomes written by Agency for Healthcare Research and Quality/AHRQ and published by Government Printing Office. This book was released on 2014-04-01 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.

Download or read book Providing Performance Feedback to Individual Physicians written by Stephanie Teleki and published by . This book was released on 2006 with total page 41 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Conflict of Interest in Medical Research Education and Practice written by Institute of Medicine and published by National Academies Press. This book was released on 2009-09-16 with total page 436 pages. Available in PDF, EPUB and Kindle. Book excerpt: Collaborations of physicians and researchers with industry can provide valuable benefits to society, particularly in the translation of basic scientific discoveries to new therapies and products. Recent reports and news stories have, however, documented disturbing examples of relationships and practices that put at risk the integrity of medical research, the objectivity of professional education, the quality of patient care, the soundness of clinical practice guidelines, and the public's trust in medicine. Conflict of Interest in Medical Research, Education, and Practice provides a comprehensive look at conflict of interest in medicine. It offers principles to inform the design of policies to identify, limit, and manage conflicts of interest without damaging constructive collaboration with industry. It calls for both short-term actions and long-term commitments by institutions and individuals, including leaders of academic medical centers, professional societies, patient advocacy groups, government agencies, and drug, device, and pharmaceutical companies. Failure of the medical community to take convincing action on conflicts of interest invites additional legislative or regulatory measures that may be overly broad or unduly burdensome. Conflict of Interest in Medical Research, Education, and Practice makes several recommendations for strengthening conflict of interest policies and curbing relationships that create risks with little benefit. The book will serve as an invaluable resource for individuals and organizations committed to high ethical standards in all realms of medicine.

Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Download or read book Rewarding Provider Performance written by Institute of Medicine and published by National Academies Press. This book was released on 2007-02-17 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: The third installment in the Pathways to Quality Health Care series, Rewarding Provider Performance: Aligning Incentives in Medicare, continues to address the timely topic of the quality of health care in America. Each volume in the series effectively evaluates specific policy approaches within the context of improving the current operational framework of the health care system. The theme of this particular book is the staged introduction of pay for performance into Medicare. Pay for performance is a strategy that financially rewards health care providers for delivering high-quality care. Building on the findings and recommendations described in the two companion editions, Performance Measurement and Medicare's Quality Improvement Organization Program, this book offers options for implementing payment incentives to provide better value for America's health care investments. This book features conclusions and recommendations that will be useful to all stakeholders concerned with improving the quality and performance of the nation's health care system in both the public and private sectors.

Download or read book Making Healthcare Safe written by Lucian L. Leape and published by Springer Nature. This book was released on 2021-05-28 with total page 450 pages. Available in PDF, EPUB and Kindle. Book excerpt: This unique and engaging open access title provides a compelling and ground-breaking account of the patient safety movement in the United States, told from the perspective of one of its most prominent leaders, and arguably the movement’s founder, Lucian L. Leape, MD. Covering the growth of the field from the late 1980s to 2015, Dr. Leape details the developments, actors, organizations, research, and policy-making activities that marked the evolution and major advances of patient safety in this time span. In addition, and perhaps most importantly, this book not only comprehensively details how and why human and systems errors too often occur in the process of providing health care, it also promotes an in-depth understanding of the principles and practices of patient safety, including how they were influenced by today’s modern safety sciences and systems theory and design. Indeed, the book emphasizes how the growing awareness of systems-design thinking and the self-education and commitment to improving patient safety, by not only Dr. Leape but a wide range of other clinicians and health executives from both the private and public sectors, all converged to drive forward the patient safety movement in the US. Making Healthcare Safe is divided into four parts: I. In the Beginning describes the research and theory that defined patient safety and the early initiatives to enhance it. II. Institutional Responses tells the stories of the efforts of the major organizations that began to apply the new concepts and make patient safety a reality. Most of these stories have not been previously told, so this account becomes their histories as well. III. Getting to Work provides in-depth analyses of four key issues that cut across disciplinary lines impacting patient safety which required special attention. IV. Creating a Culture of Safety looks to the future, marshalling the best thinking about what it will take to achieve the safe care we all deserve. Captivatingly written with an “insider’s” tone and a major contribution to the clinical literature, this title will be of immense value to health care professionals, to students in a range of academic disciplines, to medical trainees, to health administrators, to policymakers and even to lay readers with an interest in patient safety and in the critical quest to create safe care.

Download or read book Effective Peer Review written by Robert J. Marder and published by HC Pro, Inc.. This book was released on 2007 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: HCPro is pleased to introduce Effective Peer Review: A Practical Guide to Contemporary Design, Second Edition, authored by The Greeley Company experts, Robert J. Marder, MD and Mark A. Smith, MD, MBA, FACS. Completely updated to help you: * Comply with The Joint Commission's 2007 standards * Deliver focused and ongoing professional practice evaluations * Evaluate physician core competencies * And much more! Peer review continues to rate as a top problematic issue and one you can't ignore. The pressure is driven by publicly available national data, The Joint Commission's 2007 standards expanding measurement of physician competence, and hospital boards' need to be assured that the peer review process is functioning effectively. Learn how to go beyond just satisfying a regulatory requirement to performing peer review that fosters true improvement within your facility. Although hospitals go through the motions of peer review, they are often unable to make it a meaningful process-one that results in true improvement in physician performance and meets The Joint Commission's standards. Transform your peer review process and meet external requirements with Effective Peer Review: A Practical Guide to Contemporary Design, Second Edition. Get best practices to make peer review worthwhile Newly updated and in high demand, Effective Peer Review, Second Edition, outlines and provides advice about how to do physician peer review effectively. Authored by experts from The Greeley Company, this book and CD-ROM goes beyond just reviewing the Joint Commission standards. It puts the standards in context by emphasizing best practices you can implement in your peer review process. Plus, you'll receive thorough discussion about data analysis and collection, along with peer review scoring and rating systems. Critical information at your fingertips Offering step-by-step guidance to peer review, this book and CD-ROM will help you: * Streamline your exist

Download or read book Finding What Works in Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 2011-07-20 with total page 267 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare decision makers in search of reliable information that compares health interventions increasingly turn to systematic reviews for the best summary of the evidence. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies, and can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. Systematic reviews can be helpful for clinicians who want to integrate research findings into their daily practices, for patients to make well-informed choices about their own care, for professional medical societies and other organizations that develop clinical practice guidelines. Too often systematic reviews are of uncertain or poor quality. There are no universally accepted standards for developing systematic reviews leading to variability in how conflicts of interest and biases are handled, how evidence is appraised, and the overall scientific rigor of the process. In Finding What Works in Health Care the Institute of Medicine (IOM) recommends 21 standards for developing high-quality systematic reviews of comparative effectiveness research. The standards address the entire systematic review process from the initial steps of formulating the topic and building the review team to producing a detailed final report that synthesizes what the evidence shows and where knowledge gaps remain. Finding What Works in Health Care also proposes a framework for improving the quality of the science underpinning systematic reviews. This book will serve as a vital resource for both sponsors and producers of systematic reviews of comparative effectiveness research.