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The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

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Provider-initiated pay-for-performance in a clinically integrated hospital network.

J Graham Atkinson¹, Kathleen E Masiulis, Len Felgner

¹jgatkinson@aol.com

Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality

|February 16, 2010

Summary

The Long Island Health Network

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Area of Science:

Healthcare Management
Health Services Research
Quality Improvement

Background:

Clinically integrated networks are adopting innovative performance-based payment models.
Provider-initiated pay-for-performance (PI-PFP) programs offer a unique approach to quality improvement.
Understanding the structure and outcomes of such programs is crucial for healthcare organizations.

Purpose of the Study:

To describe the development and operational aspects of the Long Island Health Network's PI-PFP program.
To evaluate the effectiveness of the PI-PFP program in improving hospital performance.
To explore the advantages of self-administered PFP programs compared to payer-run initiatives.

Main Methods:

The study details the administrative processes, risk allocation, and performance measurement of the PI-PFP program.
Key performance indicators included length of stay, patient satisfaction, and Hospital Quality Alliance measures.
The program's evolution and support for best practice sharing are documented.

Main Results:

The PI-PFP program demonstrated success in achieving its goal of improved performance.
Specific metrics such as length of stay and patient satisfaction were positively impacted.
The program facilitated the sharing of best practices among 10 clinically integrated hospitals.

Conclusions:

Provider-initiated pay-for-performance programs can effectively drive quality improvement within healthcare networks.
Self-administered PFP programs allow for tailored focus on hospital-specific priorities.
Such initiatives prepare healthcare providers for broader value-based purchasing initiatives.