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A Framework for Contracted Health IT Performance Assessments.

Thomas R Martin1, Hamlet Gasoyan2, David J Wierz1

  • 1a St. Joseph's University Department of Health Services , Philadelphia , PA , USA.

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|January 15, 2019
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Summary

Structuring health IT contracts for performance-based payments is challenging. This study identifies three common archetypes for health IT performance contracts to guide value-based care delivery.

Keywords:
EHRsHealth IT contractingpay for performanceperformance assessmentsvalue-based care

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Area of Science:

  • Health Informatics
  • Healthcare Management
  • Contract Law

Background:

  • Performance-based payment models are increasingly prevalent in healthcare.
  • Existing research on structuring health IT contracts for these models is limited.
  • Effective health IT contracting is crucial for successful value-based care initiatives.

Purpose of the Study:

  • To assess common approaches to health IT contracting and performance measurement.
  • To identify and classify current practices in health IT performance contracting.
  • To provide archetypes for structuring health IT performance contracts.

Main Methods:

  • A comprehensive review of existing literature on health IT contracting.
  • A survey of healthcare professionals involved with health IT systems.
  • Classification of identified contracting approaches.

Main Results:

  • Identified limited research on structuring health IT contracts for performance-based payments.
  • Classified current contracting approaches into three main archetypes.
  • Highlighted the need for structured contract frameworks.

Conclusions:

  • Three archetypes for health IT performance contracts were identified: internal operations, external evaluation, and joint agreement.
  • These archetypes offer a framework for structuring contracts to support value-based care.
  • Further research is needed to refine these models and their implementation.