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Related Concept Videos

Introduction to Documentation and Reporting01:20

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Public Performance Metrics: Driving Physician Motivation and Performance.

Maxwell Y Jen1, Vy Han1, Kathryn Bennett2

  • 1University of California Irvine, Department of Emergency Medicine, Orange, California.

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|March 20, 2020
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Summary
This summary is machine-generated.

Displaying physician performance metrics in the emergency department (ED) significantly increased patient triage rates. This low-cost strategy leverages intangible motivators like peer pressure to improve efficiency in the pay-for-performance era.

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Area of Science:

  • Healthcare Management
  • Medical Economics
  • Public Health

Background:

  • Healthcare systems are shifting from fee-for-service to pay-for-performance models.
  • Emergency department (ED) visits are increasing nationwide.
  • Improving ED performance is a key objective.

Purpose of the Study:

  • To determine if public display of physician triage performance metrics could enhance intangible motivators.
  • To assess the impact of visible performance data on ED triage efficiency.

Main Methods:

  • A time-series study was conducted on a physician-in-triage system at a single institution.
  • Individual physician triage and disposition metrics were collected and displayed quarterly.
  • Physicians were informed of the data display but faced no direct consequences or incentives.

Main Results:

  • The overall average number of patients triaged per shift significantly increased from Q1 (29.2) to Q4 (36.5) (p < 0.00001).
  • The number of patients dispositioned per shift showed no significant change (p = 0.14).
  • The bottom 25% of performers showed a significant increase in average patients triaged per shift (12.2 patients, p = 0.0013).

Conclusions:

  • Public performance metrics can effectively drive intangible motivators such as purpose, mastery, and peer pressure.
  • This strategy offers a low-cost method to improve individual performance and achieve institutional goals.
  • Visible performance data can be a valuable tool for enhancing efficiency in the pay-for-performance healthcare environment.