Study: Pediatric Asthma Care and Pay-for-Performance Programs

In a study published in the July 2007 edition of the Archives of Pediatrics and Adolescent Medicine, researchers reported on the results of a pilot study to determine whether aligning design characteristics of a pay-for-performance program with objectives of an asthma improvement collaborative builds improvement capability and accelerates improvement. Forty-four pediatric practices participated in the study and the pay-for-performance program rewarded practices for participating in the collaborative, achieving network and practice level performance thresholds, and building improvement capability. Outcomes were measured by the percentage of flu shots, controller medication for children with persistent asthma, and written self-management plans that were provided. Results showed that the percentage of the network asthma population indicating that they received “perfect care” increased from 4% to 88% between October 2003 and November 2006 and the percentage receiving the influenza vaccine also greatly increased. The authors concluded that the pay-for-performance program led to substantive and sustainable improvement. To view the full article visit //archpedi.ama-assn.org/cgi/reprint/161/7/650.

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