An Environmental Scan of Pay for Performance in the Hospital Setting: Final Report

November 2007

Prepared by:
RAND Health working paper series
CHERYL L.DAMBERG, MELONY SORBERO, ATEEV MEHROTRA, STEPHANIE TELEKI, SUSAN LOVEJOY, AND LILY BRADLEY 

Prepared for:
Office of the Assistant Secretary for Planning and Evaluation (ASPE)
U.S. Department of Health and Human Services (HHS)

Prepared Under:
WR-474-ASPE/CMS

This report is available on the Internet at:
http://aspe.hhs.gov/health/reports/08/payperform07.html

Printer Friendly Version in PDF Format (182 pages)
How to Obtain a Printed Copy

Table of Contents

PREFACE
TABLES
SUMMARY
ACKNOWLEDGEMENTS
ABBREVIATIONS
INTRODUCTION
   Background
   Development of the Value-Based Purchasing Plan
   Content and Structure of This Report

A REVIEW OF THE EVIDENCE ON HOSPITAL PAY FOR  PERFORMANCE
   Summary of the Empirical Evidence on the Impact of Hospital Pay for Performance
   Theoretical Literature and implications for p4p design
   Limitations in using Economic Theories to Predict Behavioral response
   Conclusions
SUMMARY OF DISCUSSIONS WITH PAY-FOR-PERFORMANCE  PROGRAM SPONSORS
   Methodological Approach
   Findings From Discussions with Program Sponsors
   Critical Lessons Learned
IV. SUMMARY OF DISCUSSIONS WITH HOSPITALS, HOSPITAL ASSOCIATIONS, AND DATA VENDORS
   Methodology
V. SUMMARY OF FINDINGS FROM ENVIRONMENTAL SCAN
APPENDIX A: DESIGN ISSUES EXPLORED AS PART OF THE ENVIRONMENTAL SCAN
APPENDIX B: SUMMARY OF PAY-FOR-PERFORMANCE DESIGN PRINCIPLES
APPENDIX C: INPATIENT HOSPITAL MEASURES
APPENDIX D: LIST OF ORGANIZATIONS PARTICIPATING IN THE ENVIRONMENTAL SCAN
REFERENCES
TABLES
   Table 1: Design Issues Explored with Program Sponsors and Hospitals
   Table 2: Key Terms Used to Search the Literature for Hospital P4P Studies
   Table 3: Summary of Design Features of P4P Programs Contained in Published Evaluation Studies
   Table 4: Summary of Evaluation Studies Examining Hospital P4P Programs
   Table B.1. P4P Principles and Recommendations from Stakeholders
   Table B.2. Summary of P4P Design Principles and Recommendations

How to Obtain a Printed Copy

To obtain a printed copy of this report, send the title and your mailing information to:

Health Policy, Room 447D
Assistant Secretary for Planning and Evaluation
U.S. Department of Health and Human Services
200 Independence Ave, SW
Washington, DC 20201

Fax:  (202) 690-6870

If you are interested in this, or any other ASPE product, please contact the Policy Information Center at (202) 690-6445. Or you may email us at pic@hhs.gov

Where to?

Top of Page

Home Pages:
Health Policy
Assistant Secretary for Planning and Evaluation (ASPE)
U.S. Department of Health and Human Services (HHS)

Last updated: 1/10/2008