On October 21, 2004, Dr. Young made a presentation in a Web conference entitled Buy-Right for Health Care Quality: Evidence and Indicators: Paying for Performance.
This is the text version of Dr. Young's slide presentation. Select to access the PowerPoint® Slides (112 KB).
Gary Young, J.D., Ph.D.
Boston University School of Public Health and
Department of Veterans Affairs
Boston, MA
This slide contains a table of the seven demonstration projects. There are three columns displayed in the table. The first column is labeled "Demonstration Project." The second column is labeled "Unit of Accountability." Lastly, the third column is labeled "Geographic Region." The seven demonstration projects described in the table are:
1)Blue Cross Blue Shield of Michigan; Unit of Accountability: "Hospitals"; Geographic Region: "MI"
2)Blue Cross of California; Unit of Accountability: "Individual Physicians"; Geographic Region: "San Francisco Bay Area"
3) Bridges to Excellence; Unit of Accountability: "Individual physicians and group practices"; Geographic Region: "Cincinnati, OH; Louisville, KY; Boston, MA; Albany, NY"
4)Excellus; Unit of Accountability: "Individual physicians"; Geographic Region: "Rochester, NY"
5) Pay-for-Performance—Integrated Healthcare Association; Unit of Accountability: "Group Practices"; Geographic Region: "CA"
6) Local Initiative Rewarding Results—Center for Health Care Strategies; Unit of Accountability: "Individual physicians and group practices"; Geographic Region: "CA"
7) Massachusetts Health Quality Partners; Unit of Accountability: "Group Practices"; Geographic Region: "MA"
This slide contains a model that demonstrates the conceptual framework through four boxes representing an item of the model and arrows indicating an influential force on each inclusive item. The four boxes are:
"Provider Perceptions" affect "Practice Behavior" and are influenced by "Feedback." "Practice Behavior" affects "Feedback" and "Quality Targets." "Quality Targets" affect "Feedback." "Feedback" affects "Provider Perceptions."
This slide contains a table which represents surveyed physician attitudes. On the left are four statements:
At the bottom are percentage rates from 0-100%. The response choices for each statement are labeled, "Strongly Disagree, Disagree, Neutral, Agree, Strongly Agree."
There were 714 respondents in this study.
This slide contains a line graph which shows the attitudes of physicians on specific characteristics of an incentive program. There are two line graphs. Site A, is represented by a solid line, and Site B is represented by a dotted line. On the left is a scale from 1-5 in which the physician response was rated from 1 - 5. A ranking of 1 means strongly disagree. A ranking of 5 means strongly agree.
The eight characteristics are:
There were 560 respondents.
Current as of March 2005
Internet Citation:
Evaluation of the Rewarding Results Program. Text version of a slide presentation at a Web conference. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/ulp/buyright/youngtxt.htm
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