An Environmental Scan of Pay for Performance in the Hospital Setting: Final Report. Hospital Assistance and Engagement


  • Engagement. The majority of sponsors consulted with hospitals about overall program design (15/22), typically through in-person or telephone meetings during which they discussed ways to structure the P4P program. These sponsors strongly felt that such engagement was and continues to be critical to the success of their programs. In addition, they emphasized the importance of continuing to work collaboratively with hospitals as the program evolves. As part of their ongoing interactions with hospitals and efforts to help them engage on quality improvement, many sponsors (21/23) provided performance reports to participating hospitals that often contained detailed information on individual metrics rather than just summary measures.
  • Assistance and Support. Most sponsors (13/20) offered assistance to hospitals, usually in the form of (1) education about the program (e.g., goals, background information on metrics) (10/20) and/or (2) technical assistance (e.g., instructions on how to submit data electronically, clarifications on measure specifications) (7/20). Some sponsors also noted that they make themselves available for one-on-one, on-site consultations with program participants on an as-needed basis. Other techniques used to support hospital participation in P4P programs included sharing of best practices among participating hospitals (3/20) and the use of breakthrough collaboratives (2/20).

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