P4P pays for NY Hospitals

Forty-eight hospitals in New York participating in Excellus BlueCross BlueShield’s Hospital Performance Incentive Program earned more than $22 million in quality improvement incentive payments since 2004.

The hospitals and Excellus agree upon target outcomes using benchmarks established by the Centers for Medicare and Medicaid, the Leapfrog Group, the Joint Commission and the Institute for Healthcare Improvement (IHI).

According to an article in Healthcare IT News, hospitals that were part of the pay for performance incentive program consistently scored higher on CMS' quality measures than facilities that did not have payments at risk.

Key improvements include:

  • Improving the smoking cessation advice/counseling rate.
  • Improving the rate of initial antibiotic received within six hours of hospital arrival.
  • Increasing the rate of postoperative normothermia for colorectal surgery patients.
  • Increasing the rate of surgery patients receiving appropriate venous thromboembolism prophylaxis.

(Sources: Patient Safety Monitor Alert, http://hcpro.com, March 24, 2010; Healthcare IT News, http://healthcareitnews.com, March 23, 2010)