Pay for Performance

1

Pay for Performance Technical Assistance Options
Readiness Conference for Stakeholders October
16, 2002
2
Assessment of TA Options and Preferences

• Qualitative study by NAS Consulting --
• Neil Solomon, MD Margie Powers
• Funded by CHCF
• Interview 15 groups association execs

3
9 TA Options Assessed

• Intensive Collaboration (IHI Breakthrough Series
• Facilitated Collaboration (CCHRI CQI Diabetes
  Project)
• Day-long QI Staff Workshop
• Day-long Physicians Workshop

4
TA Options (Cont)

• On-site TA
• Audit of P4P Data
• Web Portal of QI Information
• Expanding Technologic Capabilities
• Outsourcing DM Function

5
Highest Demand for TA

• No clear winner
• Day-long Staff Workshops (15)
• Audit of P4P Data (14)
• Facilitated Collaboration (12)
• On-site TA (12)
• Highest Possible Score 45

6
Preferred Sources for TA

• QI Experts Through CHCF (78)
• CCHRI (69)
• Physician Group Associations (63)
• CMRI (63)
• Highest Possible Score 120

7
Top 3 Clinical Priorities

• Diabetes (39)
• CAD (17)
• Mammography/Immunization/Asthma (10)
• Pap Smears (2)
• Highest Score 45

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Summary

• Aware of P4P (13)
• Preparing for P4P (11)
• Implementing DM (12, esp. diabetes)
• Only 6 have registry now (5 planning)
• Skeptical about actual payments
• but not preventing preparation

9
Areas of Opportunity

• Leverage existing QI activities
• Promote registry development
• Facilitate collaborations
• NOTE Official report to CHCF is in progress
  handouts provide additional detail

10
Two Specific Ideas

• BridgingCare Patient Planner
• P4P Dry Run

11
BridgingCare
r

• Web-based patient registry tool for
• visit planning, outreach, pop. reporting
• Paper-based not yet PDA compatible
• May be better suited to smaller IPAs
• GSK will subsidize licensing for 50 physicians or
  25 of the group in exchange for de-identified
  data
• Contact Paul Solari, MD if interested

12
Dry Run

• Groups run P4P 2002 admin data
• Able to see relative scores relative to other
  dry run groups
• Seeking funds to support source code audits
• Might propose some cost-sharing
• Technical workshops included

13
Next Steps?

• Convene round table on TA options?
• CHCF funding for QI staff workshops?
• Web-based bulletin board to share info on vendors
  and programs?
• Recruit groups for additional CQI collaboratives?
• Leave it to the market?