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Home / News & IndustryManaged Care Insight and Analysis
Updated: Jan. 6, 2009
Bridges To Excellence Study Shows Participating Physicians Provide Better Quality Of Care

Bridges to Excellence (BTE) reported findings of a study that says that BTE-recognized doctors performed better than their peers on standard measures of quality, and, in some cases, resource-usemeasures.

The study examined a cross-sectional comparison of performance data for physicians recognized by the Physician Office Link and Diabetes Care Link programs of BTE and similar but non-recognized physicians, BTE said.

The study, which was led by Meredith Rosenthal, PhD, associate professor of Health Economics and Policy, Department of Health Policy and Management, Harvard School of Public Health, used a large dataset in Massachusetts to compare BTE recognized and non-recognized physicians in the largest study of this kind to-date.

In Massachusetts physicians recognized by BTE have been rewarded for over five years and the programs rewarded include the adoption of better systems and the delivery of good results in patient management, BTE said.

"Payers and physicians continue to wrestle with the problem of identifying valid, cost-efficient methods of measuring performance for the purposes of payment and network design," said Rosenthal. "Our findings provide some insight into the correspondence among alternative physician performance measures and the potential value of a retrospective recognition program such as that exemplified by Bridges to Excellence."

The study shows that findings based on the results of site surveys and a retrospective review of clinical data suggest that physicians recognized by BTE appear to rely more on evaluation and management and less on tests and procedures. Bridges to Excellence recognitions can therefore be a useful quality measurement tool for healthcare purchasers to identify high-performing physicians, BTE said

Further research is needed to examine whether recognition by BTE is associated with patient flow increases or performance improvement, researchers said.

"We have consistently said that the relationship between better quality and lower cost exists, but that this relationship is contingent upon looking at whether or not physicians are focusing on delivering better outcomes," said François de Brantes, CEO of Bridges to Excellence and a co-author. "This study looked at physicians that had transformed their practices using good systems and were actively managing their patients. Not surprisingly, inpatient stays were lower across all patients as evaluation and management increased."

Address: Bridges to Excellence, 13 Sugar St., Newtown, CT 06470; www.bridgestoexcellence.org.


  This article was taken from:
Pay-For-Performance Reporter

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