|Patient Lives Saved And $24.5 Million In Incentives Awarded
More than 1.1 million patients treated in five clinical
areas at hospitals participating in a Centers for Medicare and Medicaid
Services (CMS)/ Premier healthcare alliance pay-for-performance project
areliving longer and receiving recommended treatments more frequently,
according to results released by the two organizations.
CMS also said it awarded more than $24.5 million in
incentive payments to top performing hospitals over the project’s
first three years.
According to results released by the organizations, more
than 250 hospitals participating in the CMS/Premier Hospital Quality
Incentive Demonstration (HQID) project have raised overall quality by
an average of 15.8 percent over three years based on their delivery of
30 nationally standardized and widely accepted care measures to
patients in five clinical areas.
Improvements in quality of care saved the lives of an
estimated 2,500 heart attack patients across the first three years of
the project, according to an analysis of mortality rates at hospitals
participating in the project.
Patients also received approximately 300,000 additional
recommended evidence-based clinical quality measures, such as smoking
cessation, discharge instructions and pneumococcal vaccination, during
that same time frame.
CMS said that it will award incentive payments of more
than $7 million to 112 top-performing hospitals in Year 3, representing
the top 20 percent of hospitals in each of the project’s five
clinical areas. Overall, 206 awards were given to these top-performing
hospitals in the third year of the project.
"The findings from the first three years of the HQID
project clearly show that transparency with rewards for quality
achieves a higher level of performance in American hospitals," said
Richard Norling, president and chief executive officer of Premier.
"This important connection between increased quality and
performance creates value to patients, as well as the healthcare
system," he said.
The range of variance among participating hospitals is
also closing, as those hospitals in the lower deciles continue to
improve their quality scores and close the gap between themselves and
the demonstration’s top performers, Premier said.
This holds true for all types of participants –
small and large, urban and rural, teaching and non-teaching, Premier
Additional research by Premier using the Hospital
Compare dataset for April 2006 to March 2007 showed that HQID
participants scored on average 7.48 percentage points higher (91.49
percent to 84.01 percent) than non-participants when evaluating 19
common Hospital Compare measures.
Addresses: Centers for Medicare and Medicaid Services, 7500 Security Blvd., Baltimore, MD 21244; (877) 267-2323, www.cms.gov. Premier Inc., 2320 Cascade Pointe Blvd., Charlotte, NC 28208; (704) 357-0022, www.premierinc.com.