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Home / News & IndustryManaged Care Insight and Analysis
Updated: February 23, 2011
Two California Groups Will Make Physician Performance Results Public

For the first time Californians will have access to information identifying physicians who scored highly on evidence-based performance measures under a new program announced by Blue Shield of California and the Pacific Business Group on Health (PBGH).

The healthcare quality transparency initiative, which has widespread support from organizations ranging from AARP to CalPERS to Service Employee International Union (SEIU), will allow the public to identify thousands of high-performing doctors online and to make more informed healthcaredecisions.

PBGH, a business coalition of 50 purchasers, a nonprofit health plan Blue Shield of California and California Cooperative Healthcare Reporting Initiative, a collaborative of healthcare purchasers, consumers, health plans and physicians, worked together.

They measured the performance of 13,000 high-volume physicians on evidence-based healthcare quality standards. The Blue Ribbon Recognition Program will publicly recognize physicians who scored above average in up to eight measures in preventive screening, diabetes and other categories.

These physicians will have a blue ribbon icon added to their Blue Shield online profile at: www.blueshieldca.com/findaprovider. The program is based solely on data compiled to measure quality of care and does not consider cost information in any way.

The performance results are drawn from data collected by the California Physician Performance Initiative, a multi-stakeholder initiative run by physician organizations, health plans, purchasers, consumers and health data experts, to measure and report on the performance of California’s physicians. The four-year-old organization aggregates claims data covering more than 5 million patients and 63,000 physicians to generate a reliable set of quality metrics.

All physicians were given an opportunity to review their own patient records and correct any deficiencies they believed to exist in the data.

"At PBGH we know that the doctor-patient relationship is at the core of our healthcare system," said David Lansky, president and CEO of PBGH.

The following organizations commented about their support for the program: AARP, The California Public Employees’ Retirement System. SEIU, the California Health Care Coalition, the California School Employees Association and Southern California Edison.

Michael-Anne Browne, Blue Shield of California’s medical director for quality, said, "Californians currently have access to quality information on health plans, hospitals and even medical groups, but have virtually no quality information on their individual physician. That changes today ..."

George McGregor, fund administrator for the California Schools Voluntary Employees Benefits Association talked about consumer engagement. "It is imperative that we re-engage the consumer in making critical health care decisions."

Maurice Hodos, fund administrator for the United Food and Commercial Workers National Health and Welfare Fund, echoed the sentiments of other organizations when he said his organization "strongly supports efforts to promote quality transparency in health care and the opportunity of our members to make health care decisions based on easily available informed quality information."

Addresses: Blue Shield of California, 50 Beale Street, San Francisco, CA 94105-1808; (415) 229-5000, www.blueshieldca.com. Pacific Business Group on Health, 221 Main Street, Suite 1500, San Francisco, CA 94105; (415) 281-8660, www.pbgh.org.


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

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