Anthony Ray Shannon HSM546 Week Five Wr
Pay for Performance Article Review:
Affordable Care Act and Its Effect on Pay-for-Performance Programs
Anthony Ray Shannon
HSM-546
Keller School of Management
Professor: Dr. Karlene Richardson
October 12, 2014
Affordable Care Act and Its Effect on Pay-for-Performance Programs Pay-For-Performance Programs (PFP) are put in place to properly rate the effectiveness of the healthcare quality and related costs in all aspects of the healthcare industry, like with the day to day healthcare operations in Primary Care Providers (PCP) offices, healthcare clinics and private or public hospitals. Once all research data, reports and surveys are completed and collected, the managers of the Pay-For-Performance Programs, which are ran by both private and government entities will make changes or keep in place current Pay-For-Performance procedures. Both private and government ran PFP Programs will pick one area of healthcare operations like with the case of evaluating the survival and inpatient mortality of patients, who have been diagnose and treated with acute myocardial infarction (AMI). They will compare research data from patient cases from and research pool of 1000 hospitals over one year period and then compare these healthcare operation results, with data from Joint Commission Core Measures databases that will cover a two to four year period of research. Then the PFP managers will create the composite score formula, which is base on the Centers for Medicare and Medicaid Services Methodology scoring procedures, then statically compare these numbers with the research data that comes from using a set alternative scoring method that was used during the conducted AMI research (Glickman, et al., 2009). This type of conducted research will measured or compared two variables like clinic procedures and administrative procedures direct effects on the mortality rate of patients who have been treated and diagnose with AMI. Results from past conducted AMI research shown the
Affordable Care Act and Its Effect on Pay-for-Performance Programs
Anthony Ray Shannon
HSM-546
Keller School of Management
Professor: Dr. Karlene Richardson
October 12, 2014
Affordable Care Act and Its Effect on Pay-for-Performance Programs Pay-For-Performance Programs (PFP) are put in place to properly rate the effectiveness of the healthcare quality and related costs in all aspects of the healthcare industry, like with the day to day healthcare operations in Primary Care Providers (PCP) offices, healthcare clinics and private or public hospitals. Once all research data, reports and surveys are completed and collected, the managers of the Pay-For-Performance Programs, which are ran by both private and government entities will make changes or keep in place current Pay-For-Performance procedures. Both private and government ran PFP Programs will pick one area of healthcare operations like with the case of evaluating the survival and inpatient mortality of patients, who have been diagnose and treated with acute myocardial infarction (AMI). They will compare research data from patient cases from and research pool of 1000 hospitals over one year period and then compare these healthcare operation results, with data from Joint Commission Core Measures databases that will cover a two to four year period of research. Then the PFP managers will create the composite score formula, which is base on the Centers for Medicare and Medicaid Services Methodology scoring procedures, then statically compare these numbers with the research data that comes from using a set alternative scoring method that was used during the conducted AMI research (Glickman, et al., 2009). This type of conducted research will measured or compared two variables like clinic procedures and administrative procedures direct effects on the mortality rate of patients who have been treated and diagnose with AMI. Results from past conducted AMI research shown the
References: cms.gov. (2012, October 14). Guide to Quality Performance Standards for Accountable Care Organization Starting in 2012: Pay for Reporting and Pay for Performance. Retrieved from www.cms.gov: http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Downloads/ACO-Guide-Quality-Performance-2012.PDF CMS.gov. (2014, October 2). Centers for Medicare & Medicaid Services. Retrieved from CMS.gov:http://www.cms.gov/site-search/search-results.html?q=pay%20for%20performance Glickman, S. W., Boulding, W., Roos, J. M., Peterson, E. D., Schulman, K. A., & Staelin, R. (2009, October 11). Alternative Pay-for-Performance Scoring Methods: Implications for Quality Improvement and Patient Outcomes. Retrieved from journals.lww.com: http://journals.lww.com/lww-medicalcare/Abstract/2009/10000/Alternative_Pay_for_Performance_Scoring_Methods_.5.aspx Nix, K. (2013, November 20). What Obamacare’s Pay-For-Performance Programs Mean for Health Care Quality. Retrieved from www.heritage.org: http://www.heritage.org/research/reports/2013/11/what-obamacares-pay-for-performance-programs-mean-for-health-care-quality Peter R. Kongstvedt, M. F. (2013). Essentials of Managed Health Care Sixth Edition. Boston: Jones & Bartlett Learning.