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Implementing pay-for-performance in the neonatal intensive care unit.

CPQCC Publication
TitleImplementing pay-for-performance in the neonatal intensive care unit.
Publication TypeJournal Article
Year of Publication2007
AuthorsProfit J, Zupancic JAF, Gould JB, Petersen LA
Date Published2007 May
KeywordsEmployee Performance Appraisal, Health Planning Guidelines, Humans, Infant, Newborn, Intensive Care Units, Neonatal, Quality Assurance, Health Care, Reimbursement, Incentive

Pay-for-performance initiatives in medicine are proliferating rapidly. Neonatal intensive care is a likely target for these efforts because of the high cost, available databases, and relative strength of evidence for at least some measures of quality. Pay-for-performance may improve patient care but requires valid measurements of quality to ensure that financial incentives truly support superior performance. Given the existing uncertainty with respect to both the effectiveness of pay-for-performance and the state of quality measurement science, experimentation with pay-for-performance initiatives should proceed with caution and in controlled settings. In this article, we describe approaches to measuring quality and implementing pay-for-performance in the NICU setting.

Alternate JournalPediatrics
PubMed ID17473099
PubMed Central IDPMC3151255
Grant ListK23 HD056298 / HD / NICHD NIH HHS / United States
K23 HD056298-01 / HD / NICHD NIH HHS / United States