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QualityTool

PROMETHEUS Payment® Implementation Toolkit


Description

This implementation toolkit, for employers, health plans, and provider groups, offers detailed information and step-by-step instructions to implement the PROMETHEUS payment model. This payment system is a package, or bundled fee payment system centered on a comprehensive episode of medical care that covers all patient services related to an illness, condition, or procedure. PROMETHEUS Payment addresses a full range of issues that can drive profound long-term, system-wide improvements including:
  • Fair compensation of providers—and rewarding excellence by allowing top performers to earn more
  • Offering direct and powerful incentives for providers to deliver greater value and better outcomes
  • Encouraging caregivers to work in teams, share information, and take collective responsibility for a patient’s health
  • Providing a realistic framework to transform today’s fragmented and inefficient system into one that is far more integrated and accountable

The implementation toolkit is organized into the following sections:
  • What is PROMETHEUS Payment?
  • The fundamentals: how the model works
  • Getting started with your own pilot: conducting initial data analysis
  • Building support: CEO leadership and champions
  • Engaging providers and payers
  • Defining the scope
  • Health plan contracting
  • Launching the pilot
  • Conclusion
Links to the Tool:
This tool is available at: http://www.hci3.org/?q=node/101
The PDF version of this tool is available at: http://www.hci3.org/sites/default/files/files/PROMETHEUS%20Payment%20Toolkit%20-%20Final.pdf (If you don't have the software to open this PDF, download free Adobe Acrobat Reader® software External Web Site Policy.)

Developer

Health Care Incentives Improvement Institute

Funding Sources

Robert Wood Johnson Foundation


QualityTool Topic

other; Quality improvement strategies


History

  • Release Date: 03/2011
  • Original Summary: 08/2012
Disclaimer: The inclusion of a tool in the Innovations Exchange does not constitute or imply an endorsement by the U.S. Department of Health and Human Services, the Agency for Healthcare Research and Quality or Westat of the tool or of the submitter or developer of the tool. Read more.
QualityTool Classification

IOM Domains of Quality:
QualityTool Format:

Last updated: August 15, 2012.