Pay for performance/incentives

Innovations

Comprehensive Wellness Program Improves Employees' Health-Related Behaviors and Risk Factors, Stems Rise in Employer Health Care Costs 08/23/11

A large employer offers a comprehensive wellness program combined with financial incentives to use its various components, leading to broad participation, improvements in health-related behaviors and risk factors, and a leveling off of overall health care costs.

Electronic and Telephone Reminders Increase Medication Adherence in Adults With Uncomplicated Hypertension 02/22/11

A specially designed pill-bottle system supplied visual and auditory reminders to patients, along with telephone reminders after missed doses and progress reports to be shared with providers; the program significantly increased medication adherence in those with uncomplicated hypertension.

Formal Processes Ensure System-Wide Focus on Heart Attack, Heart Failure, Pneumonia, and Surgical Care, Improving Performance on Core Measures 12/13/10

A health system uses formal processes to track patients who meet core measure inclusion criteria, monitor gaps in care, investigate care variances, and share data and best practices, leading to a significant improvement in overall performance on the measures.

Barber-Based Monitoring, Education, and Referral Support Improve Treatment Rates and Blood Pressure Control in African-American Men 12/06/10

Trained barbers provide ongoing blood pressure monitoring, education, and referral support to African-American male patrons, leading to improved treatment rates and blood pressure control in hypertensive patrons.

Health System Expands Pharmacy and Nursing Staff Roles and Institutes Focus on Accountability, Improving Performance on Core Measures 11/03/10

Norman Regional Health System uses an expanded role for pharmacists and nurses, ongoing monitoring and reporting, physician peer review, and financial incentives to improve performance on core measures, achieving adherence rates of 96 percent or more on 17 of 25 measures (above both State and national averages).

Outpatient Clinics Use Annual Education Campaign, Friendly Competition, and Incentives to Double Influenza Immunization Rates Among Employees 08/22/10

A multispecialty clinic promotes influenza vaccinations among employees by offering free vaccines, providing education about vaccine safety and effectiveness, designating an immunization champion within each clinic, and sponsoring friendly competitions across sites; the program led to more than doubling the employee immunization rate over a 7-year period.

Active Solicitation of Patient Feedback and Engagement of Employees in Customer Service Significantly Increases Patient Satisfaction 07/02/10

A health system gathers patient feedback through multiple channels and uses this feedback to develop patient-centered initiatives to improve customer service, leading to a significant increase in patient satisfaction and top-decile performance on measures relating to overall hospital quality and willingness to recommend the organization.

Employer-Sponsored Incentives and Support Designed to Reduce Overweight/Obesity and Other Risks Lead to Improvements in Health-Related Behaviors and Select Health Indicators 02/08/10

Financial incentives and associated support for employees and spouses to remain smoke-free, engage in physical activity, manage weight, achieve specific health-related milestones, and complete an annual physical exam and health risk appraisal lead to high participation rates and improvements in health-related behaviors and select health indicators.

Revamped Employee Wellness Program With Financial Incentives, Onsite Biometrics, Health Risk Assessments, and Coaches Boosts Participation Rates, Reduces Risk Factors 10/14/09

A large, self-insured employer revamped its employee wellness program to incorporate financial incentives, onsite biometrics that feed into a health risk assessment, and periodic meetings with health coaches, leading to greater employee participation and a reduction in risk factors.

Community- and Practice-Based Teams, Real-Time Information, and Financial Incentives Help Medical Homes Improve Care, Reduce Utilization and Costs 09/29/09

As part of a statewide, public-private initiative, a largely rural Vermont community supports its six medical patient-centered medical home practices with a multidisciplinary provider team, real-time electronic information, and insurer-funded financial incentives, leading to more appropriate care and services and lower utilization and growth in health care spending.

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