Record Detail

PROGRAM SPONSORSHIP Formal name of the incentive and/or reward program initiative (if applicable) Program name Platinum Standard – Physician Performance Measurement Program sponsor(s) and parent organization of sponsor(s), if applicable Program sponsor(s) Savannah Business Group on Health Primary program contact information Name Gary Rost Title Executive Director Organization Savannah Business group Email gary@sbg-online.com Phone (912) 961-7300 Sponsoring organization type Employer(s) Employer-only coalition Source of funding associated with program set-up costs Funding source Other Percent contributed by sponsor and grant organization % Other 100 Program set-up costs 0 Source of funding associated with program operations costs Funding source Other Percent contributed by sponsor and by grant organization % Other 100 Program operations cost 0 Start date & end date of the program Start Date 01/01/2003 End ongoing   PROGRAM SCOPE Geographic scope of program Georgia Individuals affected by program as a percentage of total population, if known Employer/commercial health plan- active workers Employer/commercial health plan- dependents Employer/commercial health plan- retirees Coverage of affected individuals (for purchaser sponsors only) PPO Plan product(s) the program applies to (for plan sponsors only) PPO Direct target(s) of your program's incentives/rewards Physician type PCPs Specialists Physician unit Individual physician/clinician Consumers- employer covered lives (for employer respondents only) Salaried employees Hourly employees Union Non-union Full-time Part-time Dependents Retirees Recruitment of program targets Mandatory- all members of target group that meet certain criteria Specify Participation in network automatically subjects physician to reporting PROGRAM PERFORMANCE MEASURES Clinical/Safety Performance Inpatient clinical and safety measures included in your program Measure sources CMS/Premier Hospital Quality Incentive Demonstration JCAHO Core Measures The Leapfrog Group Quality and Safety Measures (NQF-endorsed Safe Practices for Better Healthcare) Other NQF Measures IHI 5 Million Lives Campaign Measure areas Safety NQF's 27 hospital safe practices (Leapfrog) Evidence-based hospital referral (Leapfrog) ICU staffing (e.g., intensivists) (Leapfrog) Outpatient clinical and safety measures included in the program Measure sources Bridges to Excellence NCQA - Physician Recognition Programs Measurement areas Other measurement areas Diabetes Health information technology adoption measures Adoption of outpatient HIT Patient tracking (e.g., managing patient data) Registry functions tracking (e.g., clinical data repository) Clinical documentation E-prescribing Decision support (e.g., alerts, reminders or point-of-care guidelines) Resource Utilization and Cost Resource utilization Pharmaceutical usage- formulary compliance Health plan performance measures Performance measure weighting Clinical performance HIT adoption NCQA Accreditation status Data Reliability Sources of data Existing or new data Existing data sources Data type Administrative in origin (derived from claims data) Data extracting entity Other Data aggregator/analyzer Program sponsor Ensures data accuracy Yes Means of ensuring accuracy Other INCENTIVE/REWARD CHARACTERISTICS Start date & end date of the incentive/reward Start Date 01/01/2003 End Date ongoing Structure of the incentive or reward Direct financial reward- increased payment Lump-sum bonus Indirect financial reward Publicize good performance Target audience for publication of performance To consumers To provider peers To purchasers Scoring used to determine payment Absolute goals- patient level measures Pay for meeting one overall measure/group of measures Absolute goals- population level measures Pay for meeting one overall measure/group of measures Frequency of reward or penalty Quarterly Time lag between measurement and receiving reward/penalty Greater than six months Source of financial payments for meeting performance goals Other COLLABORATION CHARACTERISTICS Phases of program where sought target collaboration Program design and creation Program operations Characteristics of pre-implementation target feedback Provider participation in program design Receives compensation for administrative burden of data collection No Characteristics of post-implementation target feedback Incentive target given opportunity for full explanation of results before use Incentive target groups/individuals given comparative information Information provided on how results will be used Mechanism to consider additional information and communicate back to target Process available for target to provide additional information and/or corrections Blinding of performance feedback with targets Confidential Results to peers with names disclosed Frequency of performance feedback to the targets Quarterly PROGRAM EVALUATION How the program evaluates its success Improvements in clinical performance Improvements in health status of population Sponsor financial return on investment (ROI) Evaluator Program sponsor

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