Pay for performance in health care: strategic issues for Australian experiments

Ian A Scott
Med J Aust 2007; 187 (1): 31-35.
  • Ian A Scott

  • Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, QLD.

Competing interests:

None identified.

  • 1. Lindenauer PK, Remus D, Roman S, et al. Public reporting and pay for performance in hospital quality improvement. N Engl J Med 2007; 356: 486-496.
  • 2. Trisolini M, Pope G, Kautter J, Aggarwal J. Medicare Physician Group practices: innovations in quality and efficiency. New York: The Commonwealth Fund, December 2006.
  • 3. Bridges to Excellence. Rewarding quality across the healthcare system [website]. (accessed May 2007).
  • 4. The Leapfrog Group [website]. (accessed May 2007).
  • 5. McDermott S, Williams T, editors. Advancing quality through collaboration: the California Pay for Performance Program. Oakland, Calif: Integrated Healthcare Association, February 2006. (accessed May 2007).
  • 6. Doran T, Fullwood C, Gravelle H, et al. Pay-for-performance programs in family practices in the United Kingdom. N Engl J Med 2006; 355: 375-384.
  • 7. Medicare Australia. Formula for calculating PIP payments. (accessed May 2007).
  • 8. Pink GH, Brown AD, Studer ML, et al. Pay-for-performance in publicly financed healthcare: some international experience and considerations for Canada. Healthc Pap 2006; 6: 8-26.
  • 9. Guterman S, Serber MP. Enhancing value in Medicare: demonstrations and other initiatives to improve the program. New York: The Commonwealth Fund, January 2007.
  • 10. Rosenthal MB, Landon BE, Normand S-LT, et al. Pay for performance in commercial HMOs. N Engl J Med 2006; 355: 1895-1902.
  • 11. Ward M, Daniels SA, Walker GJ, Duckett S. Connecting funds with quality outcomes in health care: a blueprint for a Clinical Practice Improvement Payment. Aust Health Rev 2007; 31 (Suppl 1): S54-S58.
  • 12. Berwick DM, DeParle NA, Eddy DM, et al. Paying for performance: Medicare should lead. Health Aff (Millwood) 2003; 22: 8-10.
  • 13. Fisher ES. Paying for performance — risks and recommendations. N Engl J Med 2006; 355: 1845-1847.
  • 14. Campbell NC, Murray E, Darbyshire J, et al. Designing and evaluating complex interventions to improve health care. BMJ 2007; 334: 455-459.
  • 15. Petersen LA, Woodard LD, Urech T, et al. Does pay-for-performance improve the quality of health care? Ann Intern Med 2006; 145: 265-272.
  • 16. Baker G, Carter B. Provider Pay-for-Performance Programs: 2004 national study results. San Francisco, Calif: Medvantage, 2005. (accessed Dec 2006).
  • 17. Galvin R. Pay-for-performance: too much of a good thing? A conversation with Martin Roland. Health Aff (Millwood) 2006; 25: w412-w419.
  • 18. Norton EC. Incentives regulation of nursing homes. J Health Econ 1992; 11: 105-128.
  • 19. Nahra TA, Reiter KL, Hirth RA, et al. Cost-effectiveness of hospital pay-for-performance incentives. Med Care Res Rev 2006; 63 (1 Suppl): 49S-72S.
  • 20. Curtin K, Beckman H, Pankow G, et al. Return on investment in pay for performance: a diabetes case study. J Healthc Manag 2006; 51: 365-374.
  • 21. Institute of Medicine. Unequal treatment confronting racial and ethnic disparities in health care. Washington, DC: National Academy Press, 2002.
  • 22. Pham HH, Schrag D, O’Malley AS, et al. Care patterns in Medicare and their implications for pay for performance. N Engl J Med 2007; 356: 1130-1139.
  • 23. Grimshaw JM, Thomas RE, MacLennan G, et al. Effectiveness and efficiency of guideline dissemination and implementation strategies. Health Technol Assess 2004; 8: iii-iv, 1-72.
  • 24. Goldfarb S. The utility of decision support, clinical guidelines, and financial incentives as tools to achieve improved clinical performance. Jt Comm J Qual Improv 1999; 25: 137-144.
  • 25. Dudley RA, Frolich A, Robinowitz DL, et al. Strategies to support quality-based purchasing: a review of the evidence. Rockville, Md: Agency for Healthcare Research and Quality, 2004. (Technical Review 10, AHRQ publication No. 04-0057.)
  • 26. Werner RM, Bradlow ET. Relationship between Medicare’s hospital compare performance measures and mortality rates. JAMA 2006; 296: 2694-2702.
  • 27. Hofer TP, Hayward RA, Greenfield S, et al. The unreliability of individual physician “report cards” for assessing the costs and quality of care of a chronic disease. JAMA 1999; 281: 2098-2105.
  • 28. Kindig DA. A pay-for-population health performance system. JAMA 2006; 296: 2611-2613.
  • 29. Pine M, Jordan HS, Elixhauser A, et al. Enhancement of claims data to improve risk adjustment of hospital mortality. JAMA 2007; 297: 71-76.
  • 30. Nolan T, Berwick DM. All-or-none measurement raises the bar on performance. JAMA 2006; 295: 1168-1170.
  • 31. Fairbrother G, Hanson KL, Friedman S, Butts GC. The impact of physician bonuses, enhanced fees, and feedback on childhood immunisation rates. Am J Pub Health 1999; 89: 171-175.
  • 32. Rosenthal MB, Frank RG, Li Z, Epstein AM. Early experience with pay-for-performance. From concept to practice. JAMA 2005; 294: 1788-1793.
  • 33. Boyd CM, Darer J, Boult C, et al. Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases: implications for pay for performance. JAMA 2005; 294: 716-724.
  • 34. Conrad DA, Saver BG, Court B, Heath S. Paying physicians for quality: evidence and themes from the field. Jt Comm J Qual Patient Saf 2006; 32: 443-451.
  • 35. Trude S, Au M, Christianson JB. Health plan pay-for-performance strategies. Am J Manag Care 2006; 12: 537-542.
  • 36. Teleki SS, Damberg CL, Pham C, Berry SH. Will financial incentives stimulate quality improvement? Reactions from frontline physicians. Am J Med Qual 2006; 21: 367-374.
  • 37. Rosenthal MB, Dudley RA. Pay-for-performance. Will the latest payment trend improve care? JAMA 2007; 297: 740-744.


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