Impact of Financial Incentives on Early and Late Adopters among US Hospitals: observational study.

ABSTRACT:

Objective

To examine how hospitals that volunteered to be under financial incentives for more than a decade as part of the Premier Hospital Quality Incentive Demonstration (early adopters) compared with similar hospitals where these incentives were implemented later under the Hospital Value-Based Purchasing program (late adopters).

Design

Observational study.

Setting

1189 hospitals in the USA (214 early adopters and 975 matched late adopters), using Hospital Compare data from 2003 through 2013.

Participants

1 371 364 patients aged 65 years and older, using 100% Medicare claims.

Main outcome measures

Clinical process scores and 30 day mortality.

Results

Early adopters started from a slightly higher baseline of clinical process scores (92) than late

SUBMITTER: Bonfrer I 

PROVIDER: S-EPMC5749590 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature