Impact of Unannounced Standardized Patient Audit and Feedback on Care, Documentation, and Costs: an Experiment and Claims Analysis.

ABSTRACT:

Background

Meaningful variations in physician performance are not always discernible from the medical record.

Objective

We used unannounced standardized patients to measure and provide feedback on care quality and fidelity of documentation, and examined downstream effects on reimbursement claims.

Design

Static group pre-post comparison study conducted between 2017 and 2019.

Setting

Fourteen New Jersey primary care practice groups (22 practices) enrolled in Horizon BCBS's value-based program received the intervention. For claims analyses, we identified 14 additional comparison practice groups matched on county, practice size, and claims activity.

Participants

Fifty-nine of 64 providers volunteered to participate.

Intervention

Unannounced standardiz

SUBMITTER: Schwartz A 

PROVIDER: S-EPMC7859004 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature