Hospital Quality Incentive Demonstration
- Hospital Quality Incentive Demonstration
Launched in October 2003, the Hospital Quality Incentive Demonstration (HQID) pay-for-performance project was designed to determine if economic incentives to hospitals were effective at improving the quality of inpatient care. Approximately 250 hospitals -- small/large, urban/rural, teaching/non-teaching facilities -- across 36 U.S. states participated in the demonstration. [" [http://www.cms.hhs.gov/HospitalQualityInits/35_hospitalpremier.asp "Centers for Medicare & Medicaid Services] ". U.S. Dept. of Health and Human Services.] [" [http://www.premierinc.com/quality-safety/tools-services/p4p/hqi/results/participantlisting_01_05_2006.pdf Hospital participant listing] " (PDF). Premier, Inc.]
Over the first three years of the project (2003-2006), participating hospitals raised overall quality by an average of 15.8 percent [" [http://www.cms.hhs.gov/HospitalQualityInits/Downloads/HospitalPremierFactSheet200806.pdf Premier Hospital Quality Incentive Demonstration Fact Sheet] " (PDF). U.S. Dept. of Health and Human Services.] based on their delivery of 30 nationally standardized and widely accepted care measures [" [http://www.cms.hhs.gov/HospitalQualityInits/10_HospitalQualityMeasures.asp#TopOfPage HQID Quality Measures] ". U.S. Dept. of Health and Human Services.] [" [http://www.cms.hhs.gov/HospitalQualityInits/downloads/HospitalPremierClinicalConditionsMeasuresAndListOfRevised.zip The Premier HQID Clinical Conditions and Measures] " (ZIP file). U.S. Dept. of Health and Human Services.] to patients in these five clinical areas:
* acute myocardial infarction (AMI/heart attack)
* coronary artery bypass graft (CABG)
* heart failure (HF)
* pneumonia (PN)
* hip and knee (HK) replacement
Additional research using the Hospital Compare [" [http://www.cms.hhs.gov/HospitalQualityInits/25_HospitalCompare.asp#TopOfPage Hospital Compare dataset] ". U.S. Dept. of Health and Human Services.] dataset for April 2006 to March 2007 showed that HQID participants scored on average 7.48 percentage points higher (91.49 percent to 84.01 percent) than non-participants when evaluating 19 common Hospital Compare measures. [" [http://www.premierinc.com/quality-safety/tools-services/p4p/hqi/index.jsp CMS/Premier Hospital Quality Incentive Demonstration] ". Premier, Inc.]
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