TY - JOUR
T1 - Outcomes of a Seven Practice Pilot in a Pay-For-Performance (P4P)-Based Program in Pennsylvania
AU - Johnson, Rhonda M.
AU - Johnson, Twyla
AU - Zimmerman, Sarah D.
AU - Marsh, Gary M.
AU - Garcia-Dominic, Oralia
N1 - Funding Information:
The authors are grateful to our participating pay-for-performance (P4P) practices and former Highmark employee Christine Heasley that served our minority communities in Pennsylvania. This study was funded by Highmark Inc Authors Rhonda Johnson, MD, MPH, Oralia Garcia Dominic, PhD, MS, MA, and Twyla Johnson, MPH, MBA, are employees of Health Equity and Quality Services at Highmark Inc. Oralia Garcia Dominic is a National Institutes of Health (NIH) National Cancer Institute (NCI) K01 grantee. Authors Gary Marsh, PhD, FACE, and Sarah D. Zimmerman, BS, MS, are Highmark Consultants. The authors thank Judah Abberbock, MS, for his technical support. Gary M. Marsh, PhD, FACE, declares that he has received grants. He is a principal investigator of a sponsored research project at the University of Pittsburgh funded by Highmark, Inc. Oralia Garcia Dominic, PhD, MS, MA, declares that she has received grants from NIH, PA DOH, ACS. She is an NIH NCI K01 grantee and principal investigator of this sponsored research project at the Allegheny Singer Research Institute (ASRI) funded by NIH NCI CRCHD. She is an employee and the primary lead for health disparities and clinical interventions for Health Equity and Quality Services at Highmark IncCamp Hill, Pennsylvania.
PY - 2015/3/1
Y1 - 2015/3/1
N2 - OBJECTIVES: The objective of this study was to examine how targeted six-month interventions impacted Best Practice/Patient Outcomes for minority patients receiving primary care in physician practices participating in a pay-for-performance (P4P) program.METHODS: P4P Practices were invited to participate in a pilot intervention study designed to improve care for minority patients with hypertension, diabetes or pediatric asthma. Patient medical records were reviewed to assess how the interventions impacted (n=7 practices): Body mass index, diet and exercise, smoking, compliance with visits as recommended, blood pressure, sodium intake and weight management counseling, medication reconciliation, HbA1c testing, annual lipid profile, and anti-inflammatory medications.RESULTS: Significant improvements in various clinical quality measures were observed in all seven practices. Of the 19 specified interventions, 13 were statistically significant at α=0.05 level and 14 met the target proportion. This suggests that the best practice intervention had a significant impact on some of the health care processes in the physician practices.CONCLUSIONS: The most impactful interventions were those related to face-to-face educational discussions, patient medical chart documentations rather than those pertaining to medication adherence. Improvements in measuring reporting and recording of data at post-intervention were also observed.
AB - OBJECTIVES: The objective of this study was to examine how targeted six-month interventions impacted Best Practice/Patient Outcomes for minority patients receiving primary care in physician practices participating in a pay-for-performance (P4P) program.METHODS: P4P Practices were invited to participate in a pilot intervention study designed to improve care for minority patients with hypertension, diabetes or pediatric asthma. Patient medical records were reviewed to assess how the interventions impacted (n=7 practices): Body mass index, diet and exercise, smoking, compliance with visits as recommended, blood pressure, sodium intake and weight management counseling, medication reconciliation, HbA1c testing, annual lipid profile, and anti-inflammatory medications.RESULTS: Significant improvements in various clinical quality measures were observed in all seven practices. Of the 19 specified interventions, 13 were statistically significant at α=0.05 level and 14 met the target proportion. This suggests that the best practice intervention had a significant impact on some of the health care processes in the physician practices.CONCLUSIONS: The most impactful interventions were those related to face-to-face educational discussions, patient medical chart documentations rather than those pertaining to medication adherence. Improvements in measuring reporting and recording of data at post-intervention were also observed.
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U2 - 10.1007/s40615-014-0057-8
DO - 10.1007/s40615-014-0057-8
M3 - Article
C2 - 25893158
AN - SCOPUS:85018777789
SN - 2197-3792
VL - 2
SP - 139
EP - 148
JO - Journal of Racial and Ethnic Health Disparities
JF - Journal of Racial and Ethnic Health Disparities
IS - 1
ER -
