Abstract 13251: Medicare Pay for Performance Project for Acute Myocardial Infarction: 2006–2009
Background: The Centers for Medicare and Medicaid Services (CMS) implemented the pay-for-performance (P4P) initiatives that will correlate improved quality of care (QOC) for patients in hospitals across the country. The foundation of effective pay-for-performance (P4P) initiatives was developed to ensure that valid quality measures were used to support quality improvement in the care of Medicare beneficiaries with acute myocardial infarction (AMI). The purpose of the study was to compare the effects of the CMS Hospital Quality Incentive Demonstration (PHQID), a public quality reporting and P4P program in a 3-year period from 2006 to 2009. These AMI Core Measures includes aspirin given upon arrival, aspirin given at discharge, patients given an ACE inhibitor or ARB for left ventricular systolic dysfunction, smoking cessation counseling, patients given beta blockers at discharge and patients given percutaneous coronary intervention (PCI) within 120 minutes of arrival.
Methods: Using data from CMS, publicly reported P4P measures for AMI from 4238 and 4543 US hospitals for the period of 2006 and 2009 were examined, respectively. The score was averaged by state for each of the particular quality performance measure and association between P4P measures improvement during the time period was determined.
Results: In aggregate, hospitals across the US showed significant improvement in P4P measures in the 3-year period (Figure 1). P4P measures have regional variations with most of the top performing hospitals in the northeast region.
Conclusion: The study suggests the presence of significant improvement of P4P measures across hospitals in 50 states in 2009, although variations in results vary as a function of region.
- © 2010 by American Heart Association, Inc.