Blue Cross of California (BCC) uses an annual Quality Scorecard to measure performance of participating medical groups (PMGs) and independent practice associations (IPAs).
The scorecard provides information to the PMGs/IPAs on their performance in several domains relative to the average network score.
BBC pays annual bonuses to PMGs/IPAs with superior quaity performance.
A structured intervention was designed to improve the performance of PMGs/IPAs that performed poorly on the scorecard.
A cohort study was conducted in a large health maintenance organization in California in 1997.
All PMGs/IPAs received a detailed summary of the components of the annual quality scorecard.
Scorecard components include an annual audit of quality, utillization management, credentialing, and members'rights and responsabilities, grievance rates, member tranfer for quality reasons, a satisfaction survey, and a preventive health review.
Twenty-two of 124 PMGs/IPAs with more than 1,000 BCC members during 1996 that had scored lower than 1 standard deviation below the mean were targeted.
These 22 outlier PMGs/IPAs received additional information indicating that their performance was below average.
A BBC quality team subsequently visited the outlier PMGs/IPAs to provide supplementary information on the deficient areas and provide assistance in making improvements. (...)
Mots-clés Pascal : Médecin, Pratique professionnelle, Amélioration, Médecin généraliste, Cabinet médical, Performance, Efficacité, Audit, Evaluation, Méthodologie, Qualité, Soin, Centre santé
Mots-clés Pascal anglais : Physician, Professional practice, Improvement, General practitioner, Doctor office, Performance, Efficiency, Audit, Evaluation, Methodology, Quality, Care, Health center
Notice produite par :
ORS Auvergne - Observatoire Régional de la Santé d'Auvergne
Code Inist : 002B30A11. Création : 06/10/1999.