Abstract
Safety-net health systems often lack incentives and resources to support performance measurement and improvement activities. The California Delivery System Reform Incentive Program (DSRIP) is a pay-for-performance initiative that incentivizes the state's public health care systems to improve quality of care. Health system participants must report on metrics in both inpatient and outpatient settings. To enhance DSRIP participants' capacity to engage in (1) best practices to improve quality of care and (2) reporting of DRSIP-required metrics, the California Association of Public Hospitals and UCSF established the Public Healthcare systems Evidence Network and Innovation eXchange (PHoENIX), with funding from AHRQ. PHoENIX priorities are meeting the HEDIS Medicare PPO 90th percentile thresholds for mammography screening (76.6%) and cholesterol control (LDL-C) for diabetes (<100 mg/dl, 62.2%).
Highlights
Safety-net health systems often lack incentives and resources to support performance measurement and improvement activities
Health system participants must report on metrics in both inpatient and outpatient settings
Using a mixed methods approach and applying the Consolidated Framework for Implementation Research to characterize improvement efforts, we identified barriers and enablers for meeting the performance metrics
Summary
Coordinated performance measurement and improvement efforts in California’s safety net systems: early experience and lessons. Urmimala Sarkar1*, David Lown, Sara Ackerman, Courtney Lyles, Gato Gourley, Dean Schillinger, Margaret A Handley. From 7th Annual Conference on the Science of Dissemination and Implementation in Health North Bethesda, MD, USA. From 7th Annual Conference on the Science of Dissemination and Implementation in Health North Bethesda, MD, USA. 8-9 December 2014
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