The Texas DSRIP program: An exploratory evaluation of its alignment with quality assessment models in healthcare

Abstract

ABSTRACTProviding quality healthcare is one of the topmost priorities in the care delivery system. Quality is recognized as value added to the healthcare system. Healthcare policies and programs are innovated and designed to reform delivery of patient care, an example is the Delivery System Reform Incentive Payment (DSRIP) program. In this paper, we leverage three assessment models in healthcare quality namely, Donabedian’s model, the Institute of Medicine’s Patient Care Aim model and the Institute of Healthcare Improvement’s Triple Aim model. The paper shows how DSRIP likely interrelates with and is congruent to the aforementioned assessment models. DSRIP’s goals are likely designed in such a way that they supposedly intertwine with the goals of these models. The article aims at showing how DSRIP is attempting to operationalize its own goals with those of the above models. Nonetheless, the article explains DSRIP’s inner workings and conclusively analyzes how its systemic design aligns with and conforms to these models. Lastly, the paper explains DSRIP’s logistics, project cohorts and categories, outcome reporting techniques and state reimbursement methods as parts of its systemic design so as to prospectively assist/serve policymakers and analysts whilst designing new policies for procuring outcomes in quality and health in future.