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Value-based purchasing (VBP) refers to a broad set of
performance-based payment strategies that link financial incentives
to health care providers performance on a set of defined measures
in an effort to achieve better value. This report summarizes the
current state of knowledge about VBP programs and offers
recommendations for the design, implementation, and monitoring and
evaluation of VBP programs."
Performance-based accountability systems (PBASs) link incentives to
measured performance to improve services to the public. Research
suggests that PBASs influence provider behaviors, but little is
known about PBAS effectiveness at achieving performance goals. This
study examines nine PBASs that are drawn from five sectors: child
care, education, health care, public health emergency preparedness,
and transportation.
Performance-based accountability systems (PBASs) link incentives to
measured performance to improve services to the public. Research
suggests that PBASs influence provider behaviors, but little is
known about PBAS effectiveness at achieving performance goals. This
study examines nine PBASs that are drawn from five sectors: child
care, education, health care, public health emergency preparedness,
and transportation.
Presents the results of a two-year study that analyzes how patient
safety practices are being adopted by U.S. health care providers,
examines hospital experiences with a patient safety culture survey,
and assesses patient safety outcomes trends. In case studies of
four U.S. communities, researchers collected information on the
dynamics of local patient safety activities and on adoption of safe
practices by hospitals.
This book updates the policy context of the Agency for Healthcare
Research and Quality (AHRQ) patient safety initiative; documents
the current priorities and activities undertaken; and assesses
contributions of funded projects and dissemination actions to
support adoption of evidence-based safe practices.It discusses
implications for future AHRQ policy, programming, and research;
suggests ways to strengthen AHRQ activities.It evaluates progress
of the patient safety initiative led by the Agency for Healthcare
Research and Quality (AHRQ), focusing on how the current
experiences of AHRQ and its funded projects can be used to
strengthen subsequent program activities.
In September 2002, RAND contracted with the U.S. Agency for
Healthcare Research and Quality to serve as the evaluation center
for its national patient safety initiative. This report assesses
the context and goals that were the foundation for the initiative,
documents the baseline status of the activities being undertaken,
and identifies priorities the researchers believe will have the
strongest positive impact on the future of AHRQ's patient safety
initiative.
Updates the policy context of the Agency for Healthcare Research
and Quality (AHRQ) patient safety initiative; documents the
priorities and activities being undertaken; lays out an evaluation
framework and possible measures of the effects on patient outcomes
and on stakeholders other than patients. Discusses implications of
the findings for future AHRQ policy, programming, and research;
suggests ways to strengthen AHRQ activities.
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