Effect of pay-for-performance incentives on quality of care in small practices with electronic health records: a randomized trial.

ABSTRACT:

Importance

Most evaluations of pay-for-performance (P4P) incentives have focused on large-group practices. Thus, the effect of P4P in small practices, where many US residents receive care, is largely unknown. Furthermore, whether electronic health records (EHRs) with chronic disease management capabilities support small-practice response to P4P has not been studied.

Objective

To assess the effect of P4P incentives on quality in EHR-enabled small practices in the context of an established quality improvement initiative.

Design, setting, and participants

A cluster-randomized trial of small (<10 clinicians) primary care clinics in New York City from April 2009 through March 2010. A city program provided all participating clinics with the same EHR software with decision s

SUBMITTER: Bardach NS 

PROVIDER: S-EPMC4013308 | biostudies-literature | 2013 Sep

REPOSITORIES: biostudies-literature