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Integrated Healthcare Association (IHA) Announces Pay for Performance Program Results and Award Winners
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| Copyright: | PR Newswire | | Source: | PR Newswire | | Wordcount: | 1187 |
California Top Performers and Most Improved Physician Groups Recognized
OAKLAND, Calif., Oct. 2 /PRNewswire-USNewswire/ --
The Integrated Healthcare Association (IHA) today announced the pay for performance (P4P) program results and performance award winners. The California P4P program is in its fifth year and 2007 results continue to show improvement in clinical quality and information technology (IT), with patient experience scores remaining stable but not showing improvement.
Results for the clinical, patient experience, and IT measures are available now at the IHA web site, www.iha.org. Scores for each participating physician group reflecting 2007 performance on P4P measures will be posted on the California Office of Patient Advocate Web site, www.opa.ca.gov, by November.
The 2007 measurement year results are used by seven health plans -- Aetna, Anthem Blue Cross, Blue Shield of California, CIGNA HealthCare, Health Net of California, Western Health Advantage, and UnitedHealthcare -- to calculate incentive payments for distribution to physician groups in 2008. Health plans have already distributed over $212 million in payments to physician groups as a result of meeting P4P quality measures from 2003 through 2006. Each health plan develops its own formula to determine payments based on their physician group's performance in relation to clinical quality and patient experience measures, and adoption of information technology (IT).
"The IHA pay for performance program is a vital part of California health plans' partnerships with physician groups as we jointly strive to improve the quality of care available to individuals. We are pleased that so many medical groups have embraced P4P in recent years and are using it as a foundation for implementing systems that continually enhance care. We congratulate the medical groups that have demonstrated such high levels of performance and improvement over the past year," said Steven Halpern, MD, senior medical director for CIGNA HealthCare.
In recognition of program results, IHA presented two sets of performance awards to California physician groups today at the IHA Annual Pay for Performance (P4P) Stakeholders Meeting in Los Angeles, California. The first set of awards recognized the forty six physician groups with the best overall performance on important health care quality measures, including preventive care and chronic care management, patient satisfaction, and use of information technology to support safer care. The second set of awards recognized eleven physician groups that demonstrated the most overall quality improvement in their region on these same measures.
Top Overall Performance Awards
"Among the 230 physician groups participating in California's pay for performance program, these are the leaders in the use of evidence-based health care processes and health information technology that result in better care for patients," said Don Rebhun, MD, Regional Medical Director, HealthCare Partners and IHA board chair.
Top performing physician groups scored in the top 20% of participating groups on performance measures that include clinical quality measures (cancer screenings, immunizations, diabetes care, etc.), patient satisfaction measures (timely access to care, doctor-patient communication, etc.), and use of health information technology that includes supporting clinical decision making and use of systems to assure patients received evidence-based care.
California's P4P effort is the largest physician incentive program in the United States, involving 35,000 physicians caring for more than 11 million individuals.
"Consumers and purchasers of health care in California expect their providers to continually improve the quality and affordability of care provided," said Don Crane, CEO of the California Association of Physician Groups. "These top performing physician groups are outstanding examples of what organized physician groups can do as they implement policies and practices designed to produce better care and greater value for health care dollars."
The top performing physician groups are:
-- Bay Area: -- Affinity Medical Group -- Palo Alto Medical Foundation - Camino Medical Group -- Hill Physicians Medical Group - East Bay -- John Muir Physician Network -- Mills-Peninsula Medical Group -- Palo Alto Medical Foundation/Palo Alto Division -- The Permanente Medical Group, Inc. - Diablo Service Area Medical Center -- The Permanente Medical Group, Inc. - Oakland/Richmond Medical Center -- The Permanente Medical Group, Inc. - Greater Southern Alameda Area Medical Center -- The Permanente Medical Group, Inc. - San Rafael Medical Center -- The Permanente Medical Group, Inc. - Redwood City Medical Center -- The Permanente Medical Group, Inc. - San Francisco Medical Center -- The Permanente Medical Group, Inc. - Santa Clara/Milpitas/Campbell/Mountain View Medical Center -- The Permanente Medical Group, Inc. - San Jose Medical Center -- The Permanente Medical Group, Inc. - San Mateo-South San Francisco Medical Center -- Central Coast -- Santa Cruz Medical Foundation -- Central Valley -- The Permanente Medical Group, Inc. - Fresno Medical Center -- The Permanente Medical Group, Inc. - Stockton/Modesto/Manteca/Tracy Medical Center -- Inland Empire -- Southern California Permanente Medical Group - Fontana -- Southern California Permanente Medical Group - Riverside -- Los Angeles -- Cedars-Sinai Medical Group -- HealthCare Partners -- Southern California Permanente Medical Group - San Gabriel -- Valley/Baldwin Park -- Southern California Permanente Medical Group - Bellflower -- Southern California Permanente Medical Group - Los Angeles -- Southern California Permanente Medical Group - Panorama City -- Southern California Permanente Medical Group - South Bay -- Southern California Permanente Medical Group - West Los Angeles -- Southern California Permanente Medical Group - Woodland Hills -- UCLA Medical Group -- Orange County -- Bristol Park Medical Group, Inc. -- Edinger Medical Group -- Greater Newport Physicians Medical Group, Inc. -- Southern California Permanente Medical Group - Orange County -- Sacramento/North -- Sutter Regional Medical Foundation/Solano Regional Medical Group -- Sutter Medical Group -- Sutter West Medical Group -- The Permanente Medical Group, Inc. - Napa/Solano Medical Center -- The Permanente Medical Group, Inc. - North Valley- Roseville/Sacramento Medical Center -- The Permanente Medical Group, Inc. - Santa Rosa Medical Center -- The Permanente Medical Group, Inc. - South Sacramento Medical Center -- Woodland Healthcare -- San Diego -- Southern California Permanente Medical Group - San Diego -- Scripps Clinic -- Sharp Mission Park Medical Group, Inc. -- Sharp Rees-Stealy Medical Group
Quality Improvement Awards
Along with top performers, IHA recognized eleven other physician groups with the "Ronald P. Bangasser Memorial Award for Quality Improvement" for showing the most significant improvement on P4P measures from 2006 to 2007.
Bangasser Award recipients are:
-- Bay Area Region: -- Sutter Medical Foundation North Bay -- Central Coast Region: -- Valley Care IPA -- Central Valley Region: -- Sutter Gould Medical Foundation -- GEMCare Medical Group -- Inland Empire Region: -- Riverside Medical Clinic -- Los Angeles Region: -- Bay Area Community Medical Group -- Orange County Region: -- Bristol Park Medical Group, Inc. -- St. Jude Heritage Medical Group -- Sacramento/North Region: -- Sierra Nevada Medical Associates, Inc. -- San Diego Region: -- Sharp Rees-Stealy Medical Centers -- San Diego Physicians Medical Group
About IHA
IHA (www.iha.org) is a not-for-profit statewide collaborative leadership group of California health plans, physician groups, and health care systems -- plus academic, consumer, purchaser, pharmaceutical and technology representatives -- that promotes quality improvement, accountability, and affordability for the benefit of all California consumers through special projects, policy innovation, and education.
SOURCE Integrated Healthcare Association
CONTACT: Cindy Ernst of the Integrated Healthcare Association, +1-510-208-1740, cernst@iha.org
This is a news service of Thomson Business Intelligence Service ©2006. This content is for your personal use only, subject to Terms and Conditions. No redistribution allowed.
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