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Roli Dwivedi MD PowerPoint Presentation
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Roli Dwivedi MD

Roli Dwivedi MD

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Roli Dwivedi MD

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  1. Roli Dwivedi MD Carrie Link MD

  2. P4P, ACCORD Purpose: Determine resident and faculty understanding of P4P, ACCORD Method: 13 question survey via Survey Monkey

  3. N = 66 60% residents 40% faculty Survey Participants

  4. 13 questions Some repeated questions from prior 2 years Survey

  5. Defining P4P 8 respondents – “No idea” 58 respondents – 78%

  6. Defining P4P • A simple answer: • Financial reward for achieving markers of quality • A sophisticated answer: • Full or bonus reimbursement based on performance in patient care. Need to attain preset goals for care of a given diagnosis in proscribed percentage of patients.

  7. Emotionally charged

  8. How well do you know P4P guidelines?

  9. Clinic efficiency With P4P

  10. Clinic Outcomes With P4P

  11. How well do you know ACCORD?

  12. Describe ACCORD-No Idea- • 32% of respondents • 49% of residents

  13. If P4P guideline increased M&M

  14. Change opinion about P4P

  15. Summary • Clinic efficiency is neutral • Clinic outcomes are positive • Use guidelines with exceptions • P4P takes a hit when the evidence changes

  16. ?

  17. Survey Trends

  18. So where do you stand??