Roli Dwivedi MD Carrie Link MD
P4P, ACCORD Purpose: Determine resident and faculty understanding of P4P, ACCORD Method: 13 question survey via Survey Monkey
N = 66 60% residents 40% faculty Survey Participants
13 questions Some repeated questions from prior 2 years Survey
Defining P4P 8 respondents – “No idea” 58 respondents – 78%
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.
Describe ACCORD-No Idea- • 32% of respondents • 49% of residents
Summary • Clinic efficiency is neutral • Clinic outcomes are positive • Use guidelines with exceptions • P4P takes a hit when the evidence changes