The Perceived Financial Impact of Quality Improvement Efforts in Community Health Centers

被引：8

作者：

Cheung, Karen ^{[1
]}

Moiduddin, Adil ^{[1
]}

Chin, Marshall H. ^{[1
]}

Drum, Melinda L. ^{[1
]}

Brown, Sydney E. S. ^{[1
]}

Graber, Jessica E. ^{[1
]}

Heuer, Loretta ^{[1
]}

Quinn, Michael T. ^{[1
]}

Schaefer, Cynthia T. ^{[1
]}

Schlotthauer, Amy E. ^{[1
]}

Huang, Elbert S. ^{[1
]}

机构：

[1] Univ Chicago, 5841 S Maryland Ave,MC 2007, Chicago, IL 60637 USA

来源：

JOURNAL OF AMBULATORY CARE MANAGEMENT | 2008年 / 31卷 / 02期

基金：

美国医疗保健研究与质量局;

关键词：

community health centers; health disparities; pay for performance; quality improvement;

D O I：

10.1097/01.JAC.0000314701.50042.0b

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

We administered surveys to 100 chief executive officers (CEOs) of community health centers to determine their perceptions of the financial impact of the Health Disparities Collaboratives, a national quality improvement initiative. One third of the CEOs believed that the HDC had a negative financial impact on their health center, and this perception was significantly correlated with centers having a higher proportion of uninsured patients. Performance-based payment incentives may improve care but may also add new financial burdens to facilities that treat the uninsured population. As such, a provider's payer mix may need to be considered in the design of QI programs if they are to be sustainable.

引用

页码：111 / 119

页数：9