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- Title
Pay for performance in Australia: Queensland's new Clinical Practice Improvement Payment.
- Authors
Duckett, Stephen; Daniels, Sandra; Kamp, Maarten; Stockwell, Alexis; Walker, Gary; Ward, Michael
- Abstract
Following a high profile scandal relating to quality and safety of care, the health authority in the Australian state of Queensland introduced a pay for performance (P4P) component into its new hospital prospective payment system. The Clinical Practice Improvement Payment system pays hospitals for achievement of clinical process indicators. Initially the focus is on the quality of clinical processes and outcomes. Using a consensus approach involving consultation with clinicians, seven clinical indicators were adopted for 2007-2008. The first payments using pay for performance were made for work carried out up until June 2008. Although no data exist yet as to the impact of the new system, pay for performance appears to be gaining widespread, if somewhat reluctant, acceptance.
- Subjects
QUEENSLAND; PHYSICIAN practice patterns; CLINICAL medicine; PAYMENT systems; CLINICAL indications; HOSPITAL prospective payment; HOSPITAL charges; MEDICAL care costs
- Publication
Journal of Health Services Research & Policy, 2008, Vol 13, Issue 3, p174
- ISSN
1355-8196
- Publication type
Article
- DOI
10.1258/jhsrp.2008.007178