Cochrane · systematic review · CD011156
Pay for performance for hospitals
Mathes, T, Pieper, D, Morche, J, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library
Effective Practice and Organisation of CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
30
current version
GRADE rated
10
No studies
20
Included studies
NR
No studies 20 · 66.7%Ungraded 0 · 0%Very low 10 · 33.3%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Premier Hospital Quality Incentive Demonstration compared to capitation without P4P for hospitals
Population: Hospitals
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality Premier Hospital Quality Incentive Demonstration vs capitation without P4P | no estimate extracted | NR | Very low |
Adverse clinical events Premier Hospital Quality Incentive Demonstration vs capitation without P4P | no estimate extracted | NR | Very low |
Quality of care (process quality score) Premier Hospital Quality Incentive Demonstration vs capitation without P4P | no estimate extracted | NR | Very low |
Equity (differences between ethnic groups in access to recommended care) Premier Hospital Quality Incentive Demonstration vs capitation without P4P | no estimate extracted | NR | Very low |
Resource use (mean costs per admission) Premier Hospital Quality Incentive Demonstration vs capitation without P4P | no estimate extracted | NR | Very low |
Value‐Based Purchasing compared to capitation without P4P for hospitals
Population: Hospitals
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality Value‐Based Purchasing vs capitation without P4P | no estimate extracted | NR | Very low |
Adverse clinical events Value‐Based Purchasing vs capitation without P4P | no estimate extracted | NR | No studies |
Quality of care (process quality score) Value‐Based Purchasing vs capitation without P4P | no estimate extracted | NR | Very low |
Equity Value‐Based Purchasing vs capitation without P4P | no estimate extracted | NR | No studies |
Resource use Value‐Based Purchasing vs capitation without P4P | no estimate extracted | NR | No studies |
Non‐payment for Hospital‐Acquired Conditions Program compared to capitation without P4P for hospitals
Population: Hospitals
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality Non‐payment for Hospital‐Acquired Conditions Program vs capitation without P4P | no estimate extracted | NR | No studies |
Adverse clinical events* Non‐payment for Hospital‐Acquired Conditions Program vs capitation without P4P | no estimate extracted | NR | Very low |
Quality of care Non‐payment for Hospital‐Acquired Conditions Program vs capitation without P4P | no estimate extracted | NR | No studies |
Equity Non‐payment for Hospital‐Acquired Conditions Program vs capitation without P4P | no estimate extracted | NR | No studies |
Resource use Non‐payment for Hospital‐Acquired Conditions Program vs capitation without P4P | no estimate extracted | NR | No studies |
Hospital Readmissions Reduction Program compared to capitation without P4P for hospitals
Population: Hospitals
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality Hospital Readmissions Reduction Program vs capitation without P4P | no estimate extracted | NR | No studies |
Adverse clinical events Hospital Readmissions Reduction Program vs capitation without P4P | no estimate extracted | NR | No studies |
Qualityof care Hospital Readmissions Reduction Program vs capitation without P4P | no estimate extracted | NR | No studies |
Equity Hospital Readmissions Reduction Program vs capitation without P4P | no estimate extracted | NR | No studies |
Resource use Hospital Readmissions Reduction Program vs capitation without P4P | no estimate extracted | NR | No studies |
Advancing Quality Program compared to capitation without P4P for hospitals
Population: Hospitals
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality Advancing Quality Program vs capitation without P4P | no estimate extracted | NR | Very low |
Adverse clinical events Advancing Quality Program vs capitation without P4P | no estimate extracted | NR | No studies |
Quality of care Advancing Quality Program vs capitation without P4P | no estimate extracted | NR | No studies |
Equity Advancing Quality Program vs capitation without P4P | no estimate extracted | NR | No studies |
Resource use Advancing Quality Program vs capitation without P4P | no estimate extracted | NR | No studies |
Financial Incentive to Quality Improvement compared to capitation without P4P for hospitals
Population: Hospitals
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality Financial Incentive to Quality Improvement vs capitation without P4P | no estimate extracted | NR | No studies |
Adverse clinical events Financial Incentive to Quality Improvement vs capitation without P4P | no estimate extracted | NR | No studies |
Quality of care (process quality score) Financial Incentive to Quality Improvement vs capitation without P4P | no estimate extracted | NR | Very low |
Equity Financial Incentive to Quality Improvement vs capitation without P4P | no estimate extracted | NR | No studies |
Resource use Financial Incentive to Quality Improvement vs capitation without P4P | no estimate extracted | NR | No studies |