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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.

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Roli dwivedi md

Roli Dwivedi MD

Carrie Link MD


P4p accord

P4P, ACCORD

Purpose:

Determine resident and faculty understanding of P4P, ACCORD

Method:

13 question survey via Survey Monkey


Survey participants

N = 66

60% residents

40% faculty

Survey Participants


Survey

13 questions

Some repeated questions from prior 2 years

Survey


Defining p4p

Defining P4P

8 respondents – “No idea”

58 respondents – 78%


Defining p4p1

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.


  • Emotionally charged

    Emotionally charged


    How well do you know p4p guidelines

    How well do you know P4P guidelines?


    Clinic efficiency with p4p

    Clinic efficiency With P4P


    Clinic outcomes with p4p

    Clinic Outcomes With P4P


    How well do you know accord

    How well do you know ACCORD?


    Describe accord no idea

    Describe ACCORD-No Idea-

    • 32% of respondents

    • 49% of residents


    If p4p guideline increased m m

    If P4P guideline increased M&M


    Change opinion about p4p

    Change opinion about P4P


    Summary

    Summary

    • Clinic efficiency is neutral

    • Clinic outcomes are positive

    • Use guidelines with exceptions

    • P4P takes a hit when the evidence changes


    Roli dwivedi md

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    Survey trends

    Survey Trends


    So where do you stand

    So where do you stand??


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