Roli Dwivedi MD
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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

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.


  • Emotionally charged


    How well do you know P4P guidelines?


    Clinic efficiency With P4P


    Clinic Outcomes With P4P


    How well do you know ACCORD?


    Describe ACCORD-No Idea-

    • 32% of respondents

    • 49% of residents


    If P4P guideline increased M&M


    Change opinion about P4P


    Summary

    • Clinic efficiency is neutral

    • Clinic outcomes are positive

    • Use guidelines with exceptions

    • P4P takes a hit when the evidence changes


    ?


    Survey Trends


    So where do you stand??


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