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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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slide1

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.
describe accord no idea
Describe ACCORD-No Idea-
  • 32% of respondents
  • 49% of residents
summary
Summary
  • Clinic efficiency is neutral
  • Clinic outcomes are positive
  • Use guidelines with exceptions
  • P4P takes a hit when the evidence changes