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English health authority to use U.S. P4P program as guideline

Quality Improvement Monitor, December 20, 2007

NHS North West, England's largest strategic health authority, plans to institute the country's first hospital-based pay-for-performance (P4P) effort, called "Advancing Quality" and using a U.S. project as a guideline.

NHS North West has selected the Premier healthcare alliance, utilizing Premier's Hospital Quality Incentive Demonstration (HQID) P4P project with the CMS as a model for improving patient care in the North West region of England, according to a Premier press release.

The HQID is the first national demonstration project of its kind, designed to determine if economic incentives to hospitals are effective at improving the quality of inpatient care. As part of the project, more than 250 hospitals submit clinical quality data to Premier through the PerspectiveT data warehouse. CMS, which approved a three-year extension of the project in February, then uses the data to identify and reward top performers in five clinical areas.

According to results from the first two years of the project, participating hospitals have raised overall quality by 11.8% in two years, based on their delivery of 30 nationally standardized and widely accepted care measures to patients in five clinical areas.

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