Pay-for-Performance Essay Example | Topics and Well Written Essays - 750 words

Pay-for-Performance - Essay Example performance measure’, and ‘Financial Gains and Risks in Pay-for-Performance Bonus Algorithms’, which addressed the challenges of adopting a pay-for-performance approach for ensuring quality and safety in healthcare. In the article ‘Achieving Potential of Healthcare Performance Measure, Berenson, Pronovost, & Krumholz (2013), a number of concerns with the promotion of pubic reporting and P4P are growing. In the U.S., the majority of the prominent applications have not met their performance improvement. One example is the test of the combined use of public reporting and pay-for-performance, called the Medicare Premier Hospital Quality Incentive Demonstration. This demonstration has little or no impact on the value of care received for the important clinical condition; such as the reduction of the patient mortality or cost growth. However, the important issues of P4P are the health plans performance that relate to patients with acute health care problems. In addition, the P4P approach faces a great challenge when it comes to measuring the quality of service accurately especially for major manual patient services. The complexity of keeping accurate record poses a big challenge in the measurem ent of quality of service in healthcare units. If it is not possible to measure the quality of service, it becomes a big challenge to offer a proportional reward for services delivered to the customers. Cromwell et al. (2011), in ‘Pay for Performance in HealthCare: Methods and Approaches’, the author identify a wide range of challenges that undermine the results of this service delivery approach. In health care units, the P4P approach involves the setting of achievable targets and working towards them. The development of these targets is an issue that has become posed a challenge to many health practitioners. The question of whether the targets are too low of too high is a controversial issue. Consequently, it becomes hard to define the reward system and how to