Quality Measurement and Pay for Performance

Jay S Lee; Hari Nathan

doi:10.1016/j.soc.2018.05.003

Quality Measurement and Pay for Performance

Surg Oncol Clin N Am. 2018 Oct;27(4):621-632. doi: 10.1016/j.soc.2018.05.003. Epub 2018 Jul 21.

Authors

Jay S Lee¹, Hari Nathan²

Affiliations

¹ Department of Surgery, University of Michigan, 2210A Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.
² Department of Surgery, University of Michigan, 2210A Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA. Electronic address: drnathan@umich.edu.

PMID: 30213407
DOI: 10.1016/j.soc.2018.05.003

Abstract

Recent debate has focused on which quality measures are appropriate for surgical oncology and how they should be implemented and incentivized. Current quality measures focus primarily on process measures (use of adjuvant therapy, pathology reporting) and patient-centered outcomes (health-related quality of life). Pay for performance programs impacting surgical oncology patients focus primarily on preventing postoperative complications, but are not specific to cancer surgery. Future pay for performance programs in surgical oncology will likely focus on incentivizing high-quality, low-cost cancer care by evaluating process measures, patient-centered measures, and costs of care specific to cancer surgery.

Keywords: Bundled payments; Oncology; Pay for performance; Quality measure; Surgery.

Publication types

Review

MeSH terms

Delivery of Health Care / economics*
Fee-for-Service Plans / economics*
Health Services / economics*
Humans
Neoplasms / economics*
Neoplasms / surgery
Quality of Health Care*
Surgical Oncology / economics*