Hospital Characteristics Associated with Success in a Pay-for-Performance Program in Orthopaedic Surgery

Bhattacharyya, Timothy; Mehta, Priyesh; Freiberg, Andrew A.
June 2008
Journal of Bone & Joint Surgery, American Volume;Jun2008, Vol. 90-A Issue 6, p1240
Academic Journal
Background: Pay-for-performance programs are designed to link payments to clinical outcomes. We investigated the characteristics of hospitals in the United States, such as size and volume, that were associated with the receipt of a clinical performance bonus in a nationwide pay-for-performance program involving hip and knee replacement. Methods: We obtained hospital-level outcomes data from a nationwide pay-for-performance demonstration project on hip and knee replacement. We obtained data on the hospital's size, procedure volume, and case-mix index as well as whether it was a teaching hospital and then performed a multivariate analysis to determine which factors were associated with the receipt of a performance bonus. Results: Hospital size and revenue were not associated with the receipt of a performance bonus. Top-performance hospitals tended to be those specialized in orthopaedics (p < 0.002). Multivariate analysis revealed that high-performance hospitals tended to perform a high volume of hip and knee replacements (p < 0.008), to be teaching hospitals (p < 0.037), and to be located in the Midwestern United States (p < 0.001). Conclusions: Teaching hospitals that perform a high volume of hip and knee replacements will tend to succeed should pay-for-performance programs be enacted nationwide.


Related Articles

  • Veterans Hospitals.  // Honoring Veterans: A Guide to Military Services;2009, p54 

    The article offers information on the veterans hospitals in the U.S. which include the Birmingham Veterans Affairs (VA) Medical Center in Alabama, Boise VA Medical Center in Idaho, and Kansas City VA Medical Center in Missouri.

  • TOP HOSPITALS REDUCE DEATHS, COMPLICATIONS.  // Materials Management in Health Care;Mar2010, Vol. 19 Issue 3, p4 

    The article reports that the risk-adjusted mortality rates of top-rated hospitals in the U.S. are 29 percent lower than the average hospital as complications are nine percent less likely to be suffered by patients.

  • MEDICARE INCENTIVES DON'T LOWER HOSPITAL MORTALITY RATES.  // Medical Economics;5/25/2012, Vol. 89 Issue 10, p16 

    The article focuses on the findings of a new study published in the New England Journal of Medicine, which reveals that Medicare's idea of paying hospitals on the basis of their performance is not effective in reducing deaths.

  • Hospital utilization by state.  // Modern Healthcare;3/17/2014, Vol. 44 Issue 11, p32 

    The article presents a table that ranks states of the U.S. on the basis of maximum hospital utilization by states and total acute-care discharges per 1,000 people from April1, 2010, to July 1, 2013 including West Virginia, Florida, and Nevada.

  • Innovation, vision give rise to orthopedic tradition at the University of Heidelberg. Rapp, Susan M. // Orthopedics Today;Oct2009, Vol. 29 Issue 10, p70 

    The article discusses the history of practicing orthopedic surgery in Heidelberg, Germany, which was recognized as a major world center for medicine.

  • Orthopedic surgery. Novacheck, Tom F. // Exceptional Parent;Sep97, Vol. 27 Issue 9, p83 

    Presents information on orthopedic surgery which is used to correct the muscle and bone deformities caused by spasticity. Evaluation of patients for orthopedic surgery; Types of orthopedic surgeries; Postoperative management after surgery. INSET: Eric's story by Deborah Nicolaus..

  • ORTHOPAEDIC SURGERY LIST.  // New Orleans Magazine;Jun2014, Vol. 48 Issue 9, p126 

    No abstract available.

  • HCM joint replacement program set tomorrow.  // Burnet Bulletin (Texas);1/28/2015, Vol. 142 Issue 6, p6A 

    The article offers information on the free "Destination Restore" program presentation for individuals who consider joint replacement surgery at Tealicious in Burnet, Texas on January 29, 2015.

  • Retraction Note: Mini-plate versus Kirschner wire internal fixation for treatment of metacarpal and phalangeal fractures in Chinese Han population: a meta-analysis. Jiaming Xu; Changqing Zhang // Journal of Orthopaedic Surgery & Research;2015, Vol. 10 Issue 1, p1 

    A correction to the article "Mini-Plate Versus Kirschner Wire Internal Fixation for Treatment of Metacarpal and Phalangeal Fractures in Chinese Han Population: A Meta-Analysis" that was published in a 2014 issue is presented.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics