Public reporting helped drive quality improvement in outpatient diabetes care among Wisconsin physician groups. Health Aff (Millwood) 2012 Mar;31(3):570-7
Date
03/07/2012Pubmed ID
22392668Pubmed Central ID
PMC3329125DOI
10.1377/hlthaff.2011.0853Scopus ID
2-s2.0-84863350977 (requires institutional sign-in at Scopus site) 47 CitationsAbstract
Public reporting on the quality of ambulatory health care is growing, but knowledge of how physician groups respond to such reporting has not kept pace. We examined responses to public reporting on the quality of diabetes care in 409 primary care clinics within seventeen large, multispecialty physician groups. We determined that a focus on publicly reported metrics, along with participation in large or externally sponsored projects, increased a clinic's implementation of diabetes improvement interventions. Clinics were also more likely to implement interventions in more recent years. Public reporting helped drive both early implementation of a single intervention and ongoing implementation of multiple simultaneous interventions. To fully engage physician groups, accountability metrics should be structured to capture incremental improvements in quality, thereby rewarding both early and ongoing improvement activities.
Author List
Smith MA, Wright A, Queram C, Lamb GCAuthor
Geoffrey Lamb MD Emeritus Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Access to InformationAmbulatory Care
Diabetes Mellitus
Group Practice
Humans
Logistic Models
Primary Health Care
Quality Assurance, Health Care
Social Responsibility
Wisconsin
