Achieving Improved Outcomes Through Value-Based Purchasing in One State
Achieving Improved Outcomes Through Value-Based Purchasing in One State
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DOI：
10.1177/1062860617714322
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发表时间：
2018-03-01
影响因子：
1.4
通讯作者：
Turnipseed, Jeff
中科院分区：
文献类型：
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作者：
Millwee, Billy;Goldfield, Norbert;Turnipseed, Jeff
早在 2009 年开始，德克萨斯州就开始为有效的基于价值的医疗补助购买模式奠定基础。自开展这些早期活动以来，德克萨斯州医疗补助正在成为基于价值的采购的全国领导者，并取得了非凡的成果，清楚地展示了与财务激励措施一致相关的价值主张。本文介绍了多年来的数据和这项工作的初步结果。这项研究发现许多结果都有显着改善。进一步的改进将取决于财政激励措施的实施以及为更好的结果付出代价的持续承诺。这一持续的承诺包括医院特别实施的许多额外计划，例如改进的洗手技术。
Beginning as early as 2009, Texas began to put the antecedents in place for an effective Medicaid value-based purchasing model. Since those early activities were undertaken, Texas Medicaid is emerging as a national leader in value-based purchasing and has produced exceptional results that clearly demonstrate the value proposition associated with alignment of financial incentives. This article presents several years of data and preliminary results of this effort. This study found significant improvements in a number of outcomes. Further improvement will depend on implementation of financial incentives and ongoing commitment to paying for better outcomes. This ongoing commitment includes many additional programs that hospitals, in particular, have put in place such as improved handwashing techniques.