Using Incentives to Drive Leaps in Patient Safety

该项目将需要多方利益攸关方努力设计和实施财政激励和奖励措施，以加快采用Leapfrog Group建议的医院患者安全做法：计算机化医嘱输入;针对选定的高风险条件和程序进行循证医院转诊;以及为重症监护病房配备训练有素的专家。Leapfrog集团是一个由110多家大型私人和公共医疗保健购买者组成的财团，为大约3200万美国人购买健康福利。在2002年期间由Leapfrog的激励和奖励工作组的志愿者工作的基础上，该工作组由医院、健康计划、医生、消费者和购买者代表以及精算师组成。 在Towers Perrin的支持下，以及通用电气公司的项目管理和健康福利合同指导下，Leapfrog将制定一项计划，在大约三个美国医疗保健市场实施财务激励或奖励试点，这些市场的购买者正在共同努力实施Leapfrog的患者安全举措。Leapfrog成员致力于奖励医院的努力，但大多数购买者在开始之前需要在制定高水平设计计划方面获得重要帮助。该规划项目将建立多方利益相关者的合作，进一步设计激励机制， 和奖励概念，以在区域一级进行测试，并为评估奠定基础，以测试激励措施或奖励在实际医疗保健市场中的有效性。

This project would entail a multi-stakeholder effort to design and implement financial incentives and rewards to speed the adoption of The Leapfrog Group's recommended hospital patient safety practices: computerized physician order entry; evidence-based hospital referrals for select high-risk conditions and procedures; and staffing intensive care units with trained specialists. The Leapfrog Group is a consortium of more than 110 large private and public health care purchasers who buy health benefits for approximately 32 million Americans. Building on volunteer work during 2002 by Leapfrog's incentives and rewards work group consisting of hospital, health plan, physician, consumer and purchaser representatives, as well as actuarial support from Towers Perrin, and project management and health benefits contracting guidance from General Electric Company, Leapfrog would devise a plan for implementing financial incentive or reward pilots in approximately three U.S. healthcare markets where purchasers are making a concerted effort to implement Leapfrog's patient safety initiatives. Leapfrog members are committed to rewarding hospitals for their efforts, however most purchasers need significant help with making high-level design plans operational before they can begin. This planning project would build multi-stakeholder collaboration, further the design of incentive and reward concepts to test at the regional level, and set the stage for an evaluation to test the effectiveness of incentives or rewards in actual health care markets.