243668 Incentivizing the outcome: Determining the effectiveness of an incentive program utilizing a health information exchange

Tuesday, November 1, 2011: 2:50 PM

Heather Law, MA , Association of Asian Pacific Community Health Organizations, Oakland, CA
Rosy Chang Weir, PhD , Association of Asian Pacific Community Health Organizations, Oakland, CA
Mary Frances Oneha, PhD, APRN , Community Health Services, Waianae Coast Comprehensive Health Center, Waianae, HI
Alyna Chien, MD, MS , Division of General Pediatrics, Children's Hospital Boston, Boston, MA
Michelle Valle-Perez, MA , Association of Asian Pacific Community Health Organizations, Oakland, CA
Jeffrey Caballero, MPH , Association of Asian Pacific Community Health Organizations, Oakland, CA
BACKGROUND: Both Health Information Technology (HIT) and Pay-for-Performance (P4P) incentives have been shown to be modestly successful in improving the quality of healthcare. Less is known about whether these strategies are effective for providers who serve vulnerable populations at Federally Qualified Health Centers (FQHCs). OBJECTIVE: The goal of this study is to examine the effectiveness of a HIT-P4P intervention that rewarded providers for reducing emergency room visits, hospitalizations, and diabetes levels among a high-risk group of minority patients. In this study, teams of clinical staff had the ability to track patient data on performance measures via a health information exchange. METHODS: The sample included predominantly low-income Asian Americans, Native Hawaiians, and Other Pacific Islanders with either diabetes or cardiovascular disease and a psychosocial condition. Emergency room visits, hospitalizations, and diabetes data were collected from a health information exchange for thirteen FQHCs in Hawaii. RESULTS: Preliminary findings show that the four FQHCs who received P4P incentives showed greater improvement on measures compared to a comparison group of nine FQHCs who did not receive incentives. Furthermore, FQHCs in the intervention group who regularly utilized the health information exchange to track patient data scored better on performance measures than FQHCs who did not. Final findings will be shared during the presentation of this study. DISCUSSION: Improving HIT resources and changing the incentive structure for FQHCs can be effective at reducing emergency room visits, hospitalizations, and diabetes for high-risk minority patients.

Learning Areas:
Communication and informatics
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs

Learning Objectives:
1. Assess if team-level incentive programs improve patient outcomes for high-risk patients 2. Describe how a health information exchange can be used to track patient data for performance measures

Keywords: Information Systems, Performance Measures

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I conducted the research listed in the abstract. My education includes a MA in Asian American Studies and graduate-level training in Medical Sociology.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.