40. Fagan PJ, Schuster AB, Boyd C, Marsteller YES, Griswold M, Murphy SM, Dunbar L, Forrest CB. Chronic improvement in primary care: evaluation of an integrated, practice-based, practice-based care coordination program for elderly patients with diabetes. Health services research. 2010 Dec;45 (6 Pt 1):1763-1782. Performance Measures In today`s health environment, family physicians face an unprecedented number of performance criteria demanded by different payers. The AAFP believes that harmonization of measures among payers is essential to the success of value-based models, since VBP incentives are linked to the performance of the specific quality measures described by each payer. In addition, family physicians need to understand what is being measured and how these measures are used to determine performance and payment. You will find appropriate performance criteria in the AAFP `performance criteria` directive. Although a large number of experiments have been conducted over the past decade with performance-based payment models, particularly P4P programs, we still know very little about how best to develop and implement VBP programs to achieve stated goals and what a successful program is.
Published data on performance gains from the P4P experiments of the past decade are mixed (i.e. positive and zero effects); improvements have generally been modest. Many of the published studies on the impact assessment of P4P programs suffer from methodological weaknesses that make it difficult to determine whether the intervention of BPV has had effects beyond other changes (e.g. B investments in quality improvement support, public information, investments in health information technology [HIT] and aid), which were made simultaneously to improve quality and limit spending. Providing, managing and coordinating care In order to achieve the expected outcomes and performance of BPVs, primary care must verify key elements of providing quality care, such as providing, managing care and coordinating care throughout the medical neighbourhood. Quality improvement is the basis of practices to meet the expected results and results of BPVs. By focusing on health outcomes, practices need an infrastructure that supports population health management and risk care management, starting with assigning patients to their family physicians.