Identifying and Realizing Pay-for-Performance Opportunities


A LARGE ACADEMIC HEALTH SYSTEM IN THE SOUTHEAST engaged ECG to conduct a comprehensive assessment and develop and implement a multifaceted work plan to help the system realize $12.4 million in incentive payments over three years for the primary metric areas below:

the challenge

The ECG team identified historical barriers within the health system that impeded the organization’s ability to implement significant, sustainable improvements in P4P-associated quality metrics:

Through a close partnership and structured approach, the health system and ECG overcame these barriers to implement meaningful change and move quality performance measures toward benchmark targets.

the process

ECG provided clinical and technical subject matter expertise through structured interdisciplinary work groups to reduce clinical variation and help the health system achieve both benchmark performance and improvement points in the following focus areas:

ECG also developed an analytic and reporting framework to help the organization monitor the effectiveness of newly created clinical decision-support alerts, which was not possible using existing EHR tools or capabilities.

This analytic service equipped hospital leadership with self-service tools to monitor adherence to clinical workflows, evaluate patient outcomes, and adjust clinical decision-support tools using data-driven insights.

the outcome

Based on current performance, ECG projects that between FY 2023 and FY 2025, the organization may earn up to $12.4M in P4P quality incentive payments.

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