Does pay-for-performance improve patient outcomes in acute exacerbation of COPD admissions?
Philip W StoneAlexander AdamsonJohn R HurstC Michael RobertsJennifer Kathleen QuintPublished in: Thorax (2021)
Completion of the combined COPD BPT criteria does not appear associated with a reduction in 30-day mortality or readmission. However, specialist review was associated with reduced inpatient mortality. While it is difficult to argue that discharge bundles do not improve care, this analysis questions whether the pay-for-performance model improves mortality or readmissions.
Keyphrases
- chronic obstructive pulmonary disease
- palliative care
- cardiovascular events
- risk factors
- lung function
- liver failure
- health insurance
- respiratory failure
- type diabetes
- coronary artery disease
- mental health
- quality improvement
- intensive care unit
- air pollution
- affordable care act
- extracorporeal membrane oxygenation