Clinical practice improvement payments: incentives for delivery of quality care

Plever, Sally, McCarthy, Irene, Emmerson, Brett and Groves, Aaron (2012) Clinical practice improvement payments: incentives for delivery of quality care. Australasian Psychiatry, 20 5: 407-412. doi:10.1177/1039856212460599

Author Plever, Sally
McCarthy, Irene
Emmerson, Brett
Groves, Aaron
Title Clinical practice improvement payments: incentives for delivery of quality care
Journal name Australasian Psychiatry   Check publisher's open access policy
ISSN 1039-8562
Publication date 2012-10-01
Sub-type Article (original research)
DOI 10.1177/1039856212460599
Open Access Status Not Open Access
Volume 20
Issue 5
Start page 407
End page 412
Total pages 6
Place of publication London, United Kingdom
Publisher Sage Publications
Language eng
Abstract The consequences of cancer and treatment on fertility can be a continuing source of distress for adolescents and young adults. The study aims were to assess the effects of bundled interventions on clinical practice concerning fertility in young people aged 14-25 years with cancer.
Formatted abstract
Objective: In 2008, Queensland Health mental health services participated in a quality incentive payment scheme referred to as the Clinical Practice Improvement Payment. Services across the state engaged in local improvement projects with the collective aim of improving the number of consumers, diagnosed with schizophrenia,
followed up within seven days post discharge. This paper describes the application of this approach over two and a half years.
Method: Sixteen mental health services across Queensland participated and were provided with the opportunity to receive incentive payments during the period between January 2009 and June 2011. Data collection was conducted using information available on existing Queensland Health databases. Services were provided with regular updates on their progress through a secure intranet site, state-wide forums and individual service presentations, enabling them to compare their individual service data with peer and state data.
Results: State-wide results showed steady and continual improvement in the indicator over the reporting period.
Conclusions: The results suggest that the implementation of incentive payments for routine clinical work in mental health can assist with state-wide service improvement. The impact of target setting and supporting activities remains unclear and improvements appeared to be robust to administrative challenges and unexpected external events.
Keyword Mental Health
Pay for Performance
Service improvements
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
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