[PC-BH-Integration] Request for Information re Behavioral P4P Initiatives

[Ralston, Rick :LPH Mgr. Clinic]

From: David Labby 
Sent: Tuesday, June 21, 2005 9:48 AM
To: 'On'
Subject: P4P

CareOregon, a Medicaid only health plan with 100,000 members, initiated a
'Pay for Quality" program for 2004 - 2005 that focuses on fostering system
change in medical practice to improve care.  The "Care Support and System
Innovation" grant program has funded close to 40 projects in hospital,
specialty and primary care practices that will move patient care toward
meeting the IOMs goals as outlined in the Chasm report.  They range from
supporting Hospital participation in the IHI 100,000 Lives Campaign, to
diabetes registries, EHR implementation, case management and mental health
staff, staff development for CD providers,etc.  The plan chose this approach
because it was felt that dollars available for Pay for Performance could at
this point best be used to help providers create the systems that will
improve performance.  Given the gap between current practice and "best
practice," investment in infrastructure to allow better outcomes seemed more
likely to produce improvement than rewarding the  best outcomes that current
systems can produce.  This approach has also allowed the plan to be more
engaged with providers around improvement activities; a program QI
consultant has been hired to provide technical support to the program and
grantees and a conference for grantees is planned in the fall to share best
practices.

The program description is attached.

David 


-----Original Message-----
From: Depression in Primary Care [mailto:dpc at rwjflistsrv.org]On Behalf
Of John Bachman, PhD
Sent: Monday, June 20, 2005 8:39 AM
To: DPC Listserve; PC-BH Integration Listserv
Subject: Request for Information re Behavioral P4P Initiatives

Dear Colleagues-
I am updating my review of "pay-for-performance in the behavioral healthcare
arena" (available online at
http://www.wpic.pitt.edu/dppc/journalwatch_2004_11.htm) and am writing to
ask for your assistance. Please inform me (and the listserv members) of your
own plans in this arena and of any recent literature references, reviews,
web postings, conference presentations, upcoming meetings and the like that
you may know of concerning behavioral healthcare pay-for-performance
initiatives. Thank you in advance for your help and information.
John Bachman 


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