CMS/Premier Hospital Quality Incentive Demonstration (HQID)
Improvements sustained across first three years of P4P project
Improvements in quality of care in the Centers for Medicare & Medicaid Services (CMS), Premier healthcare alliance Hospital Quality Incentive Demonstration (HQID) pay-for-performance project saved an estimated 2,500 acute myocardial infarction (AMI/heart attack) patients across the first three years of the project, according to an analysis of mortality rates at hospitals participating in the project. In addition, the more than 1.1 million patients treated in five clinical areas at participating HQID hospitals received approximately 300,000 additional recommended evidence-based clinical quality measures, such as smoking cessation, discharge instructions and pneumococcal vaccination, during that same timeframe.
At HQID hospitals, the average Composite Quality Score (CQS), an aggregate of all quality measures within each clinical area, improved by 4.4 percent between the project’s second and third year for total gains of 15.8 percent over the project’s first three years.
The HQID project is the first national project of its kind, designed to determine if economic incentives to hospitals are effective at improving the quality of inpatient care. Through the project, which has been extended by CMS for an additional three years, Premier collects a set of more than 30 evidence-based clinical quality measures from over 250 hospitals across the country. The quality measures were developed by government and private organizations (for more information on the indicators, please see HQID Specifications and Measures link on right hand side of this page).
HQID tracks process and outcome measures in five clinical areas – acute myocardial infarction (AMI), heart failure, coronary artery bypass graft (CABG), pneumonia, and hip and knee replacement.
Results from Year Three (June 2008):
HQID Year 3 spanned the timeframe of Q4 2005 through Q3 2006.
- Press release
- Premier Facts Sheet (.pdf)
- Quality scores by decile (.pdf)
- List of hospitals in the top 50 percent by condition
Results from Year Two (January 2007):
HQID Year 2 spanned the timeframe of Q4 2004 through Q3 2005.
- Quality scores by decile (.pdf)
- List of hospitals in the top 50 percent by condition
- Premier Hospital Quality Incentive Demonstration White paper for Year 2 Data (.pdf)
Results from Year One:
HQID Year 1 spanned the timeframe of Q4 2003 through Q3 2004.