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Ideas

What's in it for the Providers? submitted by Edward Ringel

Keywords:
Capacity building Cost Designing provider incentives Financial incentives Non-financial incentives Technology

To provide an incentive, one must answer the provider's question: "What's in it for me?" For some, it's financial gain. For others, it may be more time, more job satisfaction, better working environment, more prestige, or a genuine sense of improved patient care. Both in the US and abroad, I ... (read more)

Generate Collective Motivation submitted by Om G

Keywords:
Designing provider incentives Non-financial incentives

Even if the incentives are culturally appropriate, the consistent pressure is to perform within a constraints laden system. Those constraints are multiform and almost exclusively externally imposed. It is my feeling that this pressure to perform in conditions one cannot control is a huge contributor to long term stress and ... (read more)

Minimizing Waste in Health Systems submitted by Spencer Chenoweth

Keywords:
Cost Designing provider incentives Medicare Non-financial incentives Pharmacy

Extend medicare's coverage to cover observational study time. Observation studies are a loop in medicare coverage where a patient can be asked to stay at a hospital for up to three days. Medicare does not cover the costs from this time. Typically those on medicare cannot afford a three day ... (read more)

Provider Recognition to Improve Ethical Standards submitted by Sandeep Saluja

Keywords:
Capacity building Designing provider incentives Ethics Non-financial incentives

I work in India and not many years ago, each town and city had many good clinics and nursing homes. Even if one was to look at things from a purely selfish angle, no doctor could afford to annoy the community he worked in and did his best to make ... (read more)

Team-Based Incentives for Resource Limited Settings submitted by Wei Chang

Keywords:
Capacity building Cost Designing provider incentives Non-financial incentives Technology

When designing effective provider incentives, a few challenges/issues stand out for resource-limited settings: the effective size of incentives compared to the relatively low compensation, the possibility of crowding out providers’ intrinsic motivations, the lack of existing mechanisms for performance evaluation, and the sustainability of any incentive programs. My idea is ... (read more)

Incentive Design Based on Country/Cultural Context submitted by Pushpita Samina

Keywords:
Accountability Country context Cultural context Designing provider incentives

Designing provider's incentive should be based upon the country and cultural context. When it is being designed for a developing country, no matter whether it is in Africa or Asia, few issues to be considered -workload, technical insufficiency, poor administration and social context. If it is target driven, then there ... (read more)

Applying Behavioral Economics Early On submitted by Chris Desmond

Keywords:
Behavioral economics Capacity building Designing provider incentives Non-financial incentives

Perhaps we need to apply the lessons from behavioral economics a step earlier. The key may be to make checking provider incentives against guidelines based on behavioral economics a part of the approval process. This would make ensuring incentives are in line with what we know about behavior becomes the ... (read more)

Demand-Based Purchasing submitted by Eugene Schneller

Keywords:
Capacity building Cost Designing provider incentives

Providers of care and policymakers in the US have generally failed to embrace the medical materials environment in their pursuit of value based purchasing. Accounting for as much as 25% of a hospital’s spend the reluctance to engage both clinicians and suppliers, through proper incentive schemes, leaves millions of dollars ... (read more)

Doctors' Virtual Assistants submitted by Hilda Birungi

Keywords:
Designing provider incentives Technology Virtual Care

Using internet and existing apps, provide assistance to doctors globally using virtual personnel. The personnel would: book appointments for patients, recommend specialists, answer calls and relate messages to doctors, organise doctors calendars and email messages according to those needing medical priority, upload medical forms, ensure proper medical information is entered ... (read more)

Capacity Building for Developing Countries submitted by Asfaw Ayalew

Keywords:
Capacity building Designing provider incentives Non-financial incentives Technology

Capacity building is one way to incentivize health care providers. They need and want to be abreast of medical advancement. But, here comes the disparity. Health care workers (HCWs) in developing countries, most of the time, are technologically disadvantaged compared to their counterparts in developed countries. It is a well-known ... (read more)

Patient/Physician Engagement Crowdsourced Portal submitted by Lydia Green

Keywords:
Capacity building Cost Designing provider incentives Technology

CONCEPT - Develop online technology platform that allows a vetted community to create persuasive, compelling and engaging evidence-based content targeting high-cost low-value drug/device/diagnostic utilization areas. - Embed information into electronic medical records and patient portals, allowing delivery of relevant content at point of care. BACKGROUND - The pharmaceutical and medical ... (read more)

Focusing on Non-Financial Incentives submitted by Barry Saver

Keywords:
Capacity building Cost Designing provider incentives Financial incentives Non-financial incentives

Most of us go into medicine out of a desire to serve and help - primarily intrinsic motivation. Extrinsic motivation (financial incentives) should only be applied to incentivize activities that should not be carried out primarily based on intrinsic motivation and are sufficiently onerous that they are either not being ... (read more)

Linking Payment to Performance (Improved Health Outcomes) submitted by Paul Aliu

Keywords:
Cost Designing provider incentives Health outcomes Payment for performance Technology

With the rise of non-chronic diseases across the globe, it will be essential to establish a model that compensates healthcare providers based on improvement in health outcomes. This will be need to be based on agreed targets e.g. % of diabetic patients with adequately-controlled blood glucose or blood pressure (based ... (read more)

Recognition Based Incentives submitted by Radha krishna Behara

Keywords:
Capacity building Designing provider incentives Non-financial incentives

The basic nature of humans is “recognition” other than Money. That is the focal point of my idea. Here is the details: 1. In Each city, Government should create an agency to handle this effort financed by World Health organization funds. Their work is to plan and execute this process ... (read more)

Integrating Sustainability and Public/Environmental Health into Provider Incentives submitted by Rachel Pohl

Keywords:
Capacity building Cost Designing provider incentives Technology

My idea is to integrate the agenda of Global Green and Healthy Hospitals into the discussion about designing provider incentives, including opportunities such as hospital waste management, energy/buildings, safer chemicals, supply chain/procurement, etc... See https://noharm-global.org/issues/global/global-green-and-healthy-hospitals-agenda This approach to prevention and improved health outcomes for people and the planet is measurable ... (read more)

Next Generation Quality Measures submitted by Stephen Martin

Keywords:
Capacity building Designing provider incentives

I write as a practicing family physician. My colleagues and I from Care that Matters (http://www.carethatmatters.org/) recently published a set of ideas in PLOS Medicine (http://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1001902). We invite others to work with us. Compared with first-generation quality measures—which interfere with individualized approaches to clinical complexity and may lead to gaming, ... (read more)

Provider Driven Benchmark System submitted by Marie Teichman

Keywords:
Goal gradient thresholds Non-financial incentives Provider incentives

There should be a stratified benchmark system, so that no provider is too far away from an attainable goal. This could be accomplished by monitoring performance statistics and creating various targets for provider performance. Within each level of the system, providers will be ranked against peers in order to foster ... (read more)