Introduction The goals of the Patient Protection and Affordable Care Act (ACA) has propelled all primary care practices into new and uncharted territory. To meet the primary goals of the ACA, primary care physicians would play a pivotal role in improving the health of Americans and lowering the costs of the health care they receive. The legislation plans to accomplish this by moving from fee-for-service to value-based reimbursement. The value of the value-based reimbursement is based on improving the quality of care as demonstrated by improved quality measures. The cost reductions are established by emphasizing preventive care to minimize the need for more expensive reactive care. Pay-for-performance (P4P) models accomplish
The American Academy …show more content…
This philosophy is evident in the flexible office hours, as well as care coordinating for children with special health needs. The current hours of the practice are Monday and Tuesday from 8:00 a.m. to 8:00 p.m., and Wednesday, Thursday, and Friday from 8:00 a.m. to 5:00 p.m. The weekend hours are Saturday mornings from 8:30 a.m. to 12:00 p.m. Walk-in appointments are available every weekday for the first two hours of the day. Additionally, there is an after-hours answering service for emergencies. Technology is also at the top of Genesis Pediatrics priorities. Electronic medical records were introduced in 2005 using …show more content…
The quality measures tied to P4P included prevention and screening (well visits for infants, children, and adolescents and Chlamydia screening) and acute care (pharyngitis testing and upper respiratory infection treatment). Quality measures not tied to P4P were also measured including persistent asthma and ADHD. The results indicate a small but positively significant effect on pediatric preventive care quality measures tied to P4P. The authors note that there may be a ceiling with respect to pediatric acute care measures as the pediatric baseline performance was 94 percent. This ceiling potentially makes raising quality even higher, when it is already high, difficult. The New York State of Health expected the percent of children aged 2 years who received recommended vaccines (4 DTaP, 3 polio, 1 MMR, 3 Hib, and 3 hep B) to be 90% by the end of 2013. (need to find
The American Academy …show more content…
This philosophy is evident in the flexible office hours, as well as care coordinating for children with special health needs. The current hours of the practice are Monday and Tuesday from 8:00 a.m. to 8:00 p.m., and Wednesday, Thursday, and Friday from 8:00 a.m. to 5:00 p.m. The weekend hours are Saturday mornings from 8:30 a.m. to 12:00 p.m. Walk-in appointments are available every weekday for the first two hours of the day. Additionally, there is an after-hours answering service for emergencies. Technology is also at the top of Genesis Pediatrics priorities. Electronic medical records were introduced in 2005 using …show more content…
The quality measures tied to P4P included prevention and screening (well visits for infants, children, and adolescents and Chlamydia screening) and acute care (pharyngitis testing and upper respiratory infection treatment). Quality measures not tied to P4P were also measured including persistent asthma and ADHD. The results indicate a small but positively significant effect on pediatric preventive care quality measures tied to P4P. The authors note that there may be a ceiling with respect to pediatric acute care measures as the pediatric baseline performance was 94 percent. This ceiling potentially makes raising quality even higher, when it is already high, difficult. The New York State of Health expected the percent of children aged 2 years who received recommended vaccines (4 DTaP, 3 polio, 1 MMR, 3 Hib, and 3 hep B) to be 90% by the end of 2013. (need to find