www.achp.org/pf.asp?article_id=194&folder_id=295 -
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Published on: 8/21/2006
Last Visited: 1/17/2009
The study, "The Impact of Health Plan Delivery System Organization on Clinical Quality and Patient Satisfaction," by Robin Gillies, Ph.D., et al., of the University of California, Berkeley School of Public Health found that the more organized a health plan's delivery system is, the higher the plan performs on women's health screening, immunization rates, heart disease screening, and diabetes screening.Researchers analyzed 272 health plans nationwide using performance data from HEDIS and CAHPS.
The authors note that more organized physician groups tend to work in teams to target quality improvement, are more likely to have adopted health information technology to track patient care over time and have greater ability to align financial incentives with desired quality outcomes.
"Distinguishing between high-performing health plan delivery systems and mediocre ones is especially important in the current health care environment which is fraught with serious quality gaps, increasing rates of chronic disease, and mounting pressure from the government, employers and consumers for better quality and cost information on which to make informed decisions about health care," Dr. Gillies said.