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Quality Service Management Case Study
A regional health system asked Sinaiko to assist its affiliated medical group and hospital in optimizing its participation in various CMS and private pay-for-performance systems. Sinaiko developed financial allocation/payment methodologies for bonus payments and practice income based upon pay-for-performance criteria. Additionally, Sinaiko designed and implemented clinical and process improvement activities, and created a system-wide quality program that included formal processes, policies, and procedures related to quality of care. Finally, Sinaiko tracked the quality indicator results and pay-for-performance payments including the generation of ongoing reports. The new quality and reporting initiatives helped increase the quality of care and quality incentive payments. |
