ArticleThe American journal of managed care2013
Healthcare system effects of pay-for-performance for smoking status documentation.
Article in The American journal of managed care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Healthcare financing systems for increasing the use of tobacco dependence treatment.The Cochrane database of systematic reviews · 2017Pooled it
- Implementation Processes and Pay for Performance in Healthcare: A Systematic Review.Journal of general internal medicine · 2016Pooled it
- Use of electronic health records to support smoking cessation.The Cochrane database of systematic reviews · 2014Pooled it
- Reliability of Electronic Medical Record to Assess Patient's Eligibility for Lung Cancer Screening: Analysis of Two Pilot Trials.Journal of the American College of Radiology : JACR · 2025Article
- Enhancing Standardized and Structured Recording by Elderly Care Physicians for Reusing Electronic Health Record Data: Interview Study.JMIR medical informatics · 2024Article
- Smoking Cessation May Reduce Risk of Visual Field Progression in Heavy Smokers.Journal of glaucoma · 2022Article
- Factors associated with smoking cessation attempts in a public, safety-net primary care system.Preventive medicine reports · 2022Article
- Improving smoking history documentation in the electronic health record for lung cancer risk assessment and screening in primary care: A case study.Healthcare (Amsterdam, Netherlands) · 2021Article
- Is the evidence on the effectiveness of pay for performance schemes in healthcare changing? Evidence from a meta-regression analysis.BMC health services research · 2021Article
- Recent cessation attempts and receipt of cessation services among a diverse primary care population - A mixed methods study.Preventive medicine reports · 2019Article
- Proactive text messaging (GetReady2Quit) and nicotine replacement therapy to promote smoking cessation among smokers in primary care: A pilot randomized trial protocol.Contemporary clinical trials · 2019Article
- Improvement of the quality payment program by improving data reporting process: an action research.BMC health services research · 2018Article
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- Article
- Feasibility of a proactive text messaging intervention for smokers in community health centers.JMIR formative researchArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectivesTo evaluate the impact on smoking status documentation of a payer-sponsored pay-for-performance (P4P) incentive that targeted a minority of an integrated healthcare delivery system's patients. STUDY
designThree commercial insurers simultaneously adopted P4P incentives to document smoking status of their members with 3 chronic diseases. The healthcare system responded by adding a smoking status reminder to all patients' electronic health records (EHRs). We measured change in smoking status documentation before (2008-2009) and after (2010-2011) P4P implementation by patient P4P eligibility.
methodsThe P4P-eligible patients were compared primarily with a subset of non-P4P-eligible patients who resembled P4P-eligible patients and also with all non-P4P-eligible patients. Multivariate models adjusted for patient and provider characteristics and accounted for provider-level clustering and preimplementation trends.
resultsDocumentation increased from 48% of 207,471 patients before P4P to 71% of 227,574 patients after P4P. Improvement from 56% to 83% occurred among P4P-eligible patients (adjusted odds ratio [AOR], 3.6; 95% confidence interval [CI], 2.9-4.5) and from 56% to 80% among the comparable subset of non-P4P-eligible patients (AOR, 3.0; 95% CI, 2.3-3.9). The difference in improvement between groups was significant (AOR, 1.3; 95% CI, 1.1-1.4; P = .009).
conclusionsA P4P incentive targeting a minority of a healthcare system's patients stimulated adoption of a system wide EHR reminder and improved smoking status documentation overall. Combining a P4P incentive with an EHR reminder might help healthcare systems improve treatment delivery for smokers and meet "meaningful use" standards for EHRs.
Indexed as
Identifiers
23919419PMC3874815What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.