Financial Incentive to Improve Quality (IFAQ) developed within French hospitals: Results for the first experiment (2012-2014)

Incitation Financière à l'Amélioration de la Qualité (IFAQ) pour les établissements de santé français: Résultats de l'expérimentation (2012-2014)

Marie Ferrua, Aude Fourcade, Benoît Lalloué (), Anne Girault (), Shu Jiang, Philippe Loirat () and Etienne Minvielle ()
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Marie Ferrua: IGR - Institut Gustave Roussy, EA MOS - EA Management des Organisations de Santé - EHESP - École des Hautes Études en Santé Publique [EHESP] - PRES Sorbonne Paris Cité
Aude Fourcade: EA MOS - EA Management des Organisations de Santé - EHESP - École des Hautes Études en Santé Publique [EHESP] - PRES Sorbonne Paris Cité, IGR - Institut Gustave Roussy
Benoît Lalloué: EA MOS - EA Management des Organisations de Santé - EHESP - École des Hautes Études en Santé Publique [EHESP] - PRES Sorbonne Paris Cité, EHESP - École des Hautes Études en Santé Publique [EHESP], IGR - Institut Gustave Roussy
Anne Girault: EA MOS - EA Management des Organisations de Santé - EHESP - École des Hautes Études en Santé Publique [EHESP] - PRES Sorbonne Paris Cité, IGR - Institut Gustave Roussy
Shu Jiang: EA MOS - EA Management des Organisations de Santé - EHESP - École des Hautes Études en Santé Publique [EHESP] - PRES Sorbonne Paris Cité, IGR - Institut Gustave Roussy
Philippe Loirat: EA MOS - EA Management des Organisations de Santé - EHESP - École des Hautes Études en Santé Publique [EHESP] - PRES Sorbonne Paris Cité, IGR - Institut Gustave Roussy
Etienne Minvielle: EA MOS - EA Management des Organisations de Santé - EHESP - École des Hautes Études en Santé Publique [EHESP] - PRES Sorbonne Paris Cité, EHESP - École des Hautes Études en Santé Publique [EHESP], IGR - Institut Gustave Roussy

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Abstract: The French Ministry of Health and the National Authority for Health launched an experiment of a Financial Incentive to Improve Quality (IFAQ) within 222 acute care hospitals, in June 2012. A working group made of representatives from hospital federations and governmental agencies was created on purpose. The research team COMPAQH (EA7348 Healthcare management Research-EHESP), was in charge of the program design and development. IFAQ was modeled after the Value-Based Purchasing (VBP) program, which was implemented previously, in the US. The objective was to design a model that would rank the participating hospitals according to the results obtained to a set of indicators, and award bonuses to the highest performers. The model was intended to account for both improvement and achievement. It selected quality and safety indicators that were already mandatory to collect, and disclosed publicly, as well as a measure of the level of use of information technologies. Of the 222 hospitals enrolled 93 of them were rewarded. The incentive size was calculated as a portion of their annual budget. Finally, IFAQ diverged from VBP in terms of metric choice, calculation of the score, and incentive structure.

Keywords: Pay for performance; Financial incentive; Quality of care; Quality indicators; Composite score; Indicateurs qualité; Qualité des soins; Score composite; Paiement à la performance; Incitation financière (search for similar items in EconPapers)
Date: 2015
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Published in Journal de gestion et d’économie médicales, 2015, 33 (4-5), pp.277-290. ⟨10.3917/jgem.154.0277⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-01446294

DOI: 10.3917/jgem.154.0277

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