Each year, IHA determines the top physician groups that have demonstrated best overall performance on select health care quality measures, including preventive care and chronic care management, patient satisfaction, and use of information technology to support safer, more effective care. Physician groups whose overall performance score surpassed a comprehensive statewide threshold based on the top 25 percent score for each P4P quality measure, are selected for recognition as Top Overall Performers.
The top performing groups are identified by calculating composite scores in each of the P4P quality measurement domains, which are then weighted according to the recommended P4P payment weightings. The resulting overall performance composite score for each participating physician group is compared to the statewide top performer threshold, and the groups that exceed the threshold are designated as top overall performers.
IHA also gives honorable mention recognition for each P4P quality measurement domain, to the physician groups whose performance meets the top 25 percent threshold for that domain.
Most Improved Groups
In addition to top performance awards, IHA presents a second set of awards to the physician group in each of the eight California P4P regions that demonstrates the greatest overall improvement over the previous year. Physician groups in this category are recognized with the "Ronald P. Bangasser, MD, Memorial Award for Quality Improvement," named in honor of the late Dr. Bangasser, a leader in California's medical community and an IHA Board Member.
Winners are determined by calculating the relative improvement for each physician group on the overall performance composite score for this year compared to the overall performance composite score for last year. In order to be eligible, a group must have improved performance in both clinical and patient experience. The physician group in each of the eight P4P regions that has the highest improvement score for overall performance is recognized as the most improved group in that region.
"To drive major improvements, performance-based payments must exceed 10% of total provider income. Incentives of this magnitude can only be mobilized if they originate in payer savings.”
