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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)]

Author

Listed:
  • 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)

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.

Suggested Citation

  • Marie Ferrua & Aude Fourcade & Benoît Lalloué & Anne Girault & Shu Jiang & Philippe Loirat & Etienne Minvielle, 2015. "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 é," Post-Print hal-01446294, HAL.
  • Handle: RePEc:hal:journl:hal-01446294
    DOI: 10.3917/jgem.154.0277
    as

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