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How to Motivate Clinical Staff for Value-Based Purchasing

Karen Minich-Pourshadi, for HealthLeaders Media, September 26, 2011

When it comes to VBP, aren’t clinicians really the ones tasked with putting the “value” back into care? Hard numbers should help enlighten staff on the potential financial affect—not just the quality impact—of VBP, right? Wrong.

Charlie Hall, executive vice president and CFO of the five-hospital system Piedmont Healthcare in Atlanta explains that clinical staff aren’t as concerned with the hospital’s financials; although Piedmont’s physicians are well aware of the quality metrics used for VBP because these are used in their bonus incentive plans.

“There are financial implications if the physicians don’t meet the metrics. It does put some attention on [VBP] as it affects them personally,” Hall says. Nurses, on the other hand, aren’t as focused on the financial outcomes of value-based purchasing as they are with care-giving.

It makes sense to align your physicians’ incentives to the core measures being used for value-based purchasing, because where they lead, others follow. But what is the non-physician clinical staffs’ impetus to achieve the end goal?

“When you identify and communicate to the masses what the right thing to do is, rather than how it is financially beneficial, they respond,” says Ann Pumpian, senior vice president and CFO at Sharp HealthCare, an eight-hospital system in San Diego.

“We just try to approach [VBP] as the right thing to do, quite frankly,” says James Moylan, vice president of finance and CFO at Griffin Hospital in Derby, CT. “We’re a hospital; we’re supposed to be doing this. It’s the right thing to do, and here’s all the literature about cutting down on infections.”

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1 comments on "How to Motivate Clinical Staff for Value-Based Purchasing"

mparker7198 (9/28/2011 at 4:04 PM)
How interesting that the key point for employees to take action is "It's the right thing to do." That's the same thing that came out in the hand hygiene study: healthcare providers couldn't be bothered to wash their hands to keep themselves healthy, but stressing the fact it was the right thing to do to keep their patients healthy[INVALID]-well, that was sufficient motivation. Who'd have thought?