Real-time feedback and monetary rewards pull physicians into quality care

July 15, 2015


A study published in the April edition of the Journal of Hospital Medicine combines the principles of real-time feedback and financial incentives to get frontline buy-in for quality improvement initiatives. Lead researcher Henry Michtalik, MD, MPH, MHS, assistant professor of medicine at John Hopkins Hospital in Baltimore, Maryland, used real-time visual feedback of compliance rates for preventing venous thromboembolism (VTE), along with small monetary bonuses for improved care, to help reduce VTE among hospital patients.

In the first six months of the study, in which physicians were provided real-time feedback on a web-based display, VTE prophylaxis compliance rates improved 86% to 90%. Over the remaining 18 months, in which physicians were also paid for meeting quality improvement thresholds, compliance improved to 94%.
Patient Safety Monitor Journal spoke with Michtalik about the study and how this approach improved physician involvement in quality improvement initiatives.

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