Challenges and Directions for Nursing in the Pay-for-Performance Movement

Sean Clarke, Carol Raphael, Joanne Disch

Research output: Contribution to journalArticle

Abstract

Pay-for-performance (P4P) initiatives attempt to drive quality of care by aligning desired care processes and outcomes with reimbursement. P4P schemes have emerged at a time of great concern about safety and quality in health care and in the face of a growing nurse shortage. This article discusses the state of the literature linking structures for providing nursing care, measures of process heavily favored in P4P initiatives, and patient outcomes and outlines how P4P is expected to affect nursing practice. It also presents directions for managing practice settings to cope with P4P and for steering nursing's involvement in this area of health policy. As implementation broadens, it remains to be seen whether unintended consequences emerge or whether nurses are successful in using the programs and the data sets that result from them to justify investments in nursing services and solidify the profession's position.

Original languageEnglish (US)
Pages (from-to)127-134
Number of pages8
JournalPolicy, Politics, & Nursing Practice
Volume9
Issue number2
DOIs
StatePublished - Jan 1 2008

Fingerprint

Incentive Reimbursement
Quality of Health Care
Nursing
Nurses
Nursing Services
Process Assessment (Health Care)
Nursing Care
Health Policy
Safety
Direction compound
Datasets

Keywords

  • nurse practice environments
  • nurse staffing
  • P4P
  • pay for performance
  • quality improvement

ASJC Scopus subject areas

  • Leadership and Management
  • Issues, ethics and legal aspects

Cite this

Challenges and Directions for Nursing in the Pay-for-Performance Movement. / Clarke, Sean; Raphael, Carol; Disch, Joanne.

In: Policy, Politics, & Nursing Practice, Vol. 9, No. 2, 01.01.2008, p. 127-134.

Research output: Contribution to journalArticle

@article{68a4ed9850e04165971c380e43605005,
title = "Challenges and Directions for Nursing in the Pay-for-Performance Movement",
abstract = "Pay-for-performance (P4P) initiatives attempt to drive quality of care by aligning desired care processes and outcomes with reimbursement. P4P schemes have emerged at a time of great concern about safety and quality in health care and in the face of a growing nurse shortage. This article discusses the state of the literature linking structures for providing nursing care, measures of process heavily favored in P4P initiatives, and patient outcomes and outlines how P4P is expected to affect nursing practice. It also presents directions for managing practice settings to cope with P4P and for steering nursing's involvement in this area of health policy. As implementation broadens, it remains to be seen whether unintended consequences emerge or whether nurses are successful in using the programs and the data sets that result from them to justify investments in nursing services and solidify the profession's position.",
keywords = "nurse practice environments, nurse staffing, P4P, pay for performance, quality improvement",
author = "Sean Clarke and Carol Raphael and Joanne Disch",
year = "2008",
month = "1",
day = "1",
doi = "10.1177/1527154408320419",
language = "English (US)",
volume = "9",
pages = "127--134",
journal = "Policy, Politics, and Nursing Practice",
issn = "1527-1544",
publisher = "SAGE Publications Inc.",
number = "2",

}

TY - JOUR

T1 - Challenges and Directions for Nursing in the Pay-for-Performance Movement

AU - Clarke, Sean

AU - Raphael, Carol

AU - Disch, Joanne

PY - 2008/1/1

Y1 - 2008/1/1

N2 - Pay-for-performance (P4P) initiatives attempt to drive quality of care by aligning desired care processes and outcomes with reimbursement. P4P schemes have emerged at a time of great concern about safety and quality in health care and in the face of a growing nurse shortage. This article discusses the state of the literature linking structures for providing nursing care, measures of process heavily favored in P4P initiatives, and patient outcomes and outlines how P4P is expected to affect nursing practice. It also presents directions for managing practice settings to cope with P4P and for steering nursing's involvement in this area of health policy. As implementation broadens, it remains to be seen whether unintended consequences emerge or whether nurses are successful in using the programs and the data sets that result from them to justify investments in nursing services and solidify the profession's position.

AB - Pay-for-performance (P4P) initiatives attempt to drive quality of care by aligning desired care processes and outcomes with reimbursement. P4P schemes have emerged at a time of great concern about safety and quality in health care and in the face of a growing nurse shortage. This article discusses the state of the literature linking structures for providing nursing care, measures of process heavily favored in P4P initiatives, and patient outcomes and outlines how P4P is expected to affect nursing practice. It also presents directions for managing practice settings to cope with P4P and for steering nursing's involvement in this area of health policy. As implementation broadens, it remains to be seen whether unintended consequences emerge or whether nurses are successful in using the programs and the data sets that result from them to justify investments in nursing services and solidify the profession's position.

KW - nurse practice environments

KW - nurse staffing

KW - P4P

KW - pay for performance

KW - quality improvement

UR - http://www.scopus.com/inward/record.url?scp=47649104886&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=47649104886&partnerID=8YFLogxK

U2 - 10.1177/1527154408320419

DO - 10.1177/1527154408320419

M3 - Article

C2 - 18562763

AN - SCOPUS:47649104886

VL - 9

SP - 127

EP - 134

JO - Policy, Politics, and Nursing Practice

JF - Policy, Politics, and Nursing Practice

SN - 1527-1544

IS - 2

ER -