Janet Barnsley

TL;DR: Parsons' social system action theory is used to develop a comprehensive theoretically grounded framework by which to overcome the current fragmented approach to HCO performance management.

TL;DR: A common set of organizational characteristics associated with high-quality primary care is identified and many of these characteristics are amenable to change through practice-level organizational changes.

TL;DR: The roles and impact of OPA models in use in health care are reviewed, and areas of potential abuse, such as myopia, tunnel vision and gaming, are identified, and the establishment of principles for the development, implementation and prevention of abuse of Opa specific to health care is enabled.

TL;DR: Patient surveys were more accurate for immunizations, chronic disease advice/information dispensed, some general health promotion items and possibly for medication use and administrative data appears useful for indicators including chronic disease diagnosis and osteoporosis/ breast screening.

TL;DR: It was found that primary care physicians self-selected into payment models based on existing practice characteristics, and Physicians with more complex patient populations were less likely to switch into capitation-based payment models where higher levels of effort were not financially rewarded.