In this analysis of the impact of a pay for performance incentive program in England for pneumonia-AMI-CHF, overall mortality of those 3 diagnoses was reduced by 1.3% (eg 890 fewer deaths) in the 18 months after the program was implemented. The largest reduction in mortality was seen in pneumonia, followed by CHF and AMI. The England program incentives were larger, and the QI investments were more robust, compared to the US pay for performance program, which may account for the differences in outcomes (abstract).
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