DOES PAY FOR PERFORMANCE IN HOSPITALS SAVE LIVES?

Abstract

Introduction Pay for performance is increasingly used as a way of improving the quality of medical care. We previously showed that a pay for performance scheme targeting a range of processes measures in hospitals in the North West of England was associated with a substantial reduction in mortality for pneumonia, myocardial infarction and heart failure equivalent to 890 fewer deaths (Sutton et al. Reduced Mortality with Hospital Pay for Performance in England. New England Journal of Medicine 2012;367:1821–28). This analysis only assessed mortality in the first 18 months after introduction of the scheme. We now report mortality outcomes at 42 months to see whether the effec..