Using Quality Oncology Practice Initiative Metrics for Physician Incentive Compensation
- Grace Makari-Judson, MD⇑,
- Tamara Wrenn, MBA, CPHQ, CCRP,
- Wilson C. Mertens, MD, MSBA,
- Gordon Josephson, MD and
- James A. Stewart, MD
+ Author Affiliations
- Corresponding author: Grace Makari-Judson, MD, Baystate Medical Center, 376 Birnie Ave Springfield, MA 01199-0001; e-mail: grace.makari-judson@baystatehealth.org.
Abstract
Purpose: To demonstrate the use of American Society of Clinical Oncology (ASCO) Quality Oncology Practice Initiative (QOPI) measures as part of a financial incentive plan for an academic health center–based hematology-oncology division.
Methods: An 11-member QOPI-certified hematology-oncology division participated in a pilot variable compensation (VC) plan with group-specific targets selected based on prior below-average performance. Twenty percent of overall VC was linked to success in two QOPI categories: completion of treatment summaries within 90 days of end of chemotherapy and assessment of patients’ emotional well-being by second office visit. Three tiers of achievement were set for each goal. A formula combining VC goals into year-end payout was driven by three levels of percent base salary: 8%, 12%, and 24%, with probability of achievement of each goal of 90%, 50%, and 10%, respectively. Practice leadership was educated about QOPI acceptance in the oncology community.
Results: The division participated in QOPI during spring and fall 2012. With systems-based improvements, 40.54% of medical records audited had treatment summaries, resulting in achievement of tier III compensation. Documentation of emotional well-being increased, yielding 63% of patient cases compliant; however, the national benchmark concurrently improved, making this insufficient to achieve tier I.
Conclusion: QOPI metrics can be used as a quality incentive for oncologists in a VC plan. Nononcologists can appreciate the strength of QOPI as a quality tool. The combination of a QOPI program through ASCO and use of various QOPI metrics can drive continuous improvement in an oncology group.
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