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• W47800820 abstract "Physician adoption of quality and safety systems has been delayed due to required changes in workflow, up-front investments in training, and shifts in efficiency. Here we report on the application of novel approaches to incentive design, such as the Prospect Theory, and steps to engage leadership and staff physicians in the development of a physician quality and safety incentive program in a large employed physician group. The program couples modest financial incentives along with a broad communications campaign to foster the adoption of electronic health records, the use of electronic decision support for ordering imaging studies, e-prescribing, and department/division-specific quality and safety targets ranging from note completion times to hand hygiene practices. To date over 1,200 physicians have participated in this program, and it has generated unprecedented interest and energy in quality and safety measurement and improvement. Here we report on the impact of the program on systems adoption and meeting specific quality and safety goals, as well as the generalizable lessons learned in the development and implementation of the program. Introduction The Institute of Medicine (IOM), among others, has focused on a systems approach to quality and safety, leading to calls for the adoption of electronic medical records, decision-support systems, and electronic prescribing. 2 To date the adoption of those systems has been delayed by factors, such as standard setting, financing, and the lack of product offerings. Beyond those challenges, physicians have been slow to embrace new systems, even when they are available, because of the required changes in workflow, up-front investments in training, and shifts in efficiency. al records. re 6 Recent estimates suggest that less than one-quarter of physicians in the United States have adopted fundamental information technology, such as electronic medic 7 As a result of this inertia the spread of important quality and safety systems is caught in an “adoption chasm.” Addressing the adoption and improvement challenge often requires a fundamental change in physician behavior, a daunting task. A variety of “carrots and sticks” a" @default.
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• W47800820 date "2008-08-01" @default.
• W47800820 modified "2023-09-25" @default.
• W47800820 title "The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems" @default.
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