National Health Policy Forum

Site Visit

Date: MAY 24–25, 2004
Title: The Economics of Quality: Changing Incentives in Cincinnati
Authors: Lisa Sprague & Nora Super
Summary: This site visit focused on private market dynamics and quality improvement initiatives. Cincinnati is characterized by strong players in all sectors of the market: employers such as Procter and Gamble and General Electric, hospital systems, health plans, and physician groups with the power to “push back” in contract negotiations. The city is a pilot site for Bridges to Excellence, a pay-for-performance initiative spearheaded by GE. Cincinnati Children’s Hospital Medical Center is a grantee under the Robert Wood Johnson Foundation’s Pursuing Perfection program. Among the issues explored were physician supply, incentive structures, specialty hospitals, and information technology.
Related
Materials:
For details on participants' impressions, see the Site Visit Report, published August 31, 2004.