Uptake of the Heart Failure Management Incentive Billing Code by Family Physicians in Ontario,Canada: A Retrospective Cohort Study |
| |
| Authors: | Harsukh Benipal Xuesong Wang Peter C. Austin Douglas S. Lee Catherine Demers |
| |
| Affiliation: | 1. Department of Internal Medicine, Rochester General Hospital, Rochester, New York, USA;2. Lake Erie College of Osteopathic Medicine, Erie, Pennsylvania, USA;3. Department of Internal Medicine, Louis A. Weiss Memorial Hospital, Chicago, Illinois, USA;4. Division of Cardiology, Dalhousie University, Halifax, Nova Scotia, Canada;5. Department of Cardiology, Thunder Bay Regional Health Sciences Centre, Thunder Bay, Ontario, Canada;6. Section of Cardiology, University of Manitoba, Winnipeg, Manitoba, Canada;7. Faculty of Nursing, Medicine and School of Public Health Sciences, University of Alberta, Edmonton, Alberta, Canada;8. Division of Cardiology, McMaster University, Hamilton, Ontario, Canada;9. Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada;10. ICES, McMaster University, Hamilton, Ontario, Canada;11. Population Health Research Institute, Hamilton, Ontario, Canada;12. Ciccarone Center for the Prevention of Cardiovascular Disease, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA;13. Division of Cardiology, University of Arizona, Phoenix, Arizona, USA |
| |
| Abstract: | In 2008, the Ontario Ministry of Health and Long-Term Care (MOHLTC) implemented an incentive payment, Q050A billing code, to family physicians for provision of comprehensive guideline-based care for patients with heart failure in the community. Our objective was to report on the uptake of this program from fiscal years 2008-2014. We determined the numbers of claims billed per year and the proportion of eligible patients with congestive heart failure (CHF) for whom a physician billed. The code was billed by 10.4% of all family physicians in 2008-2009, which increased to 15.1% in 2014-2015. The code was claimed for 4.1% of all identified patients with CHF in 2008-2009 and 5.9% of patients with CHF in 2014-2015. Given these findings, it is estimated that MOHLTC paid an additional CAD$10,118,514 to family physicians managing patients with CHF. This is the first study to examine the uptake of a CHF-specific incentive program, which will help to inform health policy makers in implementing such programs in Ontario. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
