The effect of performance incentives on resident documentation in an emergency medicine residency program
| Autor: | Sabina A. Braithwaite, William J. Brady, Kathleen Cardella, Chris A. Ghaemmaghami, Marcus L. Martin, Robert C. Reiser, Jesse M. Pines |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
medicine.medical_specialty
business.industry Internship and Residency Emergency department Residency program Documentation medicine.disease Incentive Chart Family medicine Emergency medicine medicine Emergency Medicine Employee Performance Appraisal Humans Incentive program Medical emergency business Reimbursement Stipend |
| Zdroj: | The Journal of emergency medicine. 32(3) |
| ISSN: | 0736-4679 |
| Popis: | We sought to improve resident chart documentation in an academic emergency department using an incentive. A stipend for educational expenses was offered to residents for documenting charts above specific threshold Evaluation & Management (E&M) levels. Comparisons were made with historical levels. Twenty-two residents participated over 4 months (70% received the stipend). Documentation levels increased significantly from 2.86 and 3.04 during historical controls to 3.31 during the study period (p < 0.05). Fifty-six percent of charts were documented at 99284 or 99285 during the study period compared to 39% and 23% in the control periods (p < 0.05). Three months after the plan (with no incentives), documentation continued to improve, with 59% documented at 99284 or 99285. Mean collection per patient was $48.05 for the study period and $42.36 and $35.86 for the historical periods (p < 0.05). Implementation of a resident incentive program to enhance chart documentation may considerably improve documentation and resident education in proper chart documentation. |
| Databáze: | OpenAIRE |
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