Verification in Results-Based Financing (RBF) : The Case of the United Kingdom

Paying health care providers performance based incentive payments is one form of Results-Based Financing (RBF). Verifying that providers have reached set performance thresholds is a crucial part of RBF program implementation and key to maintaining...

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Main Authors:	Cashin, Cheryl, Vergeer, Petra
Format:	Working Paper
Language:	English en_US
Published:	World Bank, Washington, DC 2013
Subjects:	ACCESS TO INFORMATION ACTION PLANS AGED ALLERGIES ANGINA ANTENATAL CARE ASTHMA BACK UP BACK-UP BACKBONE BACKUP BLOOD PRESSURE CARERS CERVICAL SMEAR CHILD DEVELOPMENT CHILD HEALTH CHOLESTEROL CLINICAL CARE CLINICAL INDICATORS CLINICAL INFORMATION CLINICAL STAFF CLINICAL TEAM CLINICIAN CLINICIANS COMPUTER DATA COMPUTER SYSTEM CONFIDENTIALITY CONTRACEPTION CORONARY HEART DISEASE DATA COLLECTION DEMENTIA DEPRESSION DIABETES DIAGNOSIS DISCUSSION DISEASE DISEASE PREVALENCE DISEASES DISPUTE RESOLUTION DISTRICT NURSES DOCUMENTS DOMAIN DOMAINS DRUGS EFFECTIVE USE ELECTRONIC SUBMISSION ELECTRONIC TOOLS ELIGIBLE PATIENTS EPILEPSY EQUIPMENT FAMILY MEDICINE FRAUD GENERAL PRACTICE GENERAL PRACTITIONERS GPS HEALTH AUTHORITIES HEALTH CARE HEALTH CARE POLICY HEALTH CARE PROFESSIONALS HEALTH CARE PROVIDERS HEALTH COVERAGE HEALTH ECONOMICS HEALTH OUTCOMES HEALTH SERVICE HEALTH SURVEILLANCE HEALTHCARE HEPATITIS HEPATITIS B HYPERTENSION IMMUNIZATION INCENTIVE PAYMENTS INFLUENZA INFORMATION FLOWS INFORMATION SYSTEM INFORMATION TECHNOLOGY INSPECTION INSPECTIONS INSTITUTIONAL CAPACITY INTERNATIONAL STANDARDS LEADING LEARNING LIVER LOCAL HEALTH AUTHORITIES MARKET RESEARCH MATERIAL MEDICAL ASSOCIATION MEDICAL CARE MEDICAL PRACTICE MEDICAL RECORDS MEDICATION MEDICINE MEDICINES MENTAL MENTAL HEALTH MYOCARDIAL INFARCTION NURSES NUTRITION PALLIATIVE CARE PATIENT PATIENT CONFIDENTIALITY PATIENTS PERFORMANCE INDICATORS PERSONAL COMMUNICATION PRESCRIPTIONS PRIVACY PRODUCTIVITY PROTOCOL PROTOCOLS PUBLIC HEALTH QUALITY MANAGEMENT QUALITY OF CARE QUALITY OF SERVICES QUERIES QUERY REFERRALS RELATIONAL DATABASES RESULT RESULTS RETENTION RISK FACTORS SCREENING SEARCH SERVICE CONTRACTS SEX SICKNESS ABSENCE SMOKERS SMOKING SOCIAL SERVICES STANDARDIZATION SUPERVISION TARGETS TELEPHONE THERAPY THINKING TOUCH TREATMENT USES VALIDATION PROCESS VERIFICATION VISITS WEB WEB SITE healthcare system
Online Access:	http://documents.worldbank.org/curated/en/2013/01/17643176/verification-results-based-financing-rbf-case-united-kingdom http://hdl.handle.net/10986/13567

id	okr-10986-13567
recordtype	oai_dc
spelling	okr-10986-135672021-04-23T14:03:08Z Verification in Results-Based Financing (RBF) : The Case of the United Kingdom Cashin, Cheryl Vergeer, Petra ACCESS TO INFORMATION ACTION PLANS AGED ALLERGIES ANGINA ANTENATAL CARE ASTHMA BACK UP BACK-UP BACKBONE BACKUP BLOOD PRESSURE CARERS CERVICAL SMEAR CHILD DEVELOPMENT CHILD HEALTH CHOLESTEROL CLINICAL CARE CLINICAL INDICATORS CLINICAL INFORMATION CLINICAL STAFF CLINICAL TEAM CLINICIAN CLINICIANS COMPUTER DATA COMPUTER SYSTEM CONFIDENTIALITY CONTRACEPTION CORONARY HEART DISEASE DATA COLLECTION DEMENTIA DEPRESSION DIABETES DIAGNOSIS DISCUSSION DISEASE DISEASE PREVALENCE DISEASES DISPUTE RESOLUTION DISTRICT NURSES DOCUMENTS DOMAIN DOMAINS DRUGS EFFECTIVE USE ELECTRONIC SUBMISSION ELECTRONIC TOOLS ELIGIBLE PATIENTS EPILEPSY EQUIPMENT FAMILY MEDICINE FRAUD GENERAL PRACTICE GENERAL PRACTITIONERS GPS HEALTH AUTHORITIES HEALTH CARE HEALTH CARE POLICY HEALTH CARE PROFESSIONALS HEALTH CARE PROVIDERS HEALTH COVERAGE HEALTH ECONOMICS HEALTH OUTCOMES HEALTH SERVICE HEALTH SURVEILLANCE HEALTHCARE HEPATITIS HEPATITIS B HYPERTENSION IMMUNIZATION INCENTIVE PAYMENTS INFLUENZA INFORMATION FLOWS INFORMATION SYSTEM INFORMATION TECHNOLOGY INSPECTION INSPECTIONS INSTITUTIONAL CAPACITY INTERNATIONAL STANDARDS LEADING LEARNING LIVER LOCAL HEALTH AUTHORITIES MARKET RESEARCH MATERIAL MEDICAL ASSOCIATION MEDICAL CARE MEDICAL PRACTICE MEDICAL RECORDS MEDICATION MEDICINE MEDICINES MENTAL MENTAL HEALTH MYOCARDIAL INFARCTION NURSES NUTRITION PALLIATIVE CARE PATIENT PATIENT CONFIDENTIALITY PATIENTS PERFORMANCE INDICATORS PERSONAL COMMUNICATION PRESCRIPTIONS PRIVACY PRODUCTIVITY PROTOCOL PROTOCOLS PUBLIC HEALTH QUALITY MANAGEMENT QUALITY OF CARE QUALITY OF SERVICES QUERIES QUERY REFERRALS RELATIONAL DATABASES RESULT RESULTS RETENTION RISK FACTORS SCREENING SEARCH SERVICE CONTRACTS SEX SICKNESS ABSENCE SMOKERS SMOKING SOCIAL SERVICES STANDARDIZATION SUPERVISION TARGETS TELEPHONE THERAPY THINKING TOUCH TREATMENT USES VALIDATION PROCESS VERIFICATION VISITS WEB WEB SITE healthcare system Paying health care providers performance based incentive payments is one form of Results-Based Financing (RBF). Verifying that providers have reached set performance thresholds is a crucial part of RBF program implementation and key to maintaining the transparency, fairness, and viability of the programs. The national health service of the United Kingdom has been implementing one of the largest RBF initiatives worldwide, the Quality and Outcomes Framework (QOF), since 2004. The QOF provides incentive payments for primary care providers to improve quality of care and patient experience. Its verification process is well developed and relies on a highly sophisticated clinical information system as the foundation for performance data. This case study describes the process for verification of achievement rates under the QOF and identifies lessons learned applicable to other RBF programs. The case study is part of a broader analysis, which includes multiple country case examples, to expand knowledge about the verification process and practices to address the immediate design and implementation needs of RBF programs. 2013-05-28T18:39:32Z 2013-05-28T18:39:32Z 2013-01 http://documents.worldbank.org/curated/en/2013/01/17643176/verification-results-based-financing-rbf-case-united-kingdom http://hdl.handle.net/10986/13567 English en_US Health, Nutrition and Population (HNP) discussion paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research Europe and Central Asia United Kingdom
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English en_US
topic	ACCESS TO INFORMATION ACTION PLANS AGED ALLERGIES ANGINA ANTENATAL CARE ASTHMA BACK UP BACK-UP BACKBONE BACKUP BLOOD PRESSURE CARERS CERVICAL SMEAR CHILD DEVELOPMENT CHILD HEALTH CHOLESTEROL CLINICAL CARE CLINICAL INDICATORS CLINICAL INFORMATION CLINICAL STAFF CLINICAL TEAM CLINICIAN CLINICIANS COMPUTER DATA COMPUTER SYSTEM CONFIDENTIALITY CONTRACEPTION CORONARY HEART DISEASE DATA COLLECTION DEMENTIA DEPRESSION DIABETES DIAGNOSIS DISCUSSION DISEASE DISEASE PREVALENCE DISEASES DISPUTE RESOLUTION DISTRICT NURSES DOCUMENTS DOMAIN DOMAINS DRUGS EFFECTIVE USE ELECTRONIC SUBMISSION ELECTRONIC TOOLS ELIGIBLE PATIENTS EPILEPSY EQUIPMENT FAMILY MEDICINE FRAUD GENERAL PRACTICE GENERAL PRACTITIONERS GPS HEALTH AUTHORITIES HEALTH CARE HEALTH CARE POLICY HEALTH CARE PROFESSIONALS HEALTH CARE PROVIDERS HEALTH COVERAGE HEALTH ECONOMICS HEALTH OUTCOMES HEALTH SERVICE HEALTH SURVEILLANCE HEALTHCARE HEPATITIS HEPATITIS B HYPERTENSION IMMUNIZATION INCENTIVE PAYMENTS INFLUENZA INFORMATION FLOWS INFORMATION SYSTEM INFORMATION TECHNOLOGY INSPECTION INSPECTIONS INSTITUTIONAL CAPACITY INTERNATIONAL STANDARDS LEADING LEARNING LIVER LOCAL HEALTH AUTHORITIES MARKET RESEARCH MATERIAL MEDICAL ASSOCIATION MEDICAL CARE MEDICAL PRACTICE MEDICAL RECORDS MEDICATION MEDICINE MEDICINES MENTAL MENTAL HEALTH MYOCARDIAL INFARCTION NURSES NUTRITION PALLIATIVE CARE PATIENT PATIENT CONFIDENTIALITY PATIENTS PERFORMANCE INDICATORS PERSONAL COMMUNICATION PRESCRIPTIONS PRIVACY PRODUCTIVITY PROTOCOL PROTOCOLS PUBLIC HEALTH QUALITY MANAGEMENT QUALITY OF CARE QUALITY OF SERVICES QUERIES QUERY REFERRALS RELATIONAL DATABASES RESULT RESULTS RETENTION RISK FACTORS SCREENING SEARCH SERVICE CONTRACTS SEX SICKNESS ABSENCE SMOKERS SMOKING SOCIAL SERVICES STANDARDIZATION SUPERVISION TARGETS TELEPHONE THERAPY THINKING TOUCH TREATMENT USES VALIDATION PROCESS VERIFICATION VISITS WEB WEB SITE healthcare system
spellingShingle	ACCESS TO INFORMATION ACTION PLANS AGED ALLERGIES ANGINA ANTENATAL CARE ASTHMA BACK UP BACK-UP BACKBONE BACKUP BLOOD PRESSURE CARERS CERVICAL SMEAR CHILD DEVELOPMENT CHILD HEALTH CHOLESTEROL CLINICAL CARE CLINICAL INDICATORS CLINICAL INFORMATION CLINICAL STAFF CLINICAL TEAM CLINICIAN CLINICIANS COMPUTER DATA COMPUTER SYSTEM CONFIDENTIALITY CONTRACEPTION CORONARY HEART DISEASE DATA COLLECTION DEMENTIA DEPRESSION DIABETES DIAGNOSIS DISCUSSION DISEASE DISEASE PREVALENCE DISEASES DISPUTE RESOLUTION DISTRICT NURSES DOCUMENTS DOMAIN DOMAINS DRUGS EFFECTIVE USE ELECTRONIC SUBMISSION ELECTRONIC TOOLS ELIGIBLE PATIENTS EPILEPSY EQUIPMENT FAMILY MEDICINE FRAUD GENERAL PRACTICE GENERAL PRACTITIONERS GPS HEALTH AUTHORITIES HEALTH CARE HEALTH CARE POLICY HEALTH CARE PROFESSIONALS HEALTH CARE PROVIDERS HEALTH COVERAGE HEALTH ECONOMICS HEALTH OUTCOMES HEALTH SERVICE HEALTH SURVEILLANCE HEALTHCARE HEPATITIS HEPATITIS B HYPERTENSION IMMUNIZATION INCENTIVE PAYMENTS INFLUENZA INFORMATION FLOWS INFORMATION SYSTEM INFORMATION TECHNOLOGY INSPECTION INSPECTIONS INSTITUTIONAL CAPACITY INTERNATIONAL STANDARDS LEADING LEARNING LIVER LOCAL HEALTH AUTHORITIES MARKET RESEARCH MATERIAL MEDICAL ASSOCIATION MEDICAL CARE MEDICAL PRACTICE MEDICAL RECORDS MEDICATION MEDICINE MEDICINES MENTAL MENTAL HEALTH MYOCARDIAL INFARCTION NURSES NUTRITION PALLIATIVE CARE PATIENT PATIENT CONFIDENTIALITY PATIENTS PERFORMANCE INDICATORS PERSONAL COMMUNICATION PRESCRIPTIONS PRIVACY PRODUCTIVITY PROTOCOL PROTOCOLS PUBLIC HEALTH QUALITY MANAGEMENT QUALITY OF CARE QUALITY OF SERVICES QUERIES QUERY REFERRALS RELATIONAL DATABASES RESULT RESULTS RETENTION RISK FACTORS SCREENING SEARCH SERVICE CONTRACTS SEX SICKNESS ABSENCE SMOKERS SMOKING SOCIAL SERVICES STANDARDIZATION SUPERVISION TARGETS TELEPHONE THERAPY THINKING TOUCH TREATMENT USES VALIDATION PROCESS VERIFICATION VISITS WEB WEB SITE healthcare system Cashin, Cheryl Vergeer, Petra Verification in Results-Based Financing (RBF) : The Case of the United Kingdom
geographic_facet	Europe and Central Asia United Kingdom
relation	Health, Nutrition and Population (HNP) discussion paper;
description	Paying health care providers performance based incentive payments is one form of Results-Based Financing (RBF). Verifying that providers have reached set performance thresholds is a crucial part of RBF program implementation and key to maintaining the transparency, fairness, and viability of the programs. The national health service of the United Kingdom has been implementing one of the largest RBF initiatives worldwide, the Quality and Outcomes Framework (QOF), since 2004. The QOF provides incentive payments for primary care providers to improve quality of care and patient experience. Its verification process is well developed and relies on a highly sophisticated clinical information system as the foundation for performance data. This case study describes the process for verification of achievement rates under the QOF and identifies lessons learned applicable to other RBF programs. The case study is part of a broader analysis, which includes multiple country case examples, to expand knowledge about the verification process and practices to address the immediate design and implementation needs of RBF programs.
format	Publications & Research :: Working Paper
author	Cashin, Cheryl Vergeer, Petra
author_facet	Cashin, Cheryl Vergeer, Petra
author_sort	Cashin, Cheryl
title	Verification in Results-Based Financing (RBF) : The Case of the United Kingdom
title_short	Verification in Results-Based Financing (RBF) : The Case of the United Kingdom
title_full	Verification in Results-Based Financing (RBF) : The Case of the United Kingdom
title_fullStr	Verification in Results-Based Financing (RBF) : The Case of the United Kingdom
title_full_unstemmed	Verification in Results-Based Financing (RBF) : The Case of the United Kingdom
title_sort	verification in results-based financing (rbf) : the case of the united kingdom
publisher	World Bank, Washington, DC
publishDate	2013
url	http://documents.worldbank.org/curated/en/2013/01/17643176/verification-results-based-financing-rbf-case-united-kingdom http://hdl.handle.net/10986/13567
_version_	1764423754565287936

Verification in Results-Based Financing (RBF) : The Case of the United Kingdom

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