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	Institution: CLOCKSS  | My Account | E-mail Alerts | Access Rights | Sign In Vol. 4 No. 2, February 1995   Archives  •  Online Features Brief Report  This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal Improving Physicians' Preventive Health Care Behavior Through Peer Review and Financial Incentives Robert W. Morrow, MD; Anne D. Gooding, MS; Colleen Clark, MPH Arch Fam Med. 1995;4(2):165-169. Abstract We assessed improvement of preventive health care behaviors by physicians in an independent practice association—health maintenance organization. A beforeafter, 3-year study of a defined cohort measured changes through chart audit, accompanied by peer review, feedback, and financial incentives. Outcome measures consisted of rates of mump-measles-rubella (MMR) immunization, screening for cholesterol levels, and charting adequacy. Offices meeting MMR vaccination standards over 3 years increased from 78% to 96% (P<.05); those meeting standards for screening for cholesterol levels, from 92% to 95%. The average scores for charting adequacy rose from 87% to 92% (P<.05). The percentage of practices not in compliance with a standard of 90% decreased as follows: for MMR vaccination, from 57% to 12%; for screening for cholesterol levels, from 21% to 11%; and for charting adequacy, from 53% to 29% (P<.05). Author Affiliations From the Department of Family Medicine, St Josephs Medical Center, Yonkers, NY (Dr Morrow); the Department of Family Medicine, Montefiore Medical Center, Bronx, NY (Ms Gooding); and the Harvard Institute for Reproductive and Child Health, Boston, Mass (Ms Clark). None of the authors are employees of the independent practice association—health maintenance organization discussed herein. THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES Lessons From Evaluations of Purchaser Pay-for-Performance Programs: A Review of the Evidence Christianson et al. Med Care Res Rev 2008;65:5S-35S. ABSTRACT   Does Pay-for-Performance Improve the Quality of Health Care? Petersen et al. ANN INTERN MED 2006;145:265-272. ABSTRACT | FULL TEXT   A Computerized Reminder System to Increase the Use of Preventive Care for Hospitalized Patients Dexter et al. NEJM 2001;345:965-970. ABSTRACT | FULL TEXT   Effectiveness of a Practice-Based Intervention to Increase Vaccination Rates and Reduce Missed Opportunities Minkovitz et al. Arch Pediatr Adolesc Med 2001;155:382-386. ABSTRACT | FULL TEXT   The Status of Immunization Measurement and Feedback in the United States LeBaron et al. Arch Pediatr Adolesc Med 2000;154:832-836. ABSTRACT | FULL TEXT   Vaccination Practices, Policies, and Management Factors Associated With High Vaccination Coverage Levels in Georgia Public Clinics Dietz et al. Arch Pediatr Adolesc Med 2000;154:184-189. ABSTRACT | FULL TEXT   The Use of Physician Financial Incentives and Feedback to Improve Pediatric Preventive Care in Medicaid Managed Care Hillman et al. Pediatrics 1999;104:931-935. ABSTRACT | FULL TEXT   Changes in Clinic Vaccination Coverage After Institution of Measurement and Feedback in 4 States and 2 Cities LeBaron et al. Arch Pediatr Adolesc Med 1999;153:879-886. ABSTRACT | FULL TEXT   Strategies to Sustain Success in Childhood Immunizations The National Vaccine Advisory Committee JAMA 1999;282:363-370. ABSTRACT | FULL TEXT   Improving Immunization Rates in Private Pediatric Practices Through Physician Leadership Sinn et al. Arch Pediatr Adolesc Med 1999;153:597-603. ABSTRACT | FULL TEXT   Impact of Measurement and Feedback on Vaccination Coverage in Public Clinics, 1988-1994 LeBaron et al. JAMA 1997;277:631-635. ABSTRACT   Systems Approaches and the Delivery of Health Services Thompson JAMA 1997;277:670-671. ABSTRACT   Corporate Managed Care Leibowitz et al. NEJM 1996;334:1060-1063. FULL TEXT   Computerized Patient Records in Primary Care: Their Role in Mediating Guideline-Driven Physician Behavior Change Elson and Connelly Arch Fam Med 1995;4:698-705. ABSTRACT   HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | PHYSICIAN JOBS | HELP CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP   © 1995 American Medical Association. All Rights Reserved.