Evaluating the Impact of Value-Based Purchasing: Table 2. Examples of Value-Based Purchasing Activities and Outcomes

You Are Here: AHRQ Home > About AHRQ > Offices and Centers > Center for Organization and Delivery Studies > Evaluating the Impact of Value-Based Purchasing

Table 2. Examples of Value-Based Purchasing Activities and Outcomes¹

Examples of VBP activities	Examples of relevant outcomes
Examples of VBP activities	Potential intermediate outcomes	Potential final outcomes
Requiring health plans to contract with hospitals that perform high volumes of coronary artery bypass graft surgeries	Fewer CABG surgeries performed at low-volume hospitals	More positive ratings from CABG patients regarding their experiences with care Fewer complications following bypass surgery Lower costs for CABG patients Improved health status for CABG patients
Providing employees with comparative health plan report cards based on HEDIS® and CAHPS® data	Increased awareness of variations in quality Increased enrollment in highly rated health plans	Increased satisfaction with health plan choices
Refusing to contract with health maintenance organizations that are not accredited by the National Committee for Quality Assurance	Increased number of local HMOs applying for and achieving NCQA accreditation Higher utilization of preventive care and screening services	Improved health status of HMO enrollees
Requiring hospitals to use computerized order entry systems as suggested by the Institute for Safe Medication Practices	Decrease in serious prescribing errors Decrease in adverse drug interactions	Fewer complications due to medication errors
Requiring hospitals to staff intensive care units with physicians certified in critical care medicine	Increase in the number of hospitals that have certified critical care physicians staffing their ICUs	Lower rate of complication for patients receiving care in the ICU Lower mortality rate for patients receiving care in the ICU Lower costs due to ICU care
Requiring health plans to develop comprehensive diabetes disease management programs that comply with guidelines established by the American Diabetes Association	Improved scores on the comprehensive diabetes care measures that are contained in the HEDIS® data set	Improved health status for diabetics Improved satisfaction with care for diabetics Lower costs due to care for diabetes

¹ Key: CABG = coronary artery bypass graft; CAHPS® = Consumer Assessment of Health Plans; HEDIS® = Healthplan Employer Data and Information Set; HMO = health maintenance organization; ICU = intensive care unit; NCQA = National Committee for Quality Assurance

Return to Document

Table 2. Examples of Value-Based Purchasing Activities and Outcomes1

Table 2. Examples of Value-Based Purchasing Activities and Outcomes¹