A recent systematic review found no studies of the impact of public performance reports on the quality of primary care. The proposed multi-method study will begin to fill that gap by exploring the relationship between health care performance reports, providers' responses to the reports, and the quality of care provided by primary care practices. Public performance reports can improve the quality of care by raising awareness among clinicians of evidence-based practices, encouraging providers to improve quality to maintain reputation and market share, directing patients to high-quality providers, or serving as the basis of pay-for-performance incentives. The study will focus on the first two mechanisms: raising awareness of evidence-based practices and encouraging providers to improve quality.
The study will explore the impact of an innovative and well-established statewide performance reporting system, The Maine Health Management Coalition