For all practices {i = 1...I} and indicators {j = 1...J}: |
Number of patients eligible for treatment before exceptions, Nij |
Number of patients receiving treatment, Xij |
Number of exceptions, Eij |
Exception reporting rate (proportion), Eij/Nij = eij |
Actual quality performance score before exceptions, qij = Xij/Nij |
Reported quality performance score after exceptions, qR ij = Xij/Nij - Eij |
Rearranging gives Xij = qR ij * (Nij - Eij) |
Therefore actual quality performance |
Pay score, pij = (actual pay/maximum pay) for practice i and indicator j |
Pay-performance gap for practice i and indicator j, gij = pij - qij |
Pay-performance gap for indicator j, gj = ∑i pij - qij |
Pay-performance gap for practice i, gi = ∑j pij - qij |