Using payment systems to drive higher quality and lower costs in health care—pay for performance—has gained significant traction among policy-makers and some payers. But pay-for-performance initiatives related to nursing care are just emerging, largely because—while nurses are central to patient safety and quality of care—their work remains invisible to payment systems.
This brief offers the perspectives of leading experts on the challenges and possibilities of pay for performance in nursing. These experts see pay for performance as useful in ensuring higher quality patient care and job satisfaction for nurses, but they also see great risks if it is implemented carelessly or without sufficient nursing input.
This issue of Charting Nursing's Future offers an overview of key barriers, potential starting points, steps to take, and unintended consequences to avoid.
- 1. Innovation in Clinical Nursing Education: Retooling the Old Model for a 21st-Century Workforce
- 2. Ten Years After Keeping Patients Safe: Have Nurses' Work Environments Been Transformed?
- 3. The Case for Academic Progression
- 4. Improving Patient Access to High-Quality Care
- 5. Addressing the Nursing Shortage - Part I
- 6. Addressing the Nursing Shortage - Part II
- 7. New Research that Illuminates Policy Issues
- 8. The Nursing Faculty Shortage
- 9. Facts and Controversies about Nursing Staffing Policies
- 10. New Research Provides Solutions to the Nursing Shortage
- 11. Strengthening Public Health Nursing - Part I
- 12. Strengthening Public Health Nursing - Part II
- 13. Nursing's Prescription for a Reformed Health System
- 14. Addressing the Quality and Safety Gap - Part I
- 15. Addressing the Quality and Safety Gap - Part II
- 16. Perspectives on Pay for Performance in Nursing
- 17. Expanding America's Capacity to Educate Nurses
- 18. Unlocking the Potential of School Nursing
- 19. Addressing the Quality and Safety Gap - Part III
- 20. Implementing the IOM Future of Nursing Report - Part 1
- 21. Implementing the IOM Future of Nursing Report - Part II
- 22. Implementing the IOM Future of Nursing Report - Part III
- 23. Celebrating a Sustained Commitment to Improving Health and Health Care Through Nursing: RWJF Marks Its 40th Anniversary