Hospital Quality Incentive Demonstration

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Launched in October 2003, the Hospital Quality Incentive Demonstration (HQID) pay-for-performance project was designed to determine if economic incentives to hospitals were effective at improving the quality of inpatient care. Approximately 250 hospitals—small/large, urban/rural, teaching/non-teaching facilities—across 36 U.S. states participated in the demonstration.[1][2]


Over the first three years of the project (2003–2006), participating hospitals raised overall quality by an average of 15.8 percent[3] based on their delivery of 30 nationally standardized and widely accepted care measures[4][5] to patients in these five clinical areas:

Additional research using the Hospital Compare[6] dataset for April 2006 to March 2007 showed that HQID participants scored on average 7.48 percentage points higher (91.49 percent to 84.01 percent) than non-participants when evaluating 19 common Hospital Compare measures.[7]


  1. ^ ""Centers for Medicare & Medicaid Services". U.S. Dept. of Health and Human Services.
  2. ^ "Hospital participant listing" (PDF). Premier, Inc.
  3. ^ "Premier Hospital Quality Incentive Demonstration Fact Sheet" (PDF). U.S. Dept. of Health and Human Services.
  4. ^ "HQID Quality Measures". U.S. Dept. of Health and Human Services.
  5. ^ "The Premier HQID Clinical Conditions and Measures" (ZIP file). U.S. Dept. of Health and Human Services.
  6. ^ "Hospital Compare dataset". U.S. Dept. of Health and Human Services.
  7. ^ "CMS/Premier Hospital Quality Incentive Demonstration". Premier, Inc.