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Table 1 Quality indicators, expected health gain, and payment for performance in 2004

From: Incentive payments are not related to expected health gain in the pay for performance scheme for UK primary care: cross-sectional analysis

Quality Indicator label

Indicator

Level of evidence1

Payment thresholds (%)

Payment range2

Maximum payment (£)

Marginal payment (£)3

E-reporting rate (%) 20054

Maximum lives saved (n)

Achievable lives saved (n)

Incentivised lives saved (n)

Maximum QALYs gained (n)

Achievable QALYs gained (n)

Incentivised QALYs gained (n)

1

DM 18

c

25-85

60

225

3.75

13

4.1

3.6

3.0

   

2

CHD 12

c

25-85

60

525

8.75

11

4

3.6

3.0

   

3

BP 5

rct

25-70

45

4200

93.33

5

3.1

2.9

2.1

561

533

373

4

CHD 10

rct

25-50

25

525

21.00

25

2.9

2.2

1.1

427

320

160

5

Stroke 10

c

25-85

60

150

2.50

13

1.8

1.6

1.4

   

6

DM 6

rct

25-50

25

1200

48.00

12

1.7

1.5

0.7

   

8

COPD 8

c

25-85

60

450

7.50

11

1.6

1.4

1.2

   

9

CHD 9

rct

25-90

65

525

8.08

4

1.6

1.5

1.4

2

2

2

11

CHD 8

rct

25-60

35

1200

34.29

10

1

0.9

0.5

   

12

Stroke9

rct

25-90

65

300

4.62

5

1

1.0

0.9

11

10

9

13

DM 12

c

25-55

30

1275

42.50

8

0.9

0.8

0.5

   

14

LVD 3

rct

25-70

45

750

16.67

7

0.8

0.7

0.5

5

5

3

15

CHD 6

rct

25-70

45

1425

31.67

4

0.7

0.7

0.5

   

17

Asthma 5

c

25-70

45

450

10.00

3

0.6

0.6

0.4

   

18

DM 7

c

25-85

60

825

13.75

6

0.4

0.4

0.3

   

19

BP 3

c

25-90

65

750

11.54

1

0.3

0.3

0.3

   

20

DM 15

rct

25-70

45

225

5.00

6

0.2

0.2

0.1

17

16

11

21

COPD 5

rct

25-90

65

450

6.92

2

0.2

0.2

0.2

   

22

DM 4

c

25-90

65

375

5.77

3

0.1

0.1

0.1

   

23

CHD 4

c

25-90

65

300

4.62

3

0.1

0.1

0.1

   

24

CHD 11

rct

25-70

45

525

11.67

7

0.1

0.1

0.1

2

2

1

25

Stroke4

c

25-70

45

150

3.33

4

0.1

0.1

0.1

   

27

CS1

c

25-80

55

825

15.00

5

   

71

67

54

28

DM8

c

25-90

65

375

5.77

6

   

115

108

97

  1. All data for an average practice of 6411 patients, all figures rounded to whole numbers (except lives saved and marginal payment)
  2. 1 rct = randomised controlled trial, c = cohort. 2 % range of achievement between minimum and maximum payments
  3. 3 £ incentive gained for a 1% increase in performance within payment range. 4 E-reporting = exception reporting