Site Visit

The Economics of Quality: Changing Incentives in Cincinnati
May 24–25, 2004


Lisa Sprague, MBA & Nora Super


This site visit focused on private market dynamics and quality improvement initiatives. Cincinnati is characterized by strong players in all sectors of the market: employers such as Procter and Gamble and General Electric, hospital systems, health plans, and physician groups with the power to “push back” in contract negotiations. The city is a pilot site for Bridges to Excellence, a pay-for-performance initiative spearheaded by GE. Cincinnati Children’s Hospital Medical Center is a grantee under the Robert Wood Johnson Foundation’s Pursuing Perfection program. Among the issues explored were physician supply, incentive structures, specialty hospitals, and information technology.

Related Materials

For details on participants' impressions, see the Site Visit Report, published August 31, 2004.

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