Quality–Based Procedures (QBPs) are specific groups of patient services that offer opportunities for health care providers to share best practices that will allow the system to achieve even better quality and system efficiencies.
This approach will reimburse health care providers for the types and quantities of patients they treat, using evidence-informed rates that are associated with the quality of care delivered.
For example, a patient who has a total knee replacement needs both surgery and rehabilitation. Quality-Based Procedures set out how much money each health care provider receives for their contribution to that patient's care journey.
Over the next three years, global funding will be reduced in proportion as funding for Quality-Based Procedures increases.
Ten groups of patient services have been launched as Quality-Based Procedures and detailed clinical handbooks have been developed to support clinicians as they transition to the new procedures.
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