The Effect of Performance Incentives on Resident Documentation in an Emergency Medicine Residency Program

Jesse M. Pines, Robert C. Reiser, William J. Brady, Sabina A. Braithwaite, Chris A. Ghaemmaghami, Kathleen Cardella, Marcus L. Martin

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

We sought to improve resident chart documentation in an academic emergency department using an incentive. A stipend for educational expenses was offered to residents for documenting charts above specific threshold Evaluation & Management (E&M) levels. Comparisons were made with historical levels. Twenty-two residents participated over 4 months (70% received the stipend). Documentation levels increased significantly from 2.86 and 3.04 during historical controls to 3.31 during the study period (p < 0.05). Fifty-six percent of charts were documented at 99284 or 99285 during the study period compared to 39% and 23% in the control periods (p < 0.05). Three months after the plan (with no incentives), documentation continued to improve, with 59% documented at 99284 or 99285. Mean collection per patient was $48.05 for the study period and $42.36 and $35.86 for the historical periods (p < 0.05). Implementation of a resident incentive program to enhance chart documentation may considerably improve documentation and resident education in proper chart documentation.

Original languageEnglish
Pages (from-to)315-319
Number of pages5
JournalJournal of Emergency Medicine
Volume32
Issue number3
DOIs
StatePublished - Apr 2007

Keywords

  • documentation
  • emergency medicine
  • incentives
  • reimbursement

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