Introducing Pay-for-Performance within Hong Kong’s Public Hospitals

The Hong Kong Hospital Authority (HA) manages 41 publicly funded hospitals that serve approximately 90% of the seven-million population. The head office of HA is responsible for strategic planning, resources allocation, and monitoring performance of hospitals that are organized into seven geographical clusters. The head office is transforming its population-based internal resources allocation system to a Pay-for-Performance (P4P) system using case mix as a currency for strategic purchasing, as well as a performance measurement tool.