Hey, I know you to be a very nice guy, so don't take this the wrong way, OK? But it sounds like the people you are talking to are falling for and handing you a bunch of CCHITT to put it mildly. Just what did docs do only a few years ago before EMR's for half of these things? Much of these issues are dreamed up by the vendors and CCHITT to push their products or the government so they can use all providers and citizens as datapoints in the invasive games.
Let's not even get into the fact that none of the data collected by any provider is never really blind and with informed consent its not blind to the patient either. Not a real strong experimental model there.... Commonly know, Psych 300-400 level Experimental Methods source of experimenter and test subject bias. Nobody asked me if I care to have me or my children included in their healthcare databases and studies. Where is my informed consent or right to opt out as an American citizen or patient?
Most of this P4P and other measures based CCHITT is just the new, HMO like catch phrase for having a nail to hang their hat on to withold payments from hard working PCP's who will have the most multiple issues and conditions to track and be penalized for. Not that other tough specialties won't also start getting slammed too.
Do you really want to play their game and have to start dropping your less than ideal patients from you panel, just to keep your numbers up? Shouldn't we be retaining and trying to coax such patients into better care? Shouldn't we actually be compensated more for some of these patients who will actually bring the numbers down??? Where is their P4P for all the tough patients that are hard to deal with, resist your advice, call multiple times a day, and don't want to come in, get some exersice and change their diets??? I challenge them to devise a fair system that pays a real bonus for all of that. We have a number of success stories here that we might have had to try to get off the panel so as to maintain good P4P data. Now that is pure BULLCCHITT. We as a society and a profession are better than that.
Lastly, from day one, whether it is appointment reminders or labds or Annual follow ups, since when did we become the world's mother? You don't want to go get your lipids checked or a PAP smear, how and why is it now our uncompensated task and responsiblity to perform these duties for perfectly healthy adults. If you assume this responsiblity then the lawyers and their clients will certainly try to hang it on you. Obviously, we always tell folks to get their proper tests, but at some point where is their own personal responsiblity to follow thru and do their end of it??? I am not your mother and I will resist having that burden and it's liablity dropped at my feet. "Your a big boy, go take care of yourself. You have been informed."
Sorry to bitch on so. Again I'm not picking on you. I'm just sick and tired of the world wanting to go around dropping what is their own personal stuff on our doorsteps. Don't take the bait my friend. Resist, resist.
Good Night and Good Luck,
Paul
