Jimmie, I disagree we "have no hope of extricating ourselves". To start with, I decided to forego the incentive money because frankly it is just not all that much. If I can see one extra patient a day over the course of the last 4 years simply because I am not burdened by all the worries about documenting everything "just so", I more than make up the difference. This leaves aside the fact that I find my job largely pleasurable and minimally driven by documentation worries, because I use AC as a tool to help me, not dictate how I work. I think that too many practices are chasing a carrot that is actually a very small incentive, and very bitter when eaten.


David Grauman MD
Department of Medicine
Commonwealth Health Center
Saipan, Northern Mariana Islands