Martin,
As much as I respect you as a friend who cares deeply about his patients and puts them first (always a great thing) by doing thru your PO/IPA via contract terms with the carrier I still feel your intent is wonderful but your execution is all wrong. Everything is great up and until it is part of measures and contract terms with "Those SOB's".
You're the clinician, you call the measures to be measured because as early as tonight while doing some bathroom research (I do some of my best research in there myself...) reading the next issue of whatever peer reviewed journal, a lightbulb goes off in your head (ah ha, that's the ticket!) and you start tracking or approaching things differently. This is why Clinical PhD's, MD's, DO's and other clincial persons are taught how to read and pick apart scientific models and research results. But now we all have to wait for the contract with some carrier via a PO/IPA to expire just to start tracking what we already know what is best? Come on... This is why it is the art and the practice of medicine, science is evolving, growing, changing all the time...
I guess in the end I have no respect for their Kangaroo Court and therefore I refuse to submit to their juristictional rule here. I, we, you are not bound by their self serving rules and we should do our damndest to be bound by them, and I see this as the next step in this loss of control, downward spiral. Using the power of the database as you the clinical person at the helm of the wheel see's fit I have no problem with, that is great, and we should all work together to the goal, but putting in writing, legally binding contract terms, written and forced upon us no less, by their cartel lawyers, in some no idiot left behind fashion I will never go for.
Inside our own offices for you clincal folks and us managment folks to use as great tool, YES! Go for it! But, Inside a contract to be measured and used against doctors and patients NO.... no less each and every measure becomes a chart review for the carriers including the gov't to use against each and everyone of you in the future. That is basically the position of the NYS Medial society, although they don't see the connection between CCHITT, P4P, and regular chart reviews, requests for more information that they are warning us all about... But I keep trying to teach them and assist them in connecting those dots that are so obviously linked.... You can lead a horse to water but... Hey isn't that just like those darn free willed patients??? Just can't make them stop eating garbage, or get them to exersice more, stop smoking or drinking in excess...
Internal Yes, external NO, Now how's that? Get the difference?
You are a great well intentioned man I'm sure, but I also know that the road to hell was paved with such intentions... Have a great weekend...
Paul
