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A P4P story

Since quality has many dimensions, we must worry that focusing on some dimensions will decrease our attention to other important dimensions.

The con side is well done, however, it does miss a major point. Performance is too complex to summarize in measures.

P4P is no different. Please read the article. It expands on the ideas that Daniel Pink has include in his book Drive.

We have made this point repeatedly for over 10 years. Yet, politicians and regulators seem enamored with “measuring quality”.

We can improve the teaching and practice of diagnosis. We have a growing number of physicians dedicated to this task.

Will he make his decisions based upon analyzing pilot data or as Bob Wachter brilliantly wrote 2 years ago:

We continue to have a health care payment system that rewards procedures – surgery, invasive cardiology, radiology, etc.

We should teach in layers. Make certain that the students understand basic science 101 before we work on 201.

I have no problem in sharing appropriate parts of my life with patients, e.g. sports teams I root for, my love for golf, a movie I saw.