Pauline Chen MD does a nice job in the NYT showing the problems with the current fad of physician profiling...ummm....I mean pay-for-performance programs. Here are some of the highlights:
- onerous administrative burden of collecting such large amounts of patient data
- worsening of clinician morale
- flawed evaluation criteria
She goes on to refer to a study which found many other problems. I recommend you check it out because our government has joined hands with the insurers and our hospitals to go all in on this crap. Here is what one investigator from the study said:
“When you shine a light on certain measures, you take away from others that are also important,” Dr. Hong said. “Fee-for-service has already driven physicians away from primary care. If we don’t address patient differences, we may do the same thing with pay-for-performance.”
As Mike Tyson said in The Hangover: "Nice".