Comments on: Why today’s quality measures do not improve health outcomes http://www.kevinmd.com/blog/2008/12/why-todays-quality-measures-do-not.html medical blog Mon, 23 Nov 2009 01:35:28 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Anonymous http://www.kevinmd.com/blog/2008/12/why-todays-quality-measures-do-not.html/comment-page-1#comment-88436 Anonymous Tue, 02 Dec 2008 15:12:00 +0000 http://clients.emmense.com/kevinmd/2008/12/why-todays-quality-measures-do-not-improve-health-outcomes.html#comment-88436 If you want to improve health outcomes lets spend more time on prevention. Only 30% of Americans with hypertension are aware they have it and of those who are hypertensive only 50% get it under control. This isn' too complicated-practice medicine according to the guidelines determined by the NHLI and we'd be on our way. If you want to improve health outcomes lets spend more time on prevention. Only 30% of Americans with hypertension are aware they have it and of those who are hypertensive only 50% get it under control. This isn’ too complicated-practice medicine according to the guidelines determined by the NHLI and we’d be on our way.

]]> By: Anonymous http://www.kevinmd.com/blog/2008/12/why-todays-quality-measures-do-not.html/comment-page-1#comment-88421 Anonymous Tue, 02 Dec 2008 01:50:00 +0000 http://clients.emmense.com/kevinmd/2008/12/why-todays-quality-measures-do-not-improve-health-outcomes.html#comment-88421 6:20,<br/><br/>Yes, it is bureaucratic masturbation. Now we have to make up "anti charting" to document why didn't perform a certain measure.<br/><br/>"I did not give the CMS core measure beta blocker for this patient having an MI because he is in 3rd degree heart block with a rate of 35 and blood pressure of 70/40."<br/><br/>Our hospital now has about hired about 3 PI nurses that do nothing all day but count these beans. 6:20,

Yes, it is bureaucratic masturbation. Now we have to make up “anti charting” to document why didn’t perform a certain measure.

“I did not give the CMS core measure beta blocker for this patient having an MI because he is in 3rd degree heart block with a rate of 35 and blood pressure of 70/40.”

Our hospital now has about hired about 3 PI nurses that do nothing all day but count these beans.

]]> By: Anonymous http://www.kevinmd.com/blog/2008/12/why-todays-quality-measures-do-not.html/comment-page-1#comment-88417 Anonymous Mon, 01 Dec 2008 23:20:00 +0000 http://clients.emmense.com/kevinmd/2008/12/why-todays-quality-measures-do-not-improve-health-outcomes.html#comment-88417 Now I'm no expert, but wouldn't the inclusion of performance evaluations add more to the bureaucratic processes already included within the system? If so, wouldn't this translate into more costs, meaning higher insurance payments? Now I’m no expert, but wouldn’t the inclusion of performance evaluations add more to the bureaucratic processes already included within the system? If so, wouldn’t this translate into more costs, meaning higher insurance payments?

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