Pay for...poor performance? Perverse incentives with #F4S. http://wapo.st/Zyw2Q1 @Atul_Gawande #PtSafety
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@Atul_Gawande Our experience is providers slow to change. Surgical checklist good example. Surgeon compliance and pushback biggest problemThanks. Twitter will use this to make your timeline better. UndoUndo
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Agree w
@Atul_Gawande; been@DignityHealth for 16 yrs "encouraging" poor outcome for profit even hard to tweet!@stuartmarcusmd -
@spartoviMD@atul_gawande We are leaders in safety@StVincentsMC@AscensionHealth. Provider culture & workflow change are biggest challenges
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@Atul_Gawande Do we have examples of how these misaligned incentives are done better in other countries?#WHO should help share learning!Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@stuartmarcusmd Always aim for 0 complications, but recognize "never events" cause unintended consequences that cause harmThanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande Disease Mongering natural, as rewards/incentives are based on cure, rather than prevention or health creation@StuartMarcusMD -
@medrites@atul_gawande Cure is an outcome and currently not a basis for payment. Outcomes based incentives is our future. When is the ?
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@Atul_Gawande As a CMO I once had a hospital CEO tell me we should be just good enough at dec readmits to avoid penalties. Made me smhThanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@StuartMarcusMD Is it possible for the insurers to change the system & give $ as reward for hospital w/ least complications?Thanks. Twitter will use this to make your timeline better. UndoUndo
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