Advocates of pay-for-performance have argued we need to give it more time. Is a decade enough?
Its time to declare P4P as we have done it a failure.
Our @bmj_latest with the terrific @joefigs2 and @IgnaBonfrer.https://twitter.com/joefigs2/status/948912460823760896 …
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“Better Care Simpler” is a great mantra that respects and trusts the frontline people who do the work instead of P4P carrots and stick approach
@ChristineSinsky -
Intrinsic motivation (e.g., incentivizing meaning in medicine) still more powerful than extrinsic incentives.
#joyofpractice -
Yes! At our team meeting this week, our nurse told us we laughed too loudly, she couldn’t hear patients on the phone. A very good problem to have!
End of conversation
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No levers works effectively on its own. Multiple levers are key and understanding how they work together remains a challenge. I would appreciate your comments on our recent paper.http://bmjopen.bmj.com/content/7/8/e014825.info …
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Agree w the "better care simpler" overarching goal.
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The pos side is that hospitals are invested in obtaining and monitoring data. The neg side is once the hospitals have the data, the easiest way to increase reimbursement is to manipulate the acuity calculations, not to improve the delivery of care
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Yep, recently published in JAMA, I believe.
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I was excited to join a hospital quality committee because I thought we would be implementing new quality systems to improve outcomes. The first meeting focused on the denominator, not the numerator. We rarely talked about the numerator.
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Corporate physics: decision-making often takes the path of least resistance
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Every doctor should read at least once the preface of “The doctor’s dilemma “ by George Bernard Shaw
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Agree with AG, of course, but are we really “all in” for P4P or is reimbursement still mainly volume based? Argue the latter because P4P doesn’t keep the lights on
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