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Understanding Variations in Medical Care Quality
By Brent A. Metfessel MD, CMP™
www.BusinessofMedicalPractice.com
Due to high-profile concerns in terms of the variation in quality of care as well as its affordability, practice pattern measurement is here to stay. And, until further advances in this area are created, physicians with unexpectedly poor performance ratios, especially in the area of cost-efficiency, should review their data to determine if there are opportunities to improve as well as potential outlier cases contributing to an aberrant value, as well as looking at the health plan methodology for statistical analysis and outlier exclusions.
Communication is Key
It is important for the physician or other provider being measured to communicate any issues to health plan personnel where possible. Physicians need to remember that practice pattern analysis is a continually evolving field.
Assessment
Given the state of the art, physicians, specialty societies, and other advocacy groups have a responsibility to work with health plans or other practice measurement agencies to make sure quality improvement is at the forefront, that they are active in giving feedback on health plan practice measurement methods, and that as much as possible a collaborative approach is used in working with health plans and other measurement organizations.
Conclusion
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Filed under: Book Reviews, Practice Management, Quality Initiatives, Recommended Books | Tagged: Brent A. Metfessel, Business of Medical Practice, practice pattern measurement, variations in medical care, www.BusinessofMedicalPractice.com | Leave a comment »
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