Comments on: Episode-Based Performance Measures: A reality? http://healthcare-economist.com/2009/12/15/episode-based-performance-measures-a-reality/ Tue, 22 May 2012 08:04:55 +0000 hourly 1 http://wordpress.org/?v=3.3.2 By: Can Healthcare Economists Measure Performance Based on Episodes | Avantrasara http://healthcare-economist.com/2009/12/15/episode-based-performance-measures-a-reality/comment-page-1/#comment-5772 Can Healthcare Economists Measure Performance Based on Episodes | Avantrasara Thu, 17 Dec 2009 14:38:29 +0000 http://healthcare-economist.com/?p=3137#comment-5772 [...] Episode-Based Performance Measures: A reality? December 15, 2009 in P4P Pay-for-performance has become very fashionable of late. One way to measure physician performance is with episode groupers. This software groups together some or all of the services related to the care of a patient’s chronic or acute medical conditions. Policymakers can then use the episode as the unit of observation for: feedback on physician performance, public reporting, pay-for-performance, or ‘bundled payments for groups of services. These pay-for-performance measures could offer a significant increase in the scope of quality measures, which currently only evaluate process (e.g., did a heart attack patient receive a beta-blocker). [...] [...] Episode-Based Performance Measures: A reality? December 15, 2009 in P4P Pay-for-performance has become very fashionable of late. One way to measure physician performance is with episode groupers. This software groups together some or all of the services related to the care of a patient’s chronic or acute medical conditions. Policymakers can then use the episode as the unit of observation for: feedback on physician performance, public reporting, pay-for-performance, or ‘bundled payments for groups of services. These pay-for-performance measures could offer a significant increase in the scope of quality measures, which currently only evaluate process (e.g., did a heart attack patient receive a beta-blocker). [...]

]]> By: tim http://healthcare-economist.com/2009/12/15/episode-based-performance-measures-a-reality/comment-page-1/#comment-5768 tim Wed, 16 Dec 2009 22:29:33 +0000 http://healthcare-economist.com/?p=3137#comment-5768 In other words, an "episode" is a collectivism; no-one individual owns it -- except the patient, who can't act as an owner under our present system. So, it behaves like the "commons" in "tragedy of the commons." In other words, an “episode” is a collectivism; no-one individual owns it — except the patient, who can’t act as an owner under our present system.

So, it behaves like the “commons” in “tragedy of the commons.”

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