Unbiased Analysis of Today's Healthcare Issues

Patient Centered Medical Home: Is your doctor ready?

The answer is probably not.  The NCQA defines 149 factors which would make a practice a successful medical home.  These include physician access during and after office hours, electronic access to patients information, availability of clinical data and use of that data for population management, identification of high risk patients, ability to refer patients to […]

Read the rest of this entry »

Challenges in Care Coordination

Why is it so difficult to get physicians to work together to coordinate care for their patients?  Here’s why: “The typical primary care physician has 229…other physicians working in 117…practices with which care must be coordinated, equivalent to an additional 99 physicians and 53 practices for every100 Medicare beneficiaries managed by the primary care physician.” […]

Read the rest of this entry »

Why it is difficult to evaluate physicians quality: No medical home

One laudable goal is to improve medical quality while reducing cost. One way members of Congress have proposed to accomplish this is to use episode groupers in order to provide feedback to doctors regarding their resource use. None other than Max Baucus has advocated this (see p. 45 of this white paper). However, matching patient […]

Read the rest of this entry »