PUP 4931r Lecture Notes - Lecture 52: Electronic Health Record
16 May 2018
School
Department
Course
Professor
Why the Poor Performance? Difficulties in measuring performance
Often, the number of patients a provider has is too small a sample to draw
reasonable performance measures
It can be difficult to measure performance if you are looking at health as an
output
Should managers be able to decide on measurements, there is no indication that
market would react and reward health plans that weed out poorly performing
physicians
Why the Poor Performance? Role of the Public Sector
Local politics play a role in health care
Legislators seek to maximize the funds coming to their areas, and inner city and
urban areas often get the most money because they are the often the largest
employers in an area
Regulation also plays a role, as some regulations prevent the delegation of certain
tasks to other health professionals
“hrikig the Chas
Greater use of Information Technology
Electronic Medical Records
Greater use of Computerized Decision Support Systems
Greater Health Services Research
Greater Research on Financial Incentives
Future Solutions
Focus on large-scale system-wide changes
Electronic Medical Records, decision support tools at point of care,
automated order-entry systems to guide prescribing, routine measurement
of and reporting on quality, managerial accountability and financial
incentives for good performance
Investments in performance tracking systems and health information technology
Encourage patients to take an active role in obtaining the care they need (know
what they should be receiving)
Make information on quality performance more available at all levels
Value-Based Purchasing (P4P): Required for Hospitals in ACA
Withholds 1-2% of all Medicare hospital payments
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Often, the number of patients a provider has is too small a sample to draw reasonable performance measures. It can be difficult to measure performance if you are looking at health as an output. Should managers be able to decide on measurements, there is no indication that market would react and reward health plans that weed out poorly performing physicians. Local politics play a role in health care. Legislators seek to maximize the funds coming to their areas, and inner city and urban areas often get the most money because they are the often the largest employers in an area. Regulation also plays a role, as some regulations prevent the delegation of certain tasks to other health professionals. Electronic medical records, decision support tools at point of care, automated order-entry systems to guide prescribing, routine measurement of and reporting on quality, managerial accountability and financial incentives for good performance. Investments in performance tracking systems and health information technology.
