Friday, 1 February 2013

Pay for Performance and Perversion of Data

JAMA Network | JAMA | Tension Between Quality Measurement, Public Quality Reporting, and Pay for PerformancePublic Reporting and Pay for Performance

Excellent demonstration how in the USA, public reporting of outcomes and pay for performance, 2 interventions now being used on this side of the Atlantic, have reduced the reliability of the data itself.

This effect, a consequence of the human condition, I fear, is also seen in coding - the basis for all reimbursement in the modern NHS. If diagnosis A could, with abit of reality stretching be interpreted as diagnosis B, which pays more, guess which diagnosis occurs more frequently?