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?
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?
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