Social media is all abuzz about utilizing existing data for the purpose of rating physicians… While I agree that the consumer should have access to information about their health care providers…I am not sure that the information currently collected and held by the insurance companies is the most relevant or useful way to create a ratings system. The insurance companies will "grade" physicians based on their "cost" to the system for a particular diagnosis. So if one physician orders an imaging study or prescribes physical therapy and another physician in the same community doesn't…. who will be rated higher??? Does the insurance company know how the consumer is doing in either scenario? No.I perform a lot of total knee replacements… I do the procedure myself… I use virtually the same technique on everyone, I use computer navigation on everyone and as much as possible I standardize the choice of components. Anyone who performs a lot of total knees will tell you that some patients fly through the recovery process and some don't. We know that a certain percentage of patients possess a genetic predisposition to becoming stiff after any surgery. How will the insurers rank my ability to perform a total knee replacement? Total stay in the hospital, return to the OR, length of time in therapy after surgery, cost of surgery ??? These companies do not poll their clients about their results so the subjective estimation of the physicians *ability* is not taken into account. If my patients stay in therapy longer (maybe they had a more active lifestyle and have higher goals) am I penalized??? I applaud the social media community for helping the health care consumer learn more about the physicians and institutions they have chosen for their healthcare… but I am uncertain if the data available from the insurers is useful in determining who is and who isn't a caring, confident and competent physician.
- *A Pacemaker Wrecks a Family’s Life* Can faith in medicine be restored? #hcsm #hcr
- Breaking Down the Barriers… How Should Physicians and Pharma Collaborate— it’s in everyone’s best interest.
- Consumers Want Evidence Before Embracing Evidence-Based Medicine
- Bringing Comparison Shopping to the Doctor’s Office – NYTimes.com
- Despite Evidence, Patients Want More #healthcare #patient-education @myEn #In
Howard Luks on Breaking Down the Barriers… Phil Baumann on Breaking Down the Barriers… Howard Luks on Despite Evidence, Patients Wan… Howard Luks on Despite Evidence, Patients Wan… Steve Potak on Despite Evidence, Patients Wan…