One of the biggest obstacles to successful patient health treatment is patient compliance. So if I treat such a patient, I’m penalized because of failure on the patient’s part?? Who determines treatment ‘quality’?? What is a successful treatment outcome and again, who determines what that criteria is??
Let me help. I've been involved in "quality measurement", or more accurately, failed attempts to measure quality, for 20+ years.
If you're a doc, you know quality when you see it, and you know the opposite. But the folks are not like that. They don't know, and, because the highest quality still brings you (news of) cancer, stroke, impotence, decline, and death they don't WANT to know.
Every single nationally imposed quality measure has failed, and failed dismally. That's the bad news.
The "good" news is that the quality industry, the payers, and the government are finally agreed on what to measure and how to measure it.
In the future, everything - payments, staff privileges, discipline, licensure - is going to be driven by "patient satisfaction".
I'm not kidding.
Well, 90% patient satisfaction and 10% following guidelines.
That's it.
In 2024, Dr. Oz will be the highest quality doctor in the land.