Physician Performance Measures May 1st, 2009
Physician performance measures in dozens of clinical areas will improve the quality of care, according to industry medical device executives.
The Medical Device Management Association announced in February its support of approximately 140 physician performance measures in 34 clinical areas.
Under the measure approved by the American Medical Association and Congress, doctors would report efforts to improve quality of care to the federal government. The pact came as an effort to push pay-for-performance arrangements with various health care providers in order to publicize their performance and link Medicare payment to quality, according to the Medical Device Management Association’s Web site.
However, according to some critics, the timeline given to develop the performance measures is too short. Critics also urged that the performance measures need to be developed by specialty societies, then tested and validated to determine their true effect on patient care.
The AMA recently sent a letter to specialty physicians stating that the AMA has not agreed to a pay-for-performance system without accompanying changes in Medicare reimbursement.
“(Medical Device Management Association) supports efforts to develop quality measures in health care. However, given the lack of current uniform performance measures related to quality, it is premature to move forward with gainsharing arrangements that claim to be able to limit physician choice without compromising quality.” said Mark B. Leahey, MDMA executive director. “If we can’t agree on how to measure quality, how can we be assured patients won’t be harmed under gainsharing?”
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