Clinical quandaries: getting MDs to buy into CQI means making adjustments
Article Abstract:
Hospitals' continuous quality improvement (CQI) programs may meet objections from physicians who do not see convincing data on results. Henry Ford Hospital reports that some patient care procedures involve complicated elements that make analysis difficult. For example, it is hard to minimize variations in treatment of heart patients who exhibit different symptoms. Some hospitals focus CQI efforts on disease conditions with clearly defined onset and finish. Methodist Health Systems, Memphis, TN, reports that medication standards have shortened the average length of stay for surgical patients.
Publication Name: Hospitals
Subject: Health care industry
ISSN: 0018-5973
Year: 1993
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Standing RBRVS on its head: educational, operational solutions to MD quandaries
Article Abstract:
Hospitals may lose income from physicians who move ancillary and outpatient services in efforts to offset lower Medicare payments caused by resource-based relative value scale rules. CEO Michael Young of Lancaster General Hospital, Lancaster, PA, believes efficient management of ancillary services will control costs and bring doctors back. Physicians may receive lower reimbursement because of incorrect coding for services performed. Also, instead of trying to increase income by doing more work, physicians should concentrate on controlling expenses.
Publication Name: Hospitals
Subject: Health care industry
ISSN: 0018-5973
Year: 1993
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Two years and running: the National Practitioner Data Bank begins to roll, but issues remain
Article Abstract:
The National Practitioner Data Bank is providing information on physicians who cross state lines to conceal unsavory facts about their pasts. Set up by the Health Care Quality Improvement Act of 1986, the data bank should protect hospitals and peer reviewers from antitrust suits. So far, hospitals express some dissatisfaction because the data bank contains too little information and gives slow responses. However, it is expected to fill a need for information about doctors.
Publication Name: Hospitals
Subject: Health care industry
ISSN: 0018-5973
Year: 1993
User Contributions:
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