Once again, I called it!
Some of my previous takes on the fallacies of “Quality”:
The biggest mistake made by Medicare, private insurers, and other entities seeking to improve medical care by rewarding “quality” is mistaking it for “performance”.
The real reason doctors have begun “requiring” that patients undergo all manner of screening interventions is to enhance their compliance ratios. After all, the quickest way to get to 100% is to get rid of everyone who falls short.
Now it’s moved to hospitals:
Yes, you read that right:
Hospitals across the United States are throwing away less-than-perfect organs and denying the sickest people lifesaving transplants out of fear that poor surgical outcomes will result in a federal crackdown.
As a result, thousands of patients are losing the chance at surgeries that could significantly prolong their lives, and the altruism of organ donation is being wasted.
“It’s gut-wrenching and mind-boggling,” said Dr. Adel Bozorgzadeh, a transplant surgeon at UMass Memorial Medical Center in Worcester, Mass.
Go ahead and read the whole thing.
CMS’s latest push to revamp Medicare payment systems to reward “Quality”, a word never defined except in terms of dollars and cents, has an excellent chance of being the final straw that breaks the back of medical care in America.