Posted by: notdeaddinosaur | August 12, 2016

It’s Happening; Unintended Consequences of “Quality”

Once again, I called it!

Some of my previous takes on the fallacies of “Quality”:

9/24/09:

The biggest mistake made by Medicare, private insurers, and other entities seeking to improve medical care by rewarding “quality” is mistaking it for “performance”.

2/18/13:

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:

Hospitals are throwing out organs and denying transplants to meet federal standards

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.

Un-***ing-believable!

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Responses

  1. Annd the sound you hear in the background is the gods of unintended consequences laughing.

  2. This is shocking.

  3. But entirely un***ing predictable. As you did. I predict there will be eventually an army of folks with high A1Cs, etc whom no doctor will see and they will wander the face of the earth


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