Interesting this comes at a time when Congress is looking at the 10% cut to physicians…pay for performance is probably not #1 on the list today, rather seeing whether or not they can profitably continue to operate an office is foremost. We all know IT benefits healthcare with additional information, the problem is the fragmentation and how it is used and mined. The average HMO doctor has but 10 minutes average for a visit, so he needs to see the patient, examine, and have access to real time clinical information, write a prescription, educate the patient all within that time. Put yourself in the physician’s shoes, could you do all of that in 10 minutes and be subject to Internet rankings at the same time by the insurers? It’s what the family practice physician faces every day with a workflow of 20 to up to 40 patients every day. BD
The agency's Medicare Care Management Performance Demonstration would be a three-year project to evaluate the use of I.T. in four physician practices to help care for Medicare beneficiaries with congestive heart failure, coronary heart disease and diabetes. The demonstration would target practices with at least 50 Medicare beneficiaries with the conditions in Arkansas, California, Massachusetts and Utah. The goals would be to improve continuity of care, help stabilize the conditions, prevent or minimize acute exacerbations of chronic conditions and reduce adverse health outcomes.
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