Tag Archive for ‘patient satisfaction’
This column describes Maryland’s health care reform efforts, including the implementation of an all-payor rate system and state-wide budgets overseen by a central state commission, which may serve as a model for other states seeking to lower costs and improve quality.
Deficits in perioperative quality of life and rehabilitation programs are described in this article, as are practical interventions for integrating the patient’s perspective into care management.
Today, patients have a voice through publicly reported surveys and unregulated social media (Facebook, Twitter, HealthGrades.com, and others), which allow users to compare and evaluate surgeons in a Web-based setting. In the near future, patient feedback may be used as a measure of health care quality, which will affect physician reimbursement and quite possibly the sustainability and viability of surgical practices. However, scorn and resistance to patient feedback systems are strong and many physicians believe that the process is flawed.
Altering pay based on subjective surveys will increase costs to the medical system with no evidence that these surveys will improve the quality of care. “For government to legislate exactly what factors lead to that immeasurable connection [between patient and physician] taints the relationship with impersonal checkboxes, while adding costs to an already expensive and complex medical system with no evidence that it will increase value in American health care,” the author writes.
New payment models developed in the U.S. in recent years illustrate the challenges of identifying and rewarding quality, particularly in surgery. Payors are experimenting with a variety of approaches to quality-based payment, including tying payment to evidence-based care processes, penalizing errors and “never events,” penalizing readmissions, linking payment to patient satisfaction, providing opportunities for shared savings, and tying payment to clinical outcomes.