How you can learn to stop worrying and love P4P


Category : Medical Rants


With apologies to one of the most wonderful movies – Dr. Strangelove or: How I Learned to Stop Worrying and Love the Bomb.

I am fortunate to know Dr. Rod Hayward.  He is a wonderful researcher at the University of Michigan.  He sees the world without prisms.  He is irreverent.  He understands all the problems with P4P as currently constructed.

He has a wonderful piece in JAMA, ripe with sarcasm.  I could not stop laughing.  For those with a subscription – 6 EZ Steps to Improving Your Performance (or How to Make P4P Pay 4U!)

Their extract

Pay for Performance is upon us! Already, the naysayers have begun declaring how terrible this will be for doctors. As a primary care physician, perhaps you believe that, given the myriad urgent demands and financial challenges of primary care, dealing with new paperwork and regulations will be difficult, if not impossible. Thankfully, this is not the case! In fact, winning the pay-for-performance game is actually quite easy and can also be a lot of fun!

All you need to do is follow our 6 EZ steps to improving your performance measures so that your overseers can enjoy the brand of health care they so earnestly desire.

Step 1: Learn to Love Your Performance Measures
The first and most important step in the P4P game is to embrace your performance measures. Remember, the guiding rule in developing performance measures is to "Measure . . .


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Comments (2)

Thanks Dr Hayward for these useful pearls. I unfortunately am one of the docs in the middle of my peers as far as P$P goes. I cant wait to get to the clinic to implement these suggestions. I’m sure I’ll move right up the list.

Yes, this is sort of the physician equivalent of “teaching to the test”. As someone who has worked with docs for years, I empathize with some of the idiocy of P4P as well as the new CMS guidelines. As a caregiver to my mother, the recipient of a hospital-acquired catheter-associated urinary tract infection that is resistant to everything, I see the other side all too well too. Now the infectious disease doctors in Allentown run the other way when they see her coming, and she suffers terribly from the pain that could have been prevented.

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