Tag Archives: p4p

Pay Faux Performance: Trauma

By symtym | 9.26.08

Thirty year old female has heavy shelving fall on top of head causing a scalp laceration. Due to ER crowding, the patient is seen rapidly by the physician–in–triage and has CT head and neck ordered. She is then placed in the waiting room for two hours, without a cervical collar, waiting for an exam room.
Should [...]

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P4P a form of iatrogenesis fulminans

By symtym | 9.9.08

Iatrogenesis the adverse effects or complications caused by or resulting from medical treatment or advice. Fulminans the sudden or rapid onset of an intense phenomenon (often pain). P4P is all about the incentivization of “best practices” in healthcare, and in the race to meet P4P reimbursable–metrics the patient may be harmed.
Not long ago, a colleague [...]

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Pay Faux Performance: Chest Pain

By symtym | 9.1.08

The principle behind pay for performance, P4P, is that certain performances, in terms of health services, are beneficial for the patient. P4P is a third party beneficiary relationship. The provider promises to provide, the payer promises to pay, and the patient receives a benefit. What happens when there is no benefit conferred? What happens when [...]

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