The neverending story – unintended consequences

This article points out the unintended consequence of this regulations – LOWER READMISSIONS LINKED TO HIGHER RISK OF DEATH Regulators and insurance companies are impacting patient care through their well-intended rules. They do not seem think deeply about their rules. If they would use premortem examinations, perhaps we would have less of these problems. I wrote about this 2 years ago – Incentives without forethought The continued problem of unintended consequences is one that many medical societies have addressed. I am most familiar with ACP. Their current Patients before Paperwork initiative makes many of these points consistently. Their Performance Measurement Committee (of which I am a member) consistently critiques proposed measures. Unfortunately, we continue to have difficulty influencing the decision makers. We must all fight this battle every day. The lack of progress is frustrating, but we must not accept bad rules meekly. When the Emperor has no clothes, we should not pretend otherwise. Unfortunately, this is the overwhelming story in health care for 2018.
Source: DB's Medical Rants - Category: Internal Medicine Authors: Tags: Medical Rants Source Type: blogs