Saturday, June 22, 2013

SHOULD PHYSICIAN PAY BE TIED TO PERFORMANCE?


Journal Reports
Published: The Wall Street Journal; June 16, 2013; www.wsj.com Alternatively just google the title and writer’s name.
Level of Difficulty: ***
Note to the Student: If you have never written an argumentative essay or need to brush up on it, this is the task for you. Take notes of the arguments for and against as well as information about both systems as you read. You will need them for your essay. There is an example of the writing task under Sample Essays.
BEFORE YOU READ
·        Doctors, Quality of Care, and Pay for Performance https://www.youtube.com/watch?v=D6u96jL-8l8
      Financial Incentives and Health System Performance - Meredith Rosenthal
QUESTIONS
1.       What customary mode of paying doctors is being shelved?
2.       On what two novel criteria will Medicare payments now depend?
3.       Subjecting patients to unnecessary tests and hospital visits are both examples of……………….
4.       The objection critics have is that doctors are able to …………………………………………………………...
5.       In what case can the traditional fee for service model be useful?
6.       The overall disadvantage of the fee for service model is that it can lead to a lot of………………..
7.       In the case of The Health Care Incentives Improvement Institute, what determines success for a doctor?
8.       What does “The idea” refer to in the phrase “The idea is increasingly prevalent for procedures”? You will need to teak the text.
9.       The British National Health System Trial is an example of a study that ……………………………………
10.   The solution to the problems that emerged in the above study and the US Medicare study is………………………………………………………………………………………………………………………………………………
11.   What does “That” refer to in the sentence “That is simply false”?
12.   What factor was found to influence how doctors manage their patients’ care in the Cleveland study?
13.   What does “it” refer to in the phrase “as well as it should”?
14.   Britain’s pay for performance program is provided as an example to prove that…………………… 
15.   How did a Boston hospital manage to cheat the system?
16.   What are the two major difficulties in discovering ideal performance measures?
17.   The examples of the day care centers in Israel and students solving puzzles both seem to show that ………………………………………………………………………………………………………………………………
18.   What does “This” refer to in the phrase “This can certainly change medicine” Be very careful!
WRITING TASK
Use the notes you made while reading to write an argumentative essay on the subject. In your introduction briefly describe the previous system and the new one. Then state clearly which is better. In your development, use the arguments in the text to support your own view and refute the counter arguments. In your conclusion, write a restatement. You will find an example under Sample Essays
SHOULD PHYSICIAN PAY BE TIED TO PERFORMANCE? KEY AND TEACHER’S NOTES
This straightforward text is a God send for any student who needs practice with argumentative essays and any teacher who needs to teach the same. It follows all the rules in the book with one exception: there is no conclusion as it is a report. It is suggested that the students are encouraged to make a note of the arguments for and against while reading and then use these notes to write their essays. An example is in the file marked Sample Essays.
1.       Paying them for every service they perform
2.       Patient satisfaction surveys; how well physicians comply with procedures for patient care
3.       Bad incentives
4.       Game the system
5.       In providing preventive care
6.       Avoidable Complications
7.       How well they beat benchmarks for delivering chronic care
8.       There being no extra payment if a patient is readmitted following a surgical procedure
9.       Let doctors set the benchmarks they needed to reach to get bonuses and they were far too low. The next sentence is not the answer because it gives the result of the experiment!
10.   Not letting providers set benchmarks and removing incentives for doctors to game the system.
11.   Not being able to come up with adequate measures to judge physician performance; OR the fact that you can’t come up with adequate measures…
12.   Being on Medicade
13.   Pay for performance
14.   There is no evidence that financial incentives can improve patient outcomes
15.   By changing the words they wrote on patients’ charts
16.   Measures that work for one group of doctors  are unlikely to work for all providers; many providers interact in providing care and influence each other’s and patients’ outcomes
17. Financial incentives often crowd out intrinsic motivation
18.    Manipulating greed. The trick is to pick out what you think the reference is and stick it in the sentence. When you do this, you will see that only this will work


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