Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Wednesday, September 11, 2013

Pay for Performance Pays Off

Lets expand this to our doctors and therapists.
http://www.medpagetoday.com/PracticeManagement/Reimbursement/41522?
Patients treated by physicians who received cash payments for adhering to treatment guidelines were more likely to show improvements in cardiovascular risk factors, two randomized trials showed.
In both studies, blood pressure control was significantly improved among patients in practices using "pay-for-performance" (P4P) incentives tied to guideline-based care processes. One of the trials also examined other outcomes, finding significant gains in patient uptake of smoking cessation interventions, though not in the degree of cholesterol control.
More at link.

Abstract here;
Of course  before we even get to this guidelines would need to be established. I would argue that tying pay to processes is completely wrong, it needs to be tied to results. Our current processes only lead to 10% full recovery. That should never be paid for. 90% failure rate.

No comments:

Post a Comment