Deans' stroke musings: Grading a Physician's Value — The Misapplication of Performance Measurement

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.

Thursday, November 7, 2013

Grading a Physician's Value — The Misapplication of Performance Measurement

I happen to think that pay for performance is the only way we will ever get our doctors to figure out how to get us to 100% recovery. The existing 10% recovered is a complete failure.
http://www.nejm.org/doi/full/10.1056/NEJMp1312287
A doctor blogger discussing it here;

Finally! Physician performance measurement questioned in the NEJM! - See more at: http://www.medrants.com/archives/7535#sthash.ITA5Pn3S.dpuf

Finally! Physician performance measurement questioned in the NEJM!
I disagree with these people because we are paying our stroke doctors for doing nothing and the only way to change that is to stop paying them for not helping us to 100% recovery.
A question for your doctor;
Why should I pay you for not getting me even close to recovery?

Finally! Physician performance measurement questioned in the NEJM! - See more at: http://www.medrants.com/archives/7535#sthash.ITA5Pn3S.dpuf

1 comment:

LindaNovember 8, 2013 at 3:36 AM
I do think doctors do need to be more accountable. I think there is the issue of doctors as our consultants. We pay them for knowledge we do not have.at the time or possibly their physical skills such as a surgeon.

Too bad researchers who discover this knowledge are not paid as well as the direct care physicians. Our brilliant young doctors, with an enormous debt loads, are pushed in the direction of passing out the same limited information instead of going into research and creating new improved knowledge.
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