Deans' stroke musings: Pay for performance: a dangerous health policy fad that won’t die

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.

Tuesday, January 30, 2018

Pay for performance: a dangerous health policy fad that won’t die

Another opinion piece that I totally disagree with, they seem to be using cherry picked negative results. Stroke doctors will never improve their patients recovery to 100% unless financial incentives are involved. Then fix the measurement tool, don't just give up because it is difficult, you lazy blithering idiots. My doctor should not have been paid one cent for my 'care', he did nothing but write E.T.(Evaluate and Treat) for three prescriptions for OT, PT, ST. Didn't find my sleep apnea, didn't find my 80% carotid blockage, didn't suggest botox(my OT coordinated that), didn't get a toe crest installed on my AFO(my OT did that).