0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Viewpoint |

Increasing the Value of Social Comparisons of Physician Performance Using Norms

Joshua M. Liao, MD1,5; Lee A. Fleisher, MD2,5; Amol S. Navathe, MD, PhD3,4
[+] Author Affiliations
1Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia
2Department of Anesthesiology and Critical Care, University of Pennsylvania Perelman School of Medicine, Philadelphia
3Department of Medical Ethics & Health Policy, University of Pennsylvania, Philadelphia
4Corporal Michael J. Cresencz VA Medical Center, Philadelphia, Pennsylvania
5The Leonard Davis Institute of Health Economics, Wharton School, University of Pennsylvania, Philadelphia
JAMA. 2016;316(11):1151-1152. doi:10.1001/jama.2016.10094.
Text Size: A A A
Published online

Extract

This Viewpoint proposes that reminders about professional standards might prevent counterproductive responses of physicians to report card comparisons intended to improve health care quality and reduce waste.

National policies, including the Medicare Access and CHIP [Children’s Health Insurance Program] Reauthorization Act of 2015, attempt to improve US health care by paying health systems and clinicians for value rather than volume of care. All payment systems, however, are susceptible to unintended consequences, and reimbursing physicians based on cost and quality outcomes may harm patients if financial and nonfinancial motivations are in conflict with each other.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

1,295 Views
0 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
The benefits of a peer-assisted mock OSCE. Clin Teach 2014;11(3):214-8.
Using Patient-Reported Information to Improve Clinical Practice. Health Serv Res 2015;50 Suppl 2():2116-54.
Jobs
JAMAevidence.com

Care at the Close of Life: Evidence and Experience
What Should the Physician Expect of the Hospital-Based Palliative Care Service?

brightcove.createExperiences();