Recent article indicating the start of uniform approach tying into funds  - a different model but a portend of things to come...

Leavitt Discusses Health IT Standards
August 07, 2006



HHS Secretary Mike Leavitt on Sunday told the nation's governors that the Bush administration will soon require all health care providers that receive federal funds to adopt quality-measurement tools and uniform IT standards, the Washington Post reports. 

Speaking at a session of the National Governors Association's annual meeting, Leavitt said President Bush "in a matter of weeks" plans to sign an executive order to create the standards. Leavitt said the executive order would set standards for specific health conditions and would spur the development of uniform methods for measuring and reporting treatment outcomes. 

Leavitt said the executive order also is expected to include standards for four basic health IT functions: 

  • Registering patients;
  • Reporting lab results;
  • Writing prescriptions; and
  • Providing secure communication channels between patients and physicians and among health care providers. 

The initial standards would be "pretty basic," Leavitt said, but he added they would be a cornerstone for a health care system that allows patients to make "much more informed decisions." Leavitt said the reformed system also would reduce health care costs and improve patient services. 

Leavitt said he has spoken with executives from 21 of the 100 largest U.S. employers, each of whom said they were ready to sign contracts to implement similar standards with the hospitals and other providers caring for their workers. Leavitt said he expected that the majority of the 100 employers will sign such contracts this year, and he encouraged states to sign similar contracts with Medicaid providers. 

"Governors expressed interest in using Leavitt's model in their states but voiced skepticism about the readiness of doctors to have their work evaluated," the Post reports. Although some physicians are "skeptical" that HHS can develop an accurate quality-measurement system, many "want the standards" so they can evaluate their own performance against other doctors and because rewards for high-quality care might offset future cuts in Medicare payments, Leavitt said (Broder, Washington Post, 8/7). 

On 09/08/2006, at 5:41 PM, Alex wrote:




On 09/08/2006, at 9:38 AM, Greg Twyford wrote:

Wal Tracey wrote:
On 31/07/2006, at 10:24 PM, Richard Hosking wrote:
Richard
Most people would agree that a national deidentified dataset may be valuable in the future.
I can see a big push looming from ADGP to drive their agendas using the existing infrastructure of the Divisions
This is our opportunity to kill off the whole divisions apparatus.  We should studiously ignore them and all their projects.

Wal,

You see no value in Divisions, even in their local activities which most try to make relevant to members? I admit that we have become less able to be self-directive and respond to local needs and more bound to objectives determined in Canberra, but I'm surprised you are so negative.

Yes, we mostly wonder about ADGP too, and we've been making our concerns felt as best we can.

Unfortunately Greg, many of us see Divisions as simply agents of the government intrusion into our surgeries and into the de-professionalisation of general practice. This is because the activities which come out of Divisions appear to be more about implementation of restrictive government policies than supporting GPs in their work. In my case the Division could disappear tomorrow and its passing would have no negative impact on the delivery of services to my patients.

Divsions claiming to be the largest representative bodies of GPs really get up my nose as they are an unelected swill with less representation than the Senate to which Paul Keating referred.

It is unfortunate that the occasional worthy soul such as yourself is surrounded by a sea of government apparatus.

Alex
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