You forget that this is driven by politicians and their sycophants along
with the bean counters. They just want something to measure so that they can
say that because they did x then y happened.

We see them well on the way - a PhD and you will be there - a consultant.
Someone who borrows your watch to tell you the time.

David de Bhál
www.v-practice.com 
________________________________

 

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Richard Hosking
Sent: Friday, August 11, 2006 5:55 AM
To: General Practice Computing Group Talk
Subject: Re: Division data mining: was [GPCG_TALK]Way cleared
forelectronicscripts

The new "quality" push mainly refers to the measurement of the systems 
that manage recall and complex illness. It does not measure the 
management of acute episodes that we are used to seeing. Our systems to 
manage complex illness over time are not so good.
Many factors could affect a practice's "perfomance" - some are outside 
the practice' control. Patients are free to go wherever they like. Our 
history data is imcomplete.
When I looked at our immunization data some years ago, it was pretty poor.
However we have a large mobile population - some of our SWPEs gave their 
address in Victoria!. The measures are open to "gaming" eg make sure 
your initial figures are pretty poor so you can show a significant 
improvement - send your problem patients to someone else.

R

Greg Markey wrote:

> Now there's a thought...we must begin referring our delinquent 
> patients to another practice to improve our figures. G
>
>>
>> My practice is extremely keen to see how we are doing compared to other
>> practices.
>> Finding out that we are doing worse than the median would strongly
>> motivate us to do better. Finding out that we are doing better than the
>> median would be a very powerful marketing tool for our practice. We
>> could say in our practice brochure things like (depending on what was
>> found in the comparison between us and other practices):
>> "Patients in our practice have lower cholesterol, blood sugar and blood
>> pressure, fewer heart attacks and strokes, less cancer and are healthier
>> overall than patients in most other practices in the area."
>>
>>
>> Oliver Frank, general practitioner
>> 255 North East Road, Hampstead Gardens
>> South Australia 5086
>> Ph. 08 8261 1355 Fax 08 8266 5149
>> _______________________________________________
>> Gpcg_talk mailing list
>> [email protected]
>> http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
>>
>
> _______________________________________________
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