Geez David I'm hurt as someone who has a PhD... and a "consultant"...
I have my own watch... I don't rely on someone else to tell me the time... Funny that... I generally don't trust other people's data analysis either... I like to tell the time by my own equipment... I like to monitor my performance against that watch... I like to share the time with others if they don't have a watch... It is better to engage people and share the intent of the analysis so that it is understood. The use of the analysis should serve a common beneficial goal rather than an attempt to justify one person's existence at the degradation of the other person... The key that people need to think about is that you should be using data to look at ways to assess/monitor and improve - not assess/monitor and punish... caring for patients is about assessing/monitoring and improving patient outcomes... assessing/monitoring practices should be about improving the way the practice operates for practice staff benefits and/or patient benefits... Improvements can be in efficiencies, incomes or patient outcomes plus many other things for different people... unfortunately people make them exclusive of each other rather than looking at effective ways for sharing benefits for the many actors in health... When the dr and the patient are sharing the same "watch" the outcomes tend to be better - when a Division and a Practice are sharing the same "watch" I believe there can benefits to both sides... Problem is - sometimes people are using the length of shadows to tell the time on a cloudy day... Geoff -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of David de Bhál Sent: Friday, 11 August 2006 5:04 p.m. To: 'General Practice Computing Group Talk' Subject: RE: Division data mining: was[GPCG_TALK]Way cleared forelectronicscripts 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
