The joys of pay for performance

The joys of pay for performance

Image: Pixabay.com

“G’day doc. I’m a little embarrassed to bring this up but…”

“No worries, you know you can be honest here. Let’s check your blood pressure first. It was a bit high last time.”

“Oh… ok. Not dangerously high I hope?”

“Well it was just above the benchmark, which is concerning. As you know I don’t get paid if I don’t look after your pressure. Let’s see… 140 over 90. Uh oh. I’m afraid we have to bump up your medications.”

“But doc, could it be stress? I wanted to tell you that…”

“Stress, stress… That’s all well and good but Medicare doesn’t care what the cause is. If it’s too high I miss out. And if I miss out you miss out, you know that don’t you? We also have to talk about your weight target. As I’ve told you before, if you don’t lose those extra pounds our practice cannot afford to look after you any longer.”

“Are you listening to me? John and I broke up last night. I’m a mess!”

“I’m sorry to say that there’s no incentive payment for counselling anymore. Please do me a favour and book in for your pap smear on the way out. Last time you were late and we missed the deadline for our quarterly Medicare bonuses. We don’t want that to happen again do we?”

 Follow me on Twitter: @EdwinKruysDisclaimer and disclosure notice.

8 thoughts on “The joys of pay for performance

  1. Edwin a well structured consult that ticks all the boxes. What’s the problem? Errr yes there is a problem people this WILL be what is required with proposed models and is roughly speaking why the NHS is falling over and fails on all workforce engagement levels….Don’t let this happen here

    Liked by 2 people

  2. Privacy. We’re beaten over the head with it daily. Don’t use unsecure email. Don’t divulge data to third parties. Don’t breach the privacy of doctor shoppers, prescription drug abusers, or violent patients. The big stick of million dollar fines await.

    However, the elephant in the room is Government. It wants to be there for your smear, there for your tears, there in your private moments. Centrelink employees make the news each year by breaching privacy laws with little or no compensation for those affected.

    Get the Government out of the consult room. Talk to your patients and give them care and value. It’s better all round.

    Data Mining | partridgegp
    http://partridgegp.com/2015/06/14/data-mining/

    This is why I will not use the PCEHR | partridgegp
    http://partridgegp.com/2014/12/04/this-is-why-i-will-not-use-the-pcehr/

    Liked by 1 person

  3. Reblogged this on partridgegp and commented:

    Dr Nick Tellis Your comment is awaiting moderation.
    12/08/2015 at 6:58 pm
    Privacy. We’re beaten over the head with it daily. Don’t use unsecure email. Don’t divulge data to third parties. Don’t breach the privacy of doctor shoppers, prescription drug abusers, or violent patients. The big stick of million dollar fines awaits.

    However, the elephant in the room is Government. It wants to be there for your smear, there for your tears, there in your private moments. Centrelink employees make the news each year by breaching privacy laws with little or no compensation for those affected.

    Get the Government out of the consult room. Talk to your patients and give them care and value. It’s better all round.

    Data Mining | partridgegp
    http://partridgegp.com/2015/06/14/data-mining/

    This is why I will not use the PCEHR | partridgegp
    http://partridgegp.com/2014/12/04/this-is-why-i-will-not-use-the-pcehr/

    Like

  4. … and the current fee for service system:
    ‘G’day Doc, I’m a bit embarrassed to bring this up but John and I broke up last night and I’m feeling depressed.’
    ‘Oh dear! Well, here’s a prescription for sertraline. Next please…’

    Like

    • No John – you mistake a full fee for service visit with a a quick run through a Bulkbilling emporium where you pay nothing out of pocket but the doctor (or more often his Boss) relies on that consult being very short and simple to keep the business viable.

      Pay a GP his proper private fee and you will get the time and attention as he can both run his business and practice good medicine. Don’t however let an external insurer dictate what happens in that room once the door close – whether it be the Government or Medibank Private as a script for Sertraline would be the least of your worries once that has happened

      Liked by 1 person

      • Can’t remember how often I tried to explain this simple truth… It’s the very same in different health care systems – someone has to pay for it, directly or via taxes, compulsory insurance or whatever…

        Like

I'd love to hear from you! Please leave a comment:

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s