Things Change

This just in from the American Diabetes Association:

  • “The early evidence suggested that greater control of blood pressure in people with diabetes might make more of a difference, so we originally set the guidelines to try to protect people with diabetes. What’s changed is that we’ve had other studies that have been unable to show a benefit from controlling blood pressure tighter than 130/80, so we thought it was unreasonable to suggest that people control to the lower goal,” Ratner explained.
  • The ADA is lowering the bar for its systolic blood pressure goal — going from less than 130 millimeters of mercury (mm/Hg) to less than 140 mm/Hg.

So we don’t have to plow our diabetics with more pills to make our quality indicators look good?  But I have been trying to get bonus incentives?  Now what?

This is another reason why pay-for-performance is useless.  Things change.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  1 comment for “Things Change

  1. Robert D'Agostino, MD
    December 28, 2012 at 11:37 pm

    Our Blue Cross quality measures don’t change when new evidence based guidelines become available. So if you take care of the patient, you are penalized and if you take care of yourself, you are rewarded.

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