No Metrics Needed



On May 30, the Alliance for Health Reform hosted an event titled “Patient-Centered Medical Homes: The Promise and the Reality”.  Here are some highlights:

  • In a climate of high expectations for the patient-centered medical home (PCMH) model, a panel of experts recently cautioned that results such as improved patient health outcomes and reduced care costs won’t happen overnight. For the new care delivery model to work, physician practices should be prepared to devote the necessary time and resources to ensure it succeeds.
  • It’s essential to realize, however, that just as the transformation process itself can’t reasonably be accomplished in a matter of weeks – and possibly even longer – the results of that transformation won’t become evident right away.
  • Gibson noted that comparisons between different medical homes likely won’t provide insight because the patient populations will vary greatly, as will the skills of the medical professionals who work in a given care team.

Can they hedge their bets anymore?   You need to give it as much time as it takes to work (and go broke in the process).  You need to devote the proper resources.  And you cannot compare your PCMH to anyone else.   In other words, it is the perfect scam.  Can anyone else see the irony?  YOU ARE NOT ALLOWED TO USE METRICS WHEN INSTALLING A BULLSHIT SYSTEM BASED ON METRICS!

Here is what one doctor said on the comment section on the AAFP site:

Let’s see: no improvement in outcomes; longer working hours; no increase in revenue; 15-20% decrease in patient access . . .

Yup, that is what our great leaders are selling us in to.  Not Direct Primary Care.  No, this crap.

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] 

  6 comments for “No Metrics Needed

  1. Kurt
    June 11, 2014 at 4:30 pm

    I’ve said this a million times, unless people are held responsible for their lousy health habits, nothing will change in this country. Doesn’t matter if one calls it a Drs. office, medical home or what have you. The ivory tower bastards are clueless what goes on in middle America. One can lead a horse to water but one can’t make them drink. I’ve spent 26 years trying to “educate” folks on good “health habits” and more often than not, go unheeded. Yeah, I’m gratified when someone makes changes and has success with disease risk modification but it’s the exception not the rule. Students need to stay away from Family Medicine. The influx of NP’S and the fact that there will be no more hospital practice due to hospitalists, will stagnate already meager compensation. Don’t do it you’ll have a miserable low paying career.

    • June 11, 2014 at 5:05 pm

      How do you plan to hold people responsible and who decides the criteria for irresponsible behavior? It sounds Orwellian.

  2. June 11, 2014 at 10:51 am

    Translation: “We hope that by the time people figure out it doesn’t work we will have moved on to other work, retirement, or death.”

    After all, it worked for the people who lit the fuse on the Social Security time bomb under Ronald Reagan. Nobody even remembers the role Greenspan played in that, or that it was the result of the sought-after “bipartisan agreement” that we so cherish. Bipartisan agreements are basically two wolves and a sheep deciding what to have for dinner.

    BTW, if we have to devote time and resources, then pay us for our time and resources.

  3. R Watkins
    June 7, 2014 at 2:33 pm

    Please insert in my previous post after 19%:

    That’s what they mean by “physician practices should be prepared to devote the necessary time and resources to ensure it succeeds.” Pay through the nose to play.


  4. R Watkins
    June 7, 2014 at 2:29 pm

    Glad you brought this to everyone’s attention. The doctor you quoted from the AAFP web site is my business partner.

    If you read the transcript of the meeting, it gets even better. The chosen poster child for the PCMH, a family physician from Ohio, reports that since chnaging his practice to an NCQA-certified medical home, he works 14-16 hours every day. During the first year, revenue went down 5% and expenses went up 19%.

    Where do I sign up?

  5. Pat
    June 7, 2014 at 12:01 pm

    I actually laughed out loud reading this piece. This hilarious, gobbledygook gibberish is exactly what FP has become. Read this med students! Stay away from these idiots, they are contagious.

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