What Does This Mean?
Just saw this email:
PCMH Recognition Redesign: What will it mean to you?
The PCMH Recognition Redesign: A Panel Discussion
As you may know, NCQA is re-designing its recognition program to increase practice engagement while reducing the burden on the practice, align recognition activities with other reporting requirements, and to strengthen the link between recognition and practice performance on quality, cost, and patient experience metrics.
Here is a challenge. Please rewrite the above in English. All response will be entered into a contest with the winner a free pat on the back.
Our government has tried for decades use dilettantes to apply corporate management philosophy to endeavors that require a great deal of personal experience, training and dedication in order to more easily displace the people who are entrenched in those fields and thus outside the sphere of influence of the government. McNamara tried to do it with the military in the ’60’s and the result was emasculating our military for 20 years. Today our government is trying to do the same with medicine. They think medicine is so simple they can write protocols and standards that explain how to practice medicine. The jargon and catchphrases are just window dressing to hide the fact that they are trying to destroy medicine as a profession.
Do the suits take courses in doublespeak? One of the reasons I started studying medicine in 1969 was that it was based on science and that, unlike the sociology and psychology I had been exposed to in college, there seemed to be a minimum of bullshit. Now, Heaven help the young doctors dealing with all this. I remember a few years ago the first time I ever saw the word “throughput” was in our hospital staff monthly bulletin, apparently describing the passage of patients through the emergency department. The administrator, who was actually a pretty nice guy, was pushed out when the hospital was sold and I ran into him at a ballgame and really wanted to ask him where he, or whoever, got that word from, but I refrained…
“We now realize what everybody else has long since figured out. Being a Level 3 PCMH doesn’t mean anybody is really improving quality or saving any money. The parade we were leading just took a right turn behind us. We need to run like hell to get back in front and figure out how to charge exorbitant fees for doing same, which we will do once we figure out where it went.”
oh, c’mon you guys / gals ! that was written in “bureaucratease” by a person who studied hard to master the use of modern, corporate jargon . I was surprised that “stakeholder” and “empower” were not included !! you docs invented your own language long ago, too, much of which patients never understand. u can’t complain now when someone is trying to make a prostate exam without benefit of proper lubrication sound like a new flavor of ice cream.
translation: we tried to do something but you troglodytes didn’t get it so we will try again to get you to “buy in to the synergies to be realized.” OH NO !! Invasion of the mind-snatchers !
Lolol…I mean, ha ha ha
Translation: NCQA lobbied the hell out of CMS, and if you want to be a PCMH for the purpose of MACRA payments, you’re going to pay us a really big shake-down fee.
Editorial comment: Fuck you, AAFP.
PCMH…What a total crock of s***. When I sold to the big hospital rather than slash my wrists during the recession of 2009, the “family practice” 5 miles away was a PCMH…My urgent care wasn’t, even though we were available weekends, I took call, I even occasionally made house calls, even did lots of minor office surgery. One day at lunchtime, of course the PCMH was closed so they dumped their patients on us when they walked in with more urgent conditions. So in retirement I think I’m going to do some volunteer work at a free clinic finally. (It may keep me from having to take a mandatory exam due to license inactivity!) So now that the AAFP is sponsoring a meeting on DPC, is that something else they’re going to try to f*** up for you folks who are doing it, Dr. Doug?
Recognition per NCQA:
NCQA Recognition Programs empower employers, health plans, patients and consumers to make informed heath care decisions based on quality. Participation in a NCQA Recognition Program demonstrates that the practice or clinician values quality health care delivery and the latest clinical protocols to ensure that patients receive the best care at the right time.
It is simply a further progression of psychosis. It is possible to use grammar to construct correct English that is completely afloat from reality. If the imagined world is densely interconnected, narratives about this fictive world can be created. Most concepts through history are bad concepts – they permit no clearer understanding of reality, but lodge solidly in the fictive universe.
The eternal hubris of mankind is that they can overreach the constraints of reality. When people struggled through sturdy concepts such as relativity or quantum mechanics, the findings can make abstract assumptions which fit the physical world. Dirac’s paper to the Royal Society in 1931 discussed that frustration. Often, one must work in abstract concepts when one needs to model the physical world.
The hubris occurs when humans use their logical skills to connect fantasy to fantasy. The sentence cannot be rendered in “English,” meaning a form with clarity as to its logical content. Jargon exists so as to shill the crowd into thinking that there is some substance to one’s assertions. The passage is not impenetrably deep; rather, it is content-free.
To quote Chomsky – “Colorless green ideas sleep furiously.” Wikipedia follows – although the sentence is grammatically correct, no obvious understandable meaning can be derived from it, and thus it demonstrates the distinction between syntax and semantics.
For men that think like machines, all these assertions are readable, because they are syntactically correct. The realization that they mean nothing can only be done by human beings.
No matter how much humans try to emulate thinking machines, they do not look admirable, but pathetic. It is our curse to revisit stupidity of this sort every generation or so.
It means somebody will be making some money on this, but it won’t be us.
“We are going to make it easier for you to get screwed” ?