Another Strong Letter From the AAFP

The AAFP sent a letter to President Trump begging for a reduction in the amount of regulatory burdens that family doctors have to deal with.  Here are some highlights of the letter:

  • “There is not a single discipline of medicine that faces greater administrative and regulatory burden than family physicians and other primary care physicians.”
  • “In fact, research referenced in this letter shows that family physicians face a regulatory burden that is unmatched among the various medical disciplines.”
  • “For every hour a primary care physician spends in direct patient care, they spend two hours engaged in administrative functions”.

Let me ask the AAFP this.  Did you not know that jumping on the value-based pay and quality metric bandwagon of the last administration was going to make your members spend ridiculous amounts of time doing clerical work?  C’mon, AAFP,  I can see you smirking.  Of course you did and many of your members told you so.  I understand, though. You are just trying to cause a ruckus to distract from your incompetence.  I get it.  Good job.

Oh, and if you don’t believe me, here is one year ago from their website and the article AAFP Leads Move to Consistent, Meaningful Quality Measurement.  Here’s a snippet:

Measuring Primary Care

Of the seven core measures sets released today, it should be no surprise to family physicians that the set titled “ACO and PCMH/Primary Care Measures” is the most comprehensive.

The breadth of the core measures in this set illustrates the comprehensive scope of practice that is the hallmark of family medicine.

Core measures include activities associated with

  1. cardiovascular care, including control of high blood pressure, persistent beta blocker treatment after heart attack, and use of aspirin or another antithrombotic medication for treatment of ischemic vascular disease;
  2. diabetes care, including hemoglobin A1c testing and comprehensive eye and foot exams;
  3. care coordination and safety, including medication reconciliation; cervical, breast and colorectal cancer screening; and preventive care screening for tobacco use and body mass index;
  4. utilization and cost/overuse related to use of imaging studies for low back pain;
  5. patient experience, including timely appointments, physician communication with patients and access to specialists;
  6. behavioral health related to treatment of patients with newly diagnosed and existing depression; and
  7. pulmonary health, including medication management for patients with asthma and avoidance of antibiotic treatment in adults with acute bronchitis.

The collaborative also identified areas within this core set for which measures could be developed in the future. That list includes statin use guidelines, shared decision-making, preventive diabetes measures, palliative care measures, patient-reported outcomes, pain management measures, antibiotic stewardship, and substance use disorders and screening measures.

Yup, no one saw ANY regulatory burden or administrative time wasters here.


96190cookie-checkAnother Strong Letter From the AAFP