Loose MIPS Sink…Physicians

Here’s some recent news about quality measures:

  • The American College of Physicians, responding to provider concerns about current performance measurement policies, published an analysisof the Merit-based Incentive Payment System in the New England Journal of Medicine and found the majority of measures for ambulatory internal medicine are not valid by the ACP’s own criteria.
  • Of the 86 performance measures included in MACRA’s MIPS track and Quality Payment Program, ACP deemed 32 to be valid, 30 to be not valid and 24 of “uncertain validity.”
  • ACP cited the National Academy of Medicine’s clinical practice guidelines as a model for setting a single set of standards that would allow performance measures to be properly assessed before being put into practice.

So, wait, this stuff doesn’t work?  Hmmm.  Well, then say we have the insurers and government double down on their use then:

CMS recently announced a new funding opportunity for the development, improvement and expansion of quality measures for QPP. The agency said it will provide up to $30 million in funding and technical assistance to clinicians, patients and other stakeholders working on performance measures over the next three years.

Brilliant.  Let’s keep rearranging chairs on the Titanic.

Don’t forget listen to our new podcast here.

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] 

  2 comments for “Loose MIPS Sink…Physicians

  1. Chris
    April 23, 2018 at 9:43 am

    Whats good for the goose is good for the gander. Sounds like the panel making these “quality measures” need to have quality measures applied to their own work, which I guess is the gist of the article.

    Standardized quality measures in medicine are one of the dumbest ideas I have ever heard of and I for one have absolutely no interest in participating in them. I will not attempt to get my 90 year old diabetic to an a1c of 7 and in the process kill them by giving them a hypoglycemic episode that fractures their hip.

  2. Steve O'
    April 23, 2018 at 12:03 am

    The future learning opportunities are:
    1) To deal with so many conflicting quality measures you don’t give a rat’s ass about them except if they gets you a whippin’.
    2). Don’t diagnose. Diagnosis causes treatment causes quality measurements. You can’t fail when you don’t try.
    3) To get the point that the system requires failure. Failure causes scandal causes quality measures and makes for jobs.
    Realizing that alleviation of human suffering is a sideshow to modern medicine’s big top.

Comments are closed.