Tuesday August 25, 2009 at 13:49
The NCQA’s idea of ‘patient-centered’ misses what people find meaningful in health care. Only 3% of their scoring system comes from the patient voice the other 97% drills into minutia that might on a line-by-line analysis look good until you step back and realize that they’ve totally missed the big picture.
What’s most dismaying to me is that:
1: In conversation the NCQA admits that this version of the tool needs major revision and that they’re working on the next version now
2: Major policy analysits have written extensively on the near-fatal flaws in this yardstick
3: The overwhelming majority of the ‘medical home’ initiatives in play right now are using the current (broken) yardstick to judge success at transforming office practices.
Folks: if the yardstick is broken how can we measure the results?
