Providers would be un­fairly on the hook un­der sug­gested changes

Modern Healthcare - - COMMENT -

Re­gard­ing the ar­ti­cle “Re­vised NCQA stan­dards still fo­cus ed on process, critic says” (Mod­ern­Health­, March 11), un­for­tu­nately the changes in med­i­cal-homes stan­dards de­sired by Fran­cois de Brantes would make the care provider re­spon­si­ble for the pa­tient’s be­hav­ior in the long run.

Thus, if a pa­tient continues to smoke, de­spite ef­forts to stop, and dies of lung cancer, the provider would be down­graded. If a con­ges­tive heart fail­ure pa­tient loaded up on salt, de­spite in­struc­tions on salt avoid­ance, and showed up at the ER in ful­mi­nant CHF, the provider would be down­graded.

These types of mea­sures will prob­a­bly be quite suc­cess­ful in hav­ing “non­com­pli­ant” pa­tients dis­missed from prac­tices, in­stead of re­ceiv­ing the more-in­ten­sive, but more­ex­pen­sive, care that may be needed for true be­hav­ior changes to oc­cur.

Dr. John Stokes Chair­man, depart­ment of en­docrinol­ogy Christie Clinic Cham­paign, Ill.

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