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Pay for Performance Measures

Pay for Performance, (or P4P) is the new buzzword in Medical Economics, Government, and the Medical Insurance Industry.  This is understandable given the rapid rise in the cost of medicine and simultaneous reduction in Nurse/Patient ratios, Hospital services and other Quality Indicators.  Physicians too, are struggling to provide high quality care.  They have been forced to provide more for less. Payments have decrease, office overhead has risen, the cost of living increases, and Malpractice Insurance Premiums spiral out of control. 

Clearly, the solution needs to be multifaceted, but requires reduction in costs, which include streamlining and efficient care.  Electronic Medical Records (EMR), and Data Convergence between Care Providers are important to reduce costs, but these are very difficult to achieve.  This will not realistically be a means of cost control for many years.  Most Physicians still do not use an EMR. Those that do are unable to communicate with one another.  If the federal government is unable to maintain communication between its own security agencies, how can physicians who work in a "Village Community" hope to connect and seamlessly share data in a Secure fashion? 

"Pay for Performance Measures" are often envisioned by Insurers and government as the strict adherence to practice guidelines of medical care.  Guidelines will likely reduce costs nominally and improve care, but the most important factor in improving care and reducing costs, is understanding what is effective and what is not, and applying the results to improving Medical care.  Only patient derived data may be used to effectively alter and improve patient care.  The connection between Medical care and Validated Patient Outcomes is only possible through Physician initiatives which work towards collaborative data collection and analysis.  This has the potential to rapidly feedback information to improve care and reduce costs, while preserving the Patient Physician relationship.  Our projects as outlined in this site and EKiosk© provide viable inexpensive solutions to securely collect and analyze Validated Patient Outcomes data using minimal personnel or cost.  In addition, we have included many "value added" features which allow Patient Demographics, Allergies, Medications, Hospitalizations etc, to be collected directly from the Patient and directly input this data into any ODBC compliant EMR. We have built a generic "Importer" which allows offices to maintain their current billing system and constantly convert patient demographic data into an ODBC compliant EMR.  The ultimate result is that Demographic data needs to be entered only once, and may be seen seamlessly by EMR, Outcomes, Xray PACS or other databases.  EKiosk© can also be used to help educate patients using your own content with pictures, multimedia files, or printed educational material utilizing direct patient navigation.  Content can be developed for you and by you using our Form Designer© which allows you to build content with a simple WYSIWYG (what you see is what you get) interface.

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