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October 19, 2012


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"Never mind that 70 percent of the payment rate differential is based on procedural metrics unrelated to the satisfaction surveys, most of the ink I have seen spilled has been over the satisfaction surveys"

'Procedural metrics' can be managed (and managed to) directly. Patient responses cannot be. (One can, sadly, imagine a hospital being considered clean by the metrics and evaluated negatively for cleanliness by patients.)

The emphasis, in short, is correct, because, pari passu, decisions will be made based on the 30%, not the 70%. And all else will be assumed to be equal.

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