Year: 2006
Resolution Number: 37
Action Taken: Approved
Status:
Author(s): Richard S. Frank, MD
Sponsor: Narinder K. Sherma, MD
On behalf of:
Committee: A (Medical Care Delivery)
Resolved Section(s):
RESOLVED: That the Michigan Delegation to the AMA ask the AMA to oppose any tenets of “pay for performance” such as proposed in substitute HOD Resolution 902 only after the following issues are adequately addressed:1. Payment to cover the costs of quality improvement needs to be addressed before implementation. This should include the cost of electronic health record (HER) implementation, the cost of extra staff, postage, physician time, and others.Adequate resources are employed to research differences in the patient related factors that affect a physician achieving his or her performance targets. These factors likely include health literacy, socioeconomic factors, community differences, disease burden, among other factors.2. Once research has clarified patient vs. physician specific differences, adequate resources are employed to accurately calculate the aspects solely related to physician performance.3. Assessment of the impact on physician supply should be performed prior to increasing physician burden.4. Assessment of the impact on the physician/patient relationship should also be calculated.
RESOLVED: That the Michigan Delegation to the AMA ask the AMA to oppose any tenets of “pay for performance” such as proposed in substitute HOD Resolution 902 only after the following issues are adequately addressed:1. Payment to cover the costs of quality improvement needs to be addressed before implementation. This should include the cost of electronic health record (HER) implementation, the cost of extra staff, postage, physician time, and others.Adequate resources are employed to research differences in the patient related factors that affect a physician achieving his or her performance targets. These factors likely include health literacy, socioeconomic factors, community differences, disease burden, among other factors.2. Once research has clarified patient vs. physician specific differences, adequate resources are employed to accurately calculate the aspects solely related to physician performance.3. Assessment of the impact on physician supply should be performed prior to increasing physician burden.4. Assessment of the impact on the physician/patient relationship should also be calculated.
Fiscal Note: NULL
Resolution: View PDF for Pay for Infrastructure Then Performance Will Result.