Chaos in a Large Health Care Company

McAllister, Charles J.
February 2003
Click (1532-0391);Feb2003, p8
The article reports chaos in a large health care company. After the creation of the accurate physician database, the decision was made to begin physician performance reports. Both the office of the chief medical officer and the physician council developed the format. The choice of what clinical indicators to rate physicians on was greatly eased by the nephrology community agreeing on certain national measures, such as dialysis adequacy, nutritional measures and anemia management. Medical directors of individual facilities were accountable for the performance of attending physicians in their facilities.


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