Relative Value Units and the Measurement of Physician Performance

被引:54
作者
Nurok, Michael [1 ]
Gewertz, Bruce [2 ]
机构
[1] Cedars Sinai Smidt Heart Inst, Cardiac Surg Intens Care Unit, Div Cardiothorac Surg, 127 San Vicente Blvd,Ste 3100, Los Angeles, CA 90048 USA
[2] Cedars Sinai Med Ctr, Dept Surg, Los Angeles, CA 90048 USA
来源
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION | 2019年 / 322卷 / 12期
关键词
D O I
10.1001/jama.2019.11163
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This Viewpoint argues for separation of physician performance measurement from RVU production as a means to refocus physicians away from billing toward patient-centered values that could improve patients' experience, reduce potential harms from the overtreatment that RVUs incentivize, and improve physicians' work life and satisfaction.
引用
收藏
页码:1139 / 1140
页数:2
相关论文
共 10 条
[1]  
[Anonymous], 2018, STAT
[2]   Relative value unit-based compensation incentivization in an academic vascular practice improves productivity with no early adverse impact on quality [J].
Awad, Nadia ;
Caputo, Francis ;
Carpenter, Jeffrey ;
Alexander, James ;
Trani, Jos ;
Lombardi, Joseph V. .
JOURNAL OF VASCULAR SURGERY, 2017, 65 (02) :579-582
[3]   Committee Representation and Medicare Reimbursements-An Examination of the Resource-Based Relative Value Scale [J].
Gao, Y. Nina .
HEALTH SERVICES RESEARCH, 2018, 53 (06) :4353-4370
[4]   Evaluation of Economic and Clinical Outcomes Under Centers for Medicare & Medicaid Services Mandatory Bundled Payments for Joint Replacements [J].
Haas, Derek A. ;
Zhang, Xiaoran ;
Kaplan, Robert S. ;
Song, Zirui .
JAMA INTERNAL MEDICINE, 2019, 179 (07) :924-931
[5]   How Is Physician Work Valued? [J].
Jacobs, Jeffrey P. ;
Lahey, Stephen J. ;
Nichols, Francis C. ;
Levett, James M. ;
Johnston, George Gilbert ;
Freeman, Richard K. ;
Louis, James D. St. ;
Painter, Julie ;
Yohe, Courtney ;
Wright, Cameron D. ;
Kanter, Kirk R. ;
Mayer, John E., Jr. ;
Naunheim, Keith S. ;
Rich, Jeffrey B. ;
Bavaria, Joseph E. .
ANNALS OF THORACIC SURGERY, 2017, 103 (02) :373-380
[6]   Academic Medical Centers: Too Large for Their Own Health? [J].
Johnston, S. Claiborne .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2019, 322 (03) :203-204
[7]   Implementation of a Value-Driven Outcomes Program to Identify High Variability in Clinical Costs and Outcomes and Association With Reduced Cost and Improved Quality [J].
Lee, Vivian S. ;
Kawamoto, Kensaku ;
Hess, Rachel ;
Park, Charlton ;
Young, Jeffrey ;
Hunter, Cheri ;
Johnson, Steven ;
Gulbransen, Sandi ;
Pelt, Christopher E. ;
Horton, Devin J. ;
Graves, Kencee K. ;
Greene, Tom H. ;
Anzai, Yoshimi ;
Pendleton, Robert C. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2016, 316 (10) :1061-1072
[8]   Use, misuse, and underuse of work relative value units in a vascular surgery practice [J].
Satiani, Bhagwan .
JOURNAL OF VASCULAR SURGERY, 2012, 56 (01) :267-272
[9]   The Implications of "Medicare for All" for US Hospitals [J].
Schulman, Kevin A. ;
Milstein, Arnold .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2019, 321 (17) :1661-1662
[10]  
Wolk S., 2017, NEJM CATALYST