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May/June 2012 Annals of Family Medicine tip sheet
Date:5/14/2012

adherence to care guidelines or a more rapid improvement in adherence. In fact, patients in practices that did not use an EHR were more likely than those in practices that used an EHR to meet outcome targets for hemoglobin A1c, low-density lipoprotein cholesterol and blood pressure at the 2-year follow-up. The authors conclude that achieving truly meaningful use of EHR technology will require more than time and experience; it will require recognition that until population health is improved, use does not equal success. They assert practices will need assistance with implementation and achieving successful use to improve care and population health outcomes, especially with regard to redesigning work processes to make the best use of these new technologies by all members of the primary care delivery team.

Typical Electronic Health Record Use in Primary Care Practices and the Quality of Diabetes Care

By Jesse C. Crosson, PhD, et al

UMDNJ - Robert Wood Johnson Medical School, New Jersey

Paying Patients for Performance: A Novel Twist on Quality Improvement

In a novel proposal, a family physician proposes paying patients for performance by rewarding them for achieving evidence-based health goals. Citing preliminary studies showing traditional pay-for-performance programs come up short despite considerable investment of resources, Joanne Wu, MD, MPH, suggests that offering direct incentives, such as discounts toward co-payments, procedures and medications, to patients for reaching health goals, has the potential to foster a stronger partnership between doctors and patients and improve health outcomes. The current system, which places all the responsibility and reward of quality of care on physicians, she asserts, perpetuates a paternalistic approach that is neither cost-effective nor sustainable. She concludes that patients deserve a greater role in improving their wellness and reaping the rewards from it.

An accompanying editoria
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Contact: Angela Sharma
asharma@aafp.org
913-269-2269
American Academy of Family Physicians
Source:Eurekalert

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