Renowned management consultant Peter Drucker once said, "Without data, it doesn't exist." When one examines the American system of healthcare, the wisdom of Drucker's statement is abundantly clear.
The healthcare system of the US has been built using a data capture IT platform that has three fundamental variables. First, it records what doctors do to patients, i.e. the procedures performed as the "care." Second, it characterizes those procedures on the basis of two attributes: (1) how much time did it take for the doctor to do it and (2) how much training did it take for the doctor to know how to do it. Third, it captures whether the procedure was done in an office/hospital or an urban/rural setting. These attributes are then used in a formula to determine how much the doctor is paid for delivering those services. There is no element of this data-capture and classification system that addresses the question: how well did that procedure work to resolve the patient's problem(s). In fact, the efficacy of the procedure is not considered whatsoever in the algorithms that determine the payment made to the doctor for the service(s) delivered.READ MORE
Wayne Miller's testimony in front of the House Veteran's Affair's Committee during a hearing concerning PTSD and Traumatic Brain Injury. (Audio Only)