I regret to inform you that I will be spending less time focusing on your heart problem because I have decided to focus on the heart and medical problems that Medicare deems important to assure I get paid. They call this initiative "Pay for Performance (P4P)."
You see they published a list of 74 criteria that will be measured to see if I give good care, so I will get paid appropriately. Fortunatelty for cardiologists, we only have to do four things:
The ACC (American College of Cardiology) is asking cardiologists to report on these Physician Consortium for Performance Improvement (PCPI), National Quality Forum (NQF)-endorsed measures, which include at this time:And the specifications for how we should do this providing and documenting good care can be found here (Caution, this pdf file is 181 pages long!).
• ACE or ARB therapy for heart failure patients with LVSD (left ventricular systolic dysfunction)
• Antiplatelet therapy prescribed for CAD (coronary artery disease) patients
• Beta-blocker therapy prescribed for CAD patients with prior MI (myocardial infarction or heart attack)
• Beta-blocker therapy prescribed for heart failure patients with LVSD
So, dear patient, I'm sorry if you have pericarditis or heart block. I'm gonna need to focus on my heart attack and heart failure patients a bit more to make sure my office staff can still return your calls.
I hope you understand.