How one hospital spent 108,000 hours reporting on quality measures.
Rules intended to monitor the quality of hospital care and rein in healthcare costs can have an unhealthy effect on patients, new research suggests.
As hospitals grind out paperwork on a growing list of quality measures, the burden has become “substantial and counterproductive, resulting in lower care quality and higher prices for patients,” said Ge Bai, a professor of accounting and health policy and management at Johns Hopkins University and a co-author of the study. “Clinicians are dedicating more time to reporting quality and less time for patient care, and hospitals are allocating resources to regulatory compliance instead of patients.
Under this newer “value-based” payment approach, quality measures can offer insights on how much bang payers are getting for their buck, an issue that is getting more scrutiny as healthcare costs climb. U.S. healthcare spending reached $4.3 trillion in 2021, or 18.3% of gross domestic product — up from $2.7 trillion, or 17.2% of GDP, a decade earlier, according to federal government data.
The study’s finding of 108,000 hours spent on reporting may be an underestimate, the researchers said. Because of the difficulty of estimating the hours involved, for example, the study doesn’t account for the time doctors spend responding to requests from clinical documentation specialists who review physicians’ notes and often suggest ways to make them more detailed in order to shed additional light on quality, Berry said.
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