Band-Aid
Band-Aid is a brand name of American pharmaceutical and medical devices giant Johnson & Johnson's line of adhesive bandages.
"The Band-Aid was invented in 1920 by Thomas Anderson and Johnson & Johnson employee Earle Dickson in Escondido, California for his wife Josephine, who frequently cut and burned herself while cooking.[1] The prototype allowed her to dress her wounds without assistance. Dickson passed the idea on to his employer, which went on to produce and market the product as the Band-Aid. Dickson had a successful career at Johnson & Johnson, rising to vice president before his retirement in 1957. Perhaps a curiosity, the word "Band" in German means tape.
Band-Aid is a brand name of American pharmaceutical and medical devices giant Johnson & Johnson's line of adhesive bandages.
"The Band-Aid was invented in 1920 by Thomas Anderson and Johnson & Johnson employee Earle Dickson in Escondido, California for his wife Josephine, who frequently cut and burned herself while cooking.[1] The prototype allowed her to dress her wounds without assistance. Dickson passed the idea on to his employer, which went on to produce and market the product as the Band-Aid. Dickson had a successful career at Johnson & Johnson, rising to vice president before his retirement in 1957. Perhaps a curiosity, the word "Band" in German means tape.
The original Band-Aids were handmade and not very popular. By 1924, Johnson & Johnson introduced a machine that produced sterilized Band-Aids."
In World War II, millions were shipped overseas, helping popularize the product. Since then, Johnson & Johnson currently has estimated a sale of over 100 billion Band-Aids worldwide.
Johnson & Johnson continues to defend the Band-Aid trademark against it being genericized.[3]
Why am I talking about Band- Aids instead of American Healthcare quality standards?
Johnson & Johnson CEO Robert Wood Johnson made a bundle selling these readymade bandages to US army and left the majority of his estate which was a few Billions to a foundation called Johnson Foundation.
which inturn started a " Non -Profit"
NCQA
The National Committee for Quality Assurance (NCQA) is an independent 501(c)(3) non-profit organization in the United States that works to improve health care quality through the administration of evidence-based standards, measures, programs, and accreditation.
(whose Board consists of Chineses ,Germans And a few BOston Brahmins who have not seen or treated a regular patient in a decade( My own opinion)
NCQA in turn INVENTED "HEIDES"
Similar to HADES in Greek Mythology
"In Greek mythology, Hades was regarded as the oldest son of Cronus and Rhea, although the last son regurgitated by his father.[2] He and his brothers Zeus and Poseidon defeated their father's generation of gods, the Titans, and claimed rulership over the cosmos. Hades received the underworld, Zeus the sky, and Poseidon the sea, with the solid earth—long the province of Gaia—available to all three concurrently. Hades was often portrayed with his three-headed guard dog Cerberus."
"HEIDES"
The Healthcare Effectiveness Data and Information Set (HEDIS)
The Healthcare Effectiveness Data and Information Set (HEDIS) is a widely used set of performance measures in the managed care industry, developed and maintained by the National Committee for Quality Assurance (NCQA).
HEDIS was designed to allow consumers to compare health plan performance to other plans and to national or regional benchmarks. Although not originally intended for trending, HEDIS results are increasingly used to track year-to-year performance. HEDIS is one component of NCQA's accreditation process, although some plans submit HEDIS data without seeking accreditation. An incentive for many health plans to collect HEDIS data is a Centers for Medicare and Medicaid Services (CMS) requirement that health maintenance organizations (HMOs) submit Medicare HEDIS data in order to provide HMO services for Medicare enrollees under a program called Medicare Advantage.
In 1970's started the real ROT in the American Medical system .
The invention of "HMO and managed care" A Bunch of theses Insurance companies made money by fooling the seniors and CMS by their " Medicare Advantage" program.
They needed a tool to show the
originally
"HEDIS was designed to allow consumers to compare health plan performance to other plans and to national or regional benchmarks"
I can ask a 100 of my patients and they wouldn't know What HEDIS stands for . For that matter probably a majority of the physicians in the trenches doing primary care would know exactly what this stands for.
So theses Business bean counters bamboozled the clue less politicians and Bureaucrats to accepting this HEDIS as a bench mark of quality performance.
We have to Thank obama for giving us ACA and MACRA
MACRA
The Medicare Sustainable Growth Rate (SGR) was a method used by the Centers for Medicare and Medicaid Services (CMS) in the United States to control spending by Medicare on physician services.[1]
President Barack Obama signed a bill into law on April 16, 2015, the Medicare Access and CHIP Reauthorization Act of 2015, which ended use of the SGR.[2] The measure went into effect in July 2015.[3]
Enacted by the Balanced Budget Act of 1997 to amend Section 1848(f) of the Social Security Act, the SGR replaced the Medicare Volume Performance Standard (MVPS), which was the previous method that CMS used in an attempt to control costs.[4] Generally, this was a method to ensure that the yearly increase in the expense per Medicare beneficiary did not exceed the growth in GDP.[5] Every year, the CMS sent a report to the Medicare Payment Advisory Commission, which advised the U.S. Congress on the previous year's total expenditures and the target expenditures. The report also included a conversion factor that would change the payments for physician services for the next year in order to match the target SGR. If the expenditures for the previous year exceeded the target expenditures, then the conversion factor would decrease payments for the next year. If the expenditures were less than expected, the conversion factor would increase the payments to physicians for the next year. On March 1 of each year, the physician fee schedule was updated accordingly. The implementation of the physician fee schedule update to meet the target SGR could be suspended or adjusted by Congress, as was done regularly (this was referred to as a doc fix). The repeated task of implementing a "doc fix" led to the permanent repeal of the SGR, or "permanent doc fix," in 2015.[6]
ACP, AAFP, AAP, and AOA, all of which are run by similar nonpracticing DOCTOR Business graduates
came up with their own Acronym program
called PCMH
so what I do to treat my patient will be evaluated by a program
some thing like this
some thing like this
{
"data": {
"score": {
"name": "final",
"title": "Final Score",
"detail": "",
"value": 3.75,
"parts": [
{
"name": "ia",
"title": "IA component of final score",
"detail": "Scoring based on measurement set \"88345eab-0082-4a58-a4e8-e3140c7f48ee\" from submission method \"cmsWebInterface\" with weight of 15%.",
"value": 3.75,
"original": {
"name": "ia",
"title": "Improvement Activities Score",
"value": 10,
"parts": [
{
"name": "IA_EPA_4",
"title": "Additional improvements in access as a result of QIN/QIO TA",
"value": 10
}
]
}
},
{
"name": "aci",
"title": "ACI component of final score",
"detail": "No measurement set to score.",
"value": 0
}
]
}
}
}
Are you surprised that a primary care physician working for 35 years in Medicine, treating patients is BURNT OUT and wants to Quit doing Medicine and learn Computer coding ?
some other time details of more ACRONYMS
The Quality Payment Program has two tracks you can choose:
- Advanced Alternative Payment Models (APMs) or
- The Merit-based Incentive Payment System (MIPS)
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