• linkedin
  • Increase Font
  • Sharebar

    3 helpful solutions to value-based care obstacles


    Obstacle 2

    Tedious reporting requirements clash with physician training and expertise

    Physicians can have a tough time reconciling their chosen approach to treating a patient with reporting requirements. The 2016 Survey of America’s Physicians reported that nearly 32% of physicians noted that the erosion of their clinical autonomy was one of the least satisfying aspects of practicing medicine. Some of this perception stems from mandatory requirements that neither align with physician specialties nor respect their medical expertise. For example, diabetes is managed with standard protocols that mostly rely on insulin and oral medications along with mandated checks of HbA1c. Yet, some new treatment approaches, such as using nutrition and physical activity interventions, are showing that the disease can be managed—and even reversed. 

    Not only might a physician be unaware of the full range of newer protocols—an individual who is successfully managing their disease with lifestyle changes may no longer need regular HbA1C checks—but the physician is required to perform them. Similarly, a diabetic patient who chooses to wear a constant blood glucose monitor can easily provide daily blood glucose data over time, again reducing the need for an HbA1C test. However, a physician is penalized unless he or she reports what might be an unnecessary test. In addition, each requirement carries a documentation burden. Over 70% of physicians report feeling burned out—onerous paperwork requirements are a major factor.

    The solution: 

    Physicians are trained to listen to patients, understand their health conditions and figure out a care plan based on an individual’s specific considerations. They are not trained to strategically document what happens in an office visit for the purposes of reimbursement.

    Improved electronic workflows, sustained by technology designed to support, not hinder, communication between physicians and patients would help. In the meantime, hiring staff, such as a nurse navigator, to help the patient through the system and make sure that all care is coordinated and documented can help ease the reporting burden. Allowing physicians to measure an agreed-upon outcome for a patient rather than a marker that is defined as “quality” care (yet doesn’t fit individual patient needs) can help empower a physician and his or her feeling of control over their decision making.


    You must be signed in to leave a comment. Registering is fast and free!

    All comments must follow the ModernMedicine Network community rules and terms of use, and will be moderated. ModernMedicine reserves the right to use the comments we receive, in whole or in part,in any medium. See also the Terms of Use, Privacy Policy and Community FAQ.

    • No comments available

    Latest Tweets Follow