can there be patient profiling in designated doctors report

What do we know about physician profiling?

In an effort to encourage further debate, we have described one method of physician profiling. Profiling data help identify and characterize differences in practice style to which individual physicians or hospital staffs can respond.

Should we profile individual physicians for excessive use of services?

Nevertheless, the profiling of individual physicians can best be viewed as a screening technique. Confirming excessive use of services requires that the possibility of extenuating circumstances be excluded. This analysis can be done best by those close to the case under consideration, such as physician colleagues on the medical staff of a hospital.

How does physician profiling preserve clinical autonomy?

Thus, profiling tends to preserve the clinical autonomy of physicians by avoiding rigid rules about the care of specific patients. As an analytic tool, physician profiling is early in its development.

Does the severity of illness affect the profiles of Physicians?

Thus, although a difference in severity of illness could be a factor in the profiles of a few physicians, it is unlikely to be a valid explanation for variation in general. The Future of Profiling

Do doctors profile patients?

Like racial profiling by police, patient profiling by physicians is more common than you think. We rely on doctors to first do no harm–to safeguard our health–but profiling patients often leads to improper medical care, and distrust of physicians and the health care system, with potential lifelong consequences.

Are doctors allowed to withhold information from patients?

Except in emergency situations in which a patient is incapable of making an informed decision, withholding information without the patient's knowledge or consent is ethically unacceptable.

What should not be included in a patient medical record?

The following is a list of items you should not include in the medical entry:Financial or health insurance information,Subjective opinions,Speculations,Blame of others or self-doubt,Legal information such as narratives provided to your professional liability carrier or correspondence with your defense attorney,More items...•

What is the purpose of physician profiling?

Physician profiling is a method of cost control that focuses on patterns of care instead of on specific clinical decisions. It is one cost-control method that takes into account physicians' desire to curb the intrusion of administrative mechanisms into the clinical encounter.

Do doctors have to tell patients everything?

Doctors are only required to make disclosures which are mandated by law but they do not need to disclose every possible risk or medical alternative. The general standard which is applied is that if a reasonable doctor would disclose the information, then a doctor is obligated to disclose the information.

What is intentionally withholding information?

When we deliberately withhold or conceal information from each other, we are doing something called “knowledge hiding,” an action that can take several different forms.

What information should be included in a patient's medical records?

Medical records are the document that explains all detail about the patient's history, clinical findings, diagnostic test results, pre and postoperative care, patient's progress and medication. If written correctly, notes will support the doctor about the correctness of treatment.

Which information should be included in patient documentation?

What should be documentedThe most current information. ... Clinically pertinent information. ... Rationale for decisions. ... Informed Consent discussions or the patient's refusal of care. ... Discharge instructions. ... Follow-up plans. ... Patient complaints and response. ... Clinically pertinent telephone calls.More items...

What must be included in a medical record?

A medical record is considered complete if it contains sufficient information to identify the patient; support the diagnosis/condition; justify the care, treatment, and services; document the course and results of care, treatment, and services; and promote continuity of care among providers.

What is healthcare profiling?

Physician or provider profiling is an attempt to measure the performance of doctors and providers of health care by supplying interested parties with information on the structure, process, and outcomes of health care.

What is profiling in medical terms?

1. a simple outline, as of the side view of the head or face. 2. a graph representing quantitatively a set of characteristics determined by tests.

What is a provider profile definition?

Managed care An examination of services provided, claims filed and benefits allocated by healthcare facilities, physicians and other providers to assess quality of care and cost management.