Evaluation of a Physician's Quality Practice

Junior (College 3rd year) ・Healthcare&Medicine ・APA ・3 Sources

Physician’s quality practice data can be evaluated by health plans and this provides the basis of quality service improvement within health centers. This can be achieved through the evaluation of health plans within the administrative as well as enrollment data. Administrative data drawn from health plans can be used to analyze the results of a physician’s accepted quality measures. Additionally, a physician’s quality practice can be evaluated on the number of patients who were eligible for a measure and handled by the medic. Approaches concerning assigning patients may also affect the quality events of the physician responsible in delivering service to them (Melanson, 2017).

Physician’s level of performance measures can be used in improving his or her rank within a medical center. The strategies may include the use of a cross-sectional analysis which encompasses electronic health record data for patients. This analysis is able to evaluate the number of patients who the physician was able to handle and record the number of patients who were cured. Secondly, the level of service delivery by the physician to the patients also affects the physician’s profiling. This is evident in the way people suffering from various diseases such as congestive heart failure turn up to seek for medical attention from the physician. A considerable number of patients are a proof of good service delivery by the physician (Baron, 2017).

Lastly, the ability of a physician to be conversant with the use of health equipment may also make him or her become considered in handling complicated diseases such as cancer. This enhances the physician’s quality report card effectively (Gupta, 2017). Certain diseases require well trained personnel to handle as there are sophisticated operating gadgets such as scanners used during radiotherapy.


Bixho, I., & Melanson, S. E. (2017). Benchmarking and management metrics in utilization management. In Utilization Management in the Clinical Laboratory and Other Ancillary Services (pp. 75-81). Springer International Publishing.

Lewandrowski, K., & Baron, J. (2017). The use of physician profiling and prior approval (gatekeeping) in utilization management in the clinical laboratory. In Utilization Management in the Clinical Laboratory and Other Ancillary Services, 235-245. Springer International Publishing.

Vora, A., Naik, A., Lokhandwala, Y., Chopra, A., Varma, J., Wander, G. S., ... & Gupta, A. (2017). Profiling cardiac arrhythmia and heart failure patients in India: The Pan-arrhythmia and Heart Failure Observational Study. Indian Heart Journal.

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