The patient/physician relationship
has been permanently changed through
the mandated use of electronic billing
systems and the mandated reporting of
process measures. In my clinic, I spend
more time facing a computer screen
hunting and pecking to check boxes than
I do speaking with my patients. This is
a huge unintended issue which has a
tremendous effect on physician morale
and patient satisfaction.
So, as I redeem a Delta coupon for
a glass of red wine, I wonder what we
should wish for in the proposed new
health system. I would love to see support for the measurement of true patient
outcomes and the institutionalization of
relevant specialty-based quality measurement. At the same time, I would love
to spend less time clicking boxes on my
computer and more time figuring out
how to best help my patients. Adherence
to clinical practice guidelines should exempt a physician from legal liability and
patients should be incentivized to promote their own good health outcomes.
I think these principles—measure true
quality, reduce reporting burden and
reduce defensive medicine—are a good
start and are representative of what our
NASS provides a myriad of opportunities for members to shape the message
from the world of spine care to the outside world. I would encourage those of
you who wish to enact positive change to
get involved and lend NASS your expertise. NASS has the resources to influence
policy—we need your insight and energy
to get the job done.
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United States, 1940–1960. Washington,
DC: US Government Printing Office,
1968; CDC/NCHS, National Vital Statistics
System. Available at: https://www.cdc.
4. Arias E, Rostron BL, Tejada-Vera B.
United States Life Tables, 2005. National
Vital Statistics Reports; Vol 58, No 10.
Hyattsville, MD: NCHS. 2010. Available
5. Xu J, Kochanek KD, Murphy SL, Tejada-Vera B. Deaths: Final Data for 2007.
National Vital Statistics Reports; Vol 58
No 19. Hyattsville, MD: NCHS. 2010.
Available at: https://www.cdc.gov/nchs/
6. Hieb L. Why the AMA Endorses
Obamacare—But Your Doctor Does Not.
TheBlaze. Nov 6, 2012. Available at : http://
7. Tully S. Obamacare Isn't Stopping
Doctors' Incomes From Soaring. Fortune.
June 10, 2016. Available at : http://fortune.
For more information on how to
become involved in NASS advocacy &
health policy efforts in support of spine
care physicians and their patients,
please email email@example.com.
In my clinic, I spend more
time facing a computer
screen hunting and pecking
to check boxes than I do
speaking with my patients.