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dianebRN

08/26/10 11:39 PM

#36512 RE: morley480 #36509

Believe it or not medical professionals working directly with patients don't like quantifying health in terms of dollars and cents. In fact they hate it. It's why many went into the profession, myself included, to avoid the sales mentality. The "greater good" idea.

CMS has advanced the thinking in that area recently by defining "never events." This is an event that is related to clinicians not providing excellent care to patients resulting in compications. An example would be infection related to an IV or Central Line that should be handled according industy standards. There are other never events in place and on the horizon. CMS (Medicare in this case) has said that they will scrounge the bill and not pay for anything related to the complication. No one has a problem with this whatsoever as it translates to providing good patient care. That's why the idea of finding an alternative stem cell donor would fare well with clinicians who could support the idea to patients. But if a hospital said they would give $50,000 to any patient getting a bloodstream infection from an IV, I think they would be the laughing stock of the industry.

The 50K idea I think would be particularly unattractive to delivering mothers IMO. Having a transplant and rejecting a transplant are the furthest things from their minds. IMO it wold be a turnoff as too much of a sales pitch. GLTU