I think ATI is another positive step forward for Performance measures, however as you've mentioned David, Efficiency is one thing but Effectiveness (Quality) is also important reducing re-admissions & shortening length of stay for example, in which sometimes costs can be higher in the index procedure but overall better for the patient & more cost effective in the long term. Also I'm not clear how the ATI will take complexity of care for patients & procedures into consideration?
As a patient I would prefer a high adjusted treatment (quality) index to a low adjusted treatment (cost) index. Can we merge the two?
Great article David - hope all's well with you!
thought provoking article David. Thank you.