Only Big Powerful Organizations Can Make Big Powerful Mistakes by Neal Little, M.D.

There’s something that we need to consider in the upcoming healthcare debate about control over the practice of medicine. Recently CMS cancelled a quality measure on beta blockers for MI. Many of us had known for years that this previous benchmark for quality management could not be applied across the board, in the emergency department setting. There was a constant litany of reports against doctors who were just too stupid to know to give this medication, and that compliance was poor. Hospitals were downgraded for their physicians not giving it.

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