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Introduction

Completion is all about Better healthcare for the population

While competition may produce the best hospitals…it does not promulgate those best practices to others. The assumption is that everyone will compete in producing the “best solutions”…creates the environment where no one wants to share information…and what may happen, is that one organization produces the “best practices” and runs all others out of business…thus creating a monopoly.

Also a "Profit" based system is all about making money! A business does not have to be the "best" in order to make money. Many business finds niches for themselves that is far from producing the best care and still make money.

Payment for Quality

Incentives work well when things are going up but work negatively when things are going down.

• The winners do well, the losers do worse (and there are more losers than winners!)
• Therefore….losers should receive “education” and have ways to improve and to keep the “moral problems from bringing the losers down even more
• Incentives may drive costs up -> only work when you keep increasing them...look at the healthcare workers demanding that they should be paid for good service!...[I am not going to say what I think about this]

Today’s evaluation of  “money for quality money” is dependent on a list of "indicators". First, a list is bad because the employee concentrate on this only. Why should he do otherwise? Lists may include (1) patient survey (2) employee survey, (3) etc...any and every one of these surveys can be manipulated.

Data Sharing

Now just why would a private organization want to share their customer list with anyone else?

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