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LCSpringers LCSpringers (New Member) New Member

Attribution

Quality Improvement   (745 Views 2 Comments)
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I work for a major insurance company as a quality improvement nurse, meeting with providers and staff to assist with improving quality of care. Attribution has always been a problem. Today I was asked to move members (patients) from one physician to another. For some reason I don't feel comfortable doing this. Can anyone tell me if this would be a conflict of interest as an RN?

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I don't see how it could be a conflict of interest for you to reassign patients from one provider to another since you don't receive any benefits related to which provider the patients see. And if the providers are equally qualified there likely isn't any ethical reason not to reassign them either. However you might advise the facility that this is likely to decrease patient satisfaction and ultimately be counterproductive to their goals. You could recommend a different method of reallocating patients- such as asking for volunteers or assigning new patients only to the providers with the fewest patients.

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