Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Doctor accepting new patients
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

The bureaucratic hassles physicians face are extraordinary

Peter Ubel, MD
Physician
August 25, 2016
Share
Tweet
Share

Left to our own devices, most of us physicians try our best to provide high-quality care to our patients. But almost none of us provide perfect care to all of our patients all of the time. In fact, many of us get so caught up in our busy clinic schedules we occasionally forget to, say, order mammograms for women overdue for such tests, or we don’t get around to weaning our aging patients from unnecessary and potentially harmful medications.

Because the quality of American medical care is often uneven, third-party payers — insurance companies and government programs like Medicare — increasingly measure clinician performance and reward or punish physicians who provide a particularly high or low quality of care.

The result of all this quality measurement: gazillions of hours of clinic time spent documenting care rather than providing it.

According to one study, in fact, clinic staff spend more than 15 hours per week dealing with quality measures for every physician in the practice. In other words, a six-physician clinic group can expect 90 hours of staff time spent documenting quality performance. And it’s not just the staff who are left to do such documentation. Physicians spend precious time in such activities, too. The same study estimates that physicians spend almost 3 hours per week documenting the quality of their care. Here’s a picture of that finding:

Your-Physician-Can’t-See-You-Yet-–-She’s-Busy-Filling-Out-Paperwork-1-1200x312

Is it any wonder why so many American physicians report being burned out by their jobs? In fact, according to a Kaiser Family Foundation poll, 70 percent of emergency medicine physicians report being burnt out by their jobs, and over 60 percent of those in family medicine:

Your-Physician-Can’t-See-You-Yet-–-She’s-Busy-Filling-Out-Paperwork-21
The burden of bureaucracy may also explain why so many physicians, when asked what they plan to do with their career in the next few years, anticipate either reducing their time in clinic or switching to alternative practice models, like concierge care, that reduce bureaucratic hassles:

Your-Physician-Can’t-See-You-Yet-–-She’s-Busy-Filling-Out-Paperwork-31

These bureaucratic hassles are extraordinary and need to be fixed. But by no means am I saying that we need to stop measuring health care quality, nor cease basing part of health care reimbursement on quality performance. Instead, we need to take serious steps to reduce the burden of tracking health care quality. Here a few things we could do that would help out:

1. Reduce the number of quality measures clinicians are expected to track and/or be held accountable for–targeting the measures most in need of improving.

2. Standardize measures across payers. We can’t expect clinic staff to track different measures for every insurance company or government program paying for their patient population.

3. Automate as many of these measures as possible, using the electronic medical record (which an increasing number of health care providers are now using).

4. Work more closely with providers to set a balance between tracking and improving quality versus having time for clinicians to interact with their patients.

It does no good to drive clinicians out of their professions by burdening them with an ever-growing, always shifting smorgasbord of quality measures. We need to simplify and standardize quality measures, so clinicians can focus on clinical care.

Peter Ubel is a physician and behavioral scientist who blogs at his self-titled site, Peter Ubel and can be reached on Twitter @PeterUbel. He is the author of Critical Decisions: How You and Your Doctor Can Make the Right Medical Choices Together. This article originally appeared in Forbes.

ADVERTISEMENT

Image credit: Shutterstock.com

Prev

Donald Trump's medical letter has so many things wrong with it

August 25, 2016 Kevin 54
…
Next

A reminder that trauma surgeons are heroes

August 25, 2016 Kevin 0
…

Tagged as: Primary Care

< Previous Post
Donald Trump's medical letter has so many things wrong with it
Next Post >
A reminder that trauma surgeons are heroes

ADVERTISEMENT

More by Peter Ubel, MD

  • Clinicians shouldn’t be punished for taking care of needy populations

    Peter Ubel, MD
  • Patients alone cannot combat high health care prices

    Peter Ubel, MD
  • Is the FDA too slow to handle the pandemic?

    Peter Ubel, MD

Related Posts

  • Turn physicians into powerful health care influencers

    Kevin Pho, MD
  • Are patients using social media to attack physicians?

    David R. Stukus, MD
  • The risk physicians take when going on social media

    Anonymous
  • Beware of pseudoscience: The desperate need for physicians on social media

    Valerie A. Jones, MD
  • When physicians are cyberbullied: an interview with ZDoggMD

    Monique Tello, MD
  • Surprising and unlikely rewards of social media engagement by physicians

    Lisa Chan, MD

More in Physician

  • Why a chief wellness officer hid her medication use for 13 years

    Michael F. Myers, MD
  • Physician patient advocacy: Fighting insurance denials effectively

    Neil Baum, MD
  • Health care’s Upside Down: Addressing systemic dysfunction and burnout

    Ganesh Asaithambi, MD, MBA
  • In the age of AI, what makes a physician REAL?

    Harvey Castro, MD, MBA
  • The cost of clinician absence in the boardroom: a 30-year perspective

    Christopher Mastino, MD
  • My wife wants me to retire

    Sandy Brown, MD
  • Most Popular

  • Past Week

    • Why Medicare must cover atrial fibrillation screening to prevent strokes

      Radhesh K. Gupta | Conditions
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Teaching joy transforms the future of medical practice [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sabbaticals provide a critical lifeline for sustainable medical careers [PODCAST]

      The Podcast by KevinMD | Podcast
    • Charles Bonnet syndrome: Why the blind see hallucinations

      Ceres Alhelí Otero Peniche | Conditions
    • When language becomes the barrier: IMGs and autism diagnoses

      Ronald L. Lindsay, MD | Conditions
  • Past 6 Months

    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • The elephant in the room: Why physician burnout is a relationship problem

      Tomi Mitchell, MD | Physician
  • Recent Posts

    • Sabbaticals provide a critical lifeline for sustainable medical careers [PODCAST]

      The Podcast by KevinMD | Podcast
    • Curing versus caring in medicine: Bridging the gap in patient trust

      Cherie Shah | Education
    • Flexible health care funding: Moving beyond disease eradication

      Selena Kattick | Policy
    • Why a chief wellness officer hid her medication use for 13 years

      Michael F. Myers, MD | Physician
    • Physician patient advocacy: Fighting insurance denials effectively

      Neil Baum, MD | Physician
    • Health care’s Upside Down: Addressing systemic dysfunction and burnout

      Ganesh Asaithambi, MD, MBA | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 6 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why Medicare must cover atrial fibrillation screening to prevent strokes

      Radhesh K. Gupta | Conditions
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Teaching joy transforms the future of medical practice [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sabbaticals provide a critical lifeline for sustainable medical careers [PODCAST]

      The Podcast by KevinMD | Podcast
    • Charles Bonnet syndrome: Why the blind see hallucinations

      Ceres Alhelí Otero Peniche | Conditions
    • When language becomes the barrier: IMGs and autism diagnoses

      Ronald L. Lindsay, MD | Conditions
  • Past 6 Months

    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • The elephant in the room: Why physician burnout is a relationship problem

      Tomi Mitchell, MD | Physician
  • Recent Posts

    • Sabbaticals provide a critical lifeline for sustainable medical careers [PODCAST]

      The Podcast by KevinMD | Podcast
    • Curing versus caring in medicine: Bridging the gap in patient trust

      Cherie Shah | Education
    • Flexible health care funding: Moving beyond disease eradication

      Selena Kattick | Policy
    • Why a chief wellness officer hid her medication use for 13 years

      Michael F. Myers, MD | Physician
    • Physician patient advocacy: Fighting insurance denials effectively

      Neil Baum, MD | Physician
    • Health care’s Upside Down: Addressing systemic dysfunction and burnout

      Ganesh Asaithambi, MD, MBA | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

The bureaucratic hassles physicians face are extraordinary
6 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...