That was a long sentence, let me explain it this way:
Jose Cuzar, MD has an office that he sees patients out of. He does not date them because he has a loving and understanding wife at home and who also helps him out in the office. Which is good because he can save money on expenses and have someone he can certainly rely on. Except for the time they were in a dimly lit restaurant and he allowed her to order the wine and she mistakenly ordered something more expensive. At least they had a wonderful time later on that evening. Dr. Cuzar receives a letter in the mail for accreditation regarding the use of his lab. He becomes angry and then thinks of closing the practice because of the cost and all the paperwork involved. Another physician by the name of Blanco White, MD comes by the office to talk with Dr. Cuzar and that is when he tells him of the situation. "Oh, yes." says, Dr. White "I got one of those letters also." "Well what do you intend to do? This is costly because of the fees involved and I now have to hire outsiders because I'm much too busy with exams, patients and seminars and my own family obligations to do the work that is required." says Dr. Cuzar. Dr. White looks at him and says, "I know it's upsetting because you feel as though you have to validate your work time and time again despite the fact that your patients continue to live because of you. But the medical world wants standards of excellence, if we meet the criteria; then that says we are good medicine and those who don't will be weeded out as bad. simple as that." Dr. Cuzar thinks to himself and then says, "How do you intend to do all that they are asking? This is too time consuming." "Take it easy. I hired a company that does accreditation for medical facilities and they will submit all my work for me!" said Dr. White. "This is what I don't understand. The fact that you have some outside agency submitting the work for you. It's as if you're paying into this thing so that you can be listed as accredited and as a good physician. An agency can submit a top notch portfolio on your behalf and you can have them visit your office, but that still does not mean you know what it takes to continue doing what you do." said Dr. Cuzar angrily. "Then what do you suggest, that I cancel my patients and lose money for the next two weeks in attempts to submit all of this paperwork myself?" asked Dr. White.
"It would at least be honest, real or authentic because the process is coming from you as opposed to an outsider who is being paid to guarantee your accreditation in the medical profession." said Dr. Cuzar. "Look I have not the time to do all of this, I just see patients I am not a statistics person and I don't perform analytics. That's why I hired people who do." answered Dr. White. "How much is this all going to cost?" asked. Dr. Cuzar. "Around $7,000. That does not include the actual cost it takes to become accredited, but it's worth it. This way I don't have to depend on my lowly paid staff to ask me for a raise to do this crap and then I can get people who are able to submit professional reports that will guarantee me accreditation. Come'on how smart are people that make $15 an hour, seriously? My staff has no clue as to how to do any type of work like this whatsoever? I'm not even asking them to do this and I'm keeping them out of it because I do my own lab stuff anyway." said Dr. White as he laughed. "Ok, I see your point. I do my own stuff too. But I'm just upset because it's like we have to pay to be accredited. And anybody willing to pay becomes accredited. That does not mean that you are good at what you do, it just means you paid somebody to provide credible and real professional looking documentation and then paid the facility who wants you to be accredited. If not then you get subjected to submitting the requirements that a simple minded staff and very busy physician cannot do unless they cancel several weeks worth of patients to attempt to do this themselves." said Dr. Cuzar.
So now we know the story of accreditation. Silly, you're paying somebody so that you can display the fact that your facility is one of excellence. The Centers for Medicare and the whole what not, should establish review requests for practice accreditation. For each modality of practice eg. Internal Medicine ect. and then have the physician submit Medical Notes and or reports of exams or tests that are performed in their office. This should be done online and can be integrated through a medical office's EMR software. By doing this all a physician needs to do is to answer questions about the practice, and then submit the required documentation through the EMR. All office policies and procedures will also be available for submission through the EMR. This requirement will be done every 2 years. The best part about it is that it is free, it can be done entirely online, it will allow for studies on cd to be uploaded and submitted, and will not require an agency of sorts to complete.
This does make great writing material like Goodfellas meets MBA!