Week 2: Variance Management Systems Issues Bob Luttman, Robert Luttman & Associates
Home Page Overview Statistical Issues Multi-collinearity Cascade Effect Sample Size Halo Effect Operational Issues: Documentation and Reporting Too Much Data Traditional Pathway / Variance Documentation What's Wrong With This Picture? Operational Issues: Summary Legal Issues: Overview Legal Issues The Biggest Issue: So What? Summary and Conclusion Assignment Feedback Questions?	Legal Issues in Variance Management Systems   Patient Related Variance - "[W]here variation from a map is patient driven, the map record provides positive features that can discourage frivolous claims*".   Provider Related Variance (Good) - "[A] map rewards the provider who is able to give cogent, complete explanations for his or her actions*"   Provider Related Variance (Bad) - Good documentation is better than no documentation. Can (should) weed out or improve the bad apples.   System Related Variance - Again, good documentation is better than none.   * An Analysis of the Use and Effect of CareMap® Tools in Medical Litigation. Christopher E.Nolin and C.G. Lang available from: Center for Case Management 6 Pleasant Street South Natick, MA 01760 Phone: (508) 651-2600

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