Not all rules are made to be broken.
The healthcare industry has always struggled with patient compliance. Many patients stop taking a prescription or adhering to a care plan as soon as they starting feeling better.
It’s a huge problem for physicians trying to adopt value based care models because non-compliant behavior often results in the need for more healthcare. Under value based care that additional care is provided at the physician’s expense. No wonder physicians are not keen on the new risk models.
Ideally every American should understand how they respond to rules. However, it’s likely another thing that physicians need to address with patients to increase compliance.
There are 4 responses to rules:
1. Upholders: Uphold all rules both outer and inner.
2. Questioners: Questions all rules and uphold only the rules that make sense to them.
3. Rebels: As the name implies, they resist all rules.
4. Obligators: They are motivated by outer rules but not inner rules.
EMR companies should consider updating Patient Registration screens to capture patient’s rule behavior and to identify the Questioners and Rebels who are less likely to comply with meds and care plans. Rule behavior should also be factored into reporting and payment to avoid penalizing physicians.