AAFP Congress Calls for Exploring Clinical Data Repository for FPs

The Academy should evaluate the fiscal risks, drawbacks and benefits of creating and owning a clinical data repository for members that could give the AAFP control over critical health information, the AAFP Congress of Delegates decided on Oct. 3.

A resolution put forth by the Florida AFP directs the Academy to explore creating and owning a secure commercial-grade clinical data repository. AAFP members could submit and retrieve clinical data to qualify for pay-for-performance bonuses or have their practices designated as patient-centered medical homes, among other things.

The resolution generated a great deal of testimony before the Reference Committee on Special Issues. Those testifying noted that creating a repository was one of the most important issues facing the Academy. Private and public payers have access to detailed clinical data that AAFP members do not, said members. That situation must change because those who control health information, including insurance companies, hold great power in the health care system.

Members further pointed out that other specialty societies have data repositories, which puts further onus on the AAFP to develop its own. A clinical data repository could be used to promote primary care and the patient-centered medical home, and some delegates said they would be more comfortable submitting data to the AAFP than to private insurers or to CMS.

Delegates also pointed out that any such repository must be created properly, with careful consideration given to the fiscal implications -- which is why the resolution calls on the AAFP to evaluate the issue and submit its findings to the Congress next year.

The Congress of Delegates also