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	<title>Comments on: My position on performance measures</title>
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	<description>Internal medicine, American health care, and especially medical education</description>
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		<title>By: Michael Kirsch, M.D.</title>
		<link>http://www.medrants.com/archives/4648/comment-page-1#comment-528573</link>
		<dc:creator>Michael Kirsch, M.D.</dc:creator>
		<pubDate>Fri, 10 Jul 2009 16:13:27 +0000</pubDate>
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		<description>Measuring medical performance is a joke.  The government and insurance companies have no reliable method to measure medical quality, so they rely instead on easily measurable events, that have little meaning.  These are poor surrogates.  Just because medical quality can&#039;t be easily assesed doesn&#039;t mean we should use check-lists and other measurable quantifiable events.  How do we know if a sculpture is work of art?  If we don&#039;t have a good method to do so, would we weigh the sculpture just because it is easy to do so?</description>
		<content:encoded><![CDATA[<p>Measuring medical performance is a joke.  The government and insurance companies have no reliable method to measure medical quality, so they rely instead on easily measurable events, that have little meaning.  These are poor surrogates.  Just because medical quality can&#8217;t be easily assesed doesn&#8217;t mean we should use check-lists and other measurable quantifiable events.  How do we know if a sculpture is work of art?  If we don&#8217;t have a good method to do so, would we weigh the sculpture just because it is easy to do so?</p>
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		<title>By: Sallie</title>
		<link>http://www.medrants.com/archives/4648/comment-page-1#comment-528565</link>
		<dc:creator>Sallie</dc:creator>
		<pubDate>Wed, 08 Jul 2009 20:59:25 +0000</pubDate>
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		<description>I&#039;m a nurse I think performance measures are similar to protocols. Overreliance on either or as a substitution for critical thinking is just plain &quot;dumb&quot;.</description>
		<content:encoded><![CDATA[<p>I&#8217;m a nurse I think performance measures are similar to protocols. Overreliance on either or as a substitution for critical thinking is just plain &#8220;dumb&#8221;.</p>
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		<title>By: Oskie94</title>
		<link>http://www.medrants.com/archives/4648/comment-page-1#comment-528564</link>
		<dc:creator>Oskie94</dc:creator>
		<pubDate>Wed, 08 Jul 2009 14:48:14 +0000</pubDate>
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		<description>The current iteration of &quot;performance measures&quot; has more to do with the Maoist &quot;re-education&quot; of physicians that any real interest in quality per se.</description>
		<content:encoded><![CDATA[<p>The current iteration of &#8220;performance measures&#8221; has more to do with the Maoist &#8220;re-education&#8221; of physicians that any real interest in quality per se.</p>
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		<title>By: Web Media Daily &#8211; July 8, 2009 &#124; Reinventing Yourself...</title>
		<link>http://www.medrants.com/archives/4648/comment-page-1#comment-528563</link>
		<dc:creator>Web Media Daily &#8211; July 8, 2009 &#124; Reinventing Yourself...</dc:creator>
		<pubDate>Wed, 08 Jul 2009 13:32:01 +0000</pubDate>
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		<description>[...] My position on performance measures&#8230;   DB&#8217;s Medical Rants [...]</description>
		<content:encoded><![CDATA[<p>[...] My position on performance measures&#8230;   DB&#8217;s Medical Rants [...]</p>
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