Performance measurement – we welcome the recent critics

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Category : Medical Rants

I first wrote about my concerns over 10 years ago.  In those early days of the blogosphere, few experts paid attention to ou ranting.

Just over 10 years ago I wrote

One underlying principle of the pay for performance movement stems from the belief that we can use incentives to improve adherence to evidence based quality indicators. The crux of evidence based medicine (EBM) follows from an examination of high quality data. EBM eschews belief.

This week two more Bobs (Wachter & Berenson) wrote eloquently about the problems of P4P

How Measurement Fails Doctors and Teachers 

JAMA Forum: If You Can’t Measure Performance, Can You Improve It? 

We can only hope that these commentaries will stimulate greater attention on the problems of performance measurement.  Read these commentaries and understand the bloggers made these points  10 years ago.  We understood what could go wrong and predicted the current problems.  Of course we were labeled kooks back then.

And please read Onora O’Neill’s brilliant thoughts on accountability.

 

Comments (3)

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