Onora O’Neill on the philosophy of accountability
Book here;
http://www.amazon.com/Question-Trust-Reith-Lectures-2002/dp/0521529964
I will take these lines and apply them to the Joint Commission and stroke.
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She explains beautifully that unintelligent measures do not advance either accountability or trust. Rather she cautions against easy performance measures. In these lectures she does not talk about medicine exclusively.
She worries that unintelligent measures lead to a corruption of the concept of professionalism. Too often we see restructuring of our work to achieve higher scores on performance measures. However, unless the performance measure created is clearly linked to the desired quality attribute, we too often have a spurious measure.
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Take the Joint Commision ratings on stroke hospitals. They are all about doing the processes faster and more completely. There is no connection to 100% stroke recovery. This is why I think Joint Commission certification is for all practical purposes worthless. I don't trust anything they do because they are measuring the wrong thing.
She
explains beautifully that unintelligent measures do not advance either
accountability or trust. Rather she cautions against easy performance
measures. In these lectures she does not talk about medicine
exclusively.
She worries that unintelligent measures lead to a corruption of the concept of professionalism. Too often we see restructuring of our work to achieve higher scores on performance measures. However, unless the performance measure created is clearly linked to the desired quality attribute, we too often have a spurious measure.
- See more at: http://www.medrants.com/archives/7426#sthash.NICn9jNy.dpuf
She worries that unintelligent measures lead to a corruption of the concept of professionalism. Too often we see restructuring of our work to achieve higher scores on performance measures. However, unless the performance measure created is clearly linked to the desired quality attribute, we too often have a spurious measure.
- See more at: http://www.medrants.com/archives/7426#sthash.NICn9jNy.dpuf
She
explains beautifully that unintelligent measures do not advance either
accountability or trust. Rather she cautions against easy performance
measures. In these lectures she does not talk about medicine
exclusively.
She worries that unintelligent measures lead to a corruption of the concept of professionalism. Too often we see restructuring of our work to achieve higher scores on performance measures. However, unless the performance measure created is clearly linked to the desired quality attribute, we too often have a spurious measure.
- See more at: http://www.medrants.com/archives/7426#sthash.NICn9jNy.dpuf
She worries that unintelligent measures lead to a corruption of the concept of professionalism. Too often we see restructuring of our work to achieve higher scores on performance measures. However, unless the performance measure created is clearly linked to the desired quality attribute, we too often have a spurious measure.
- See more at: http://www.medrants.com/archives/7426#sthash.NICn9jNy.dpuf
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