We often see examples of how performance testing goes terribly wrong, standardized tests in schools are an example that often results in artificial results like performance testing in hospitals. The outcomes of institutional improvement that are expected by imposing performance tests are not what results - rather good performances on tests and paper work does.
I agree with RCENTOR that safety is essential within a healthcare environment and is even more important than certain measures of performance. Providers of care can perform well but in doing so make haphazard errors in order to do what they are "supposed" to be doing in terms of measurement.
I also agree with RCENTOR that safety should be one measure used to judge how well providers are performing. Patient outcomes and readmits are also areas that I believe should be examined.
I can't say that all performance based measurement tools should be done away with but, it has been made clear that systems that are put in place as artificial measures tend to get artificial responses.
We often see examples of how performance testing goes terribly wrong, standardized tests in schools are an example that often results in artificial results like performance testing in hospitals. The outcomes of institutional improvement that are expected by imposing performance tests are not what results - rather good performances on tests and paper work does.
ReplyDeleteI agree with RCENTOR that safety is essential within a healthcare environment and is even more important than certain measures of performance. Providers of care can perform well but in doing so make haphazard errors in order to do what they are "supposed" to be doing in terms of measurement.
I also agree with RCENTOR that safety should be one measure used to judge how well providers are performing. Patient outcomes and readmits are also areas that I believe should be examined.
I can't say that all performance based measurement tools should be done away with but, it has been made clear that systems that are put in place as artificial measures tend to get artificial responses.