The New York Times published “How Measurement Fails Doctors and Teachers” on Jan. 16, 2016. This commentary article briefly reviews the history of outcomes measurement in education and medicine, the need to use measurement to improve the quality of care and contain costs, concerns about how measurement in medicine is “out of control,” how use of EHRs is affecting outcomes measurement, and
concludes, “Thoughtful and limited assessment can be effective in motivating improvements and innovations, and in weeding out the rare but disproportionately destructive bad apples.” And, “Measurement cannot go away, but it needs to be scaled back and allowed to mature. We need more targeted measures, ones that have been vetted to ensure that they really matter.” Finally, “Most importantly, we need to fully appreciate the burden that measurement places on professionals, and minimize it.”
This article, as would be expected from the NYT, is a thoughful, balanced and concise summary of the issues about outcomes measurement.