Is it possible to improve clinical performance without measuring it?

Like it or not, measuring physician performance is now a key part of the conventional wisdom on improving our health care system. Borrowing from management guru Peter Drucker’s mantra “You can’t manage what you can’t measure” health care policy makers have embraced performance measurement as being central to managing our heretofore unmanageable health care system. But there is a small but seemingly growing group of Don Quixote-like dissenters who are tilting at the performance measurement windmill, arguing that these measures will not achieve the ends of improving quality and saving money and may instead do considerable harm.


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