A review in NEJM Catalyst of 4 of the best known US hospital quality rating systems, published by a group of experts in health care quality measurement, gives no system better than a B grade. Disappointing, given how established these reports are and the attention they get from the US media, providers, and public.
“If you can’t measure it you can’t manage it.” How many times have we heard this said - and accepted it as a truism? At last week’s IHI International Forum in Glasgow, Don Berwick asserted, with his characteristic mix of eloquence, humility, humor, and passion, that “all measurements are wrong”. (more…)