Comments for Steven's SBM Research

Comment on Paying doctors for quality by sjhhanlon

sjhhanlon — Mon, 02 Jun 2008 17:44:54 +0000

Thanks for your useful comment and analysis.

I think you are rather unkind to the article, though I’ve only read the summary I link to – I don’t have the time or inclination to read the whole thing! They don’t conclude that they have found evidence of large-scale fraud but that exception rates are somewhat higher than might have been expected in the absence of “manipulation”.

I think the point is that if you set up a performance system and link financial incentives to that system, people will respond to it, perhaps in unanticipated ways. It’s hard to blame anyone but the designers of the system.

Finally, I might flippantly note that appearing on my blog hardly counts as resurfacing – that my readership exceeds one (me) is a surprise to me!

Thanks,
Steven

Comment on Paying doctors for quality by Gavin Jamie

Gavin Jamie — Mon, 02 Jun 2008 08:41:42 +0000

Again this rather poor paper resurfaces. Actually 90% of it is pretty good and does demonstrate clear patterns in the QOF data. Unfortunately this is marred by an interpretation which is largely seeking to justify prejudice rather than seeking all likely explanations for the patterns seen.
I posted a rather fuller analysis at the time.
http://www.gpcontract.co.uk/news/2007/07/gaming-and-report-writing.html

Comment on Paying Teachers by Results by amayala

amayala — Sat, 31 May 2008 17:22:33 +0000

I think that “results” calculated over a period of time will see a rise at first, but eventually a leveling off unless a school takes it upon itself to provide solid, steady professional development. Some issues of student success don’t have anything to do with the teacher just trying harder, but have to do with the cost of professional development right now and the resources that a school is willing to provide to support teachers. Certificates in every state have rules and conditions for professional development, but not enough states are provided opportunities for teachers to meet those goals on a financial level. If salaries are already somewhat low, how can a teacher then afford a master’s degree?

Comment on Measuring and Managing Performance in the Royal Air Force by Cascading Balanced Scorecards: Using Strategic Maps to make Performance Relevant to RAF Stations « Steven’s SBM Research

Mon, 26 May 2008 14:08:52 +0000

[...] up to this. Expanding the PM system to be relevant to station staffs – current system did not provide relevant [...]

Comment on The blame game, by Arthur Midwinter by Comment – A case of mistaken identity? By David Pia and Nikki Bridle « Steven’s SBM Research

Fri, 16 May 2008 14:40:45 +0000

[...] Scotland respond to criticism. Principles of performance [...]

Comment on Work in progress, by Mark Conrad by Comment – We can work it out, by Paul Raynes « Steven’s SBM Research

Comment – We can work it out, by Paul Raynes « Steven’s SBM Research — Tue, 27 Nov 2007 09:23:15 +0000

[...] point to this. Tension between devolved models of service provision and Freud’s regional monopoly model. [...]

Comment on Doctors call for debate on the rationing of NHS care by sjhhanlon

sjhhanlon — Wed, 26 Sep 2007 07:00:05 +0000

In the UK at least (can’t speak for the world!), Government spending is about £580bn. About £300bn of that goes on healthcare and social protection. Defense and security take about £70bn.

All these figures are really rough. Rationing is inevitable, I’m afraid, because you can never spend enough on health; there’s always one more treatment you could try or one more service you could provide.

Until we reach a post-scarcity economic model, that is…

Comment on Doctors call for debate on the rationing of NHS care by mo79uk

mo79uk — Tue, 25 Sep 2007 22:46:41 +0000

This is sad. If we spent more on food and medicine than guns and bombs – the whole world that is – then we’d be staving off the ‘r’ word.
Money to kill or money to save? I want a say in where taxes go.

Comment on Comment – Everything to gain, by Heather Lawrence by News analysis – Foundations accused of seeking to avoid income cap « Steven’s SBM Research

Sun, 23 Sep 2007 16:13:34 +0000

[...] More on Foundation Trusts and Private Patient Income, as discussed here. [...]