Scottish telecare targets |
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Tuesday, 29 June 2010 21:12 |
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When carefully designed and implemented, there's nothing wrong with targets.
The problems come when too many contradictory targets pull against each other or, as we all know, bad target design with no awareness of the system-wide implications leads to gaming. In Scotland the 4 hour emergency care target was actually pretty good in helping to concentrate the mind and stimulating innovation to improve unscheduled care processes within hospitals. The problem was that it was unable to effect change on the out of hospital processes.
It will be interesting to see what telecare targets are adopted - there's plenty of scope of massive confusion and gaming if it's just crude numbers (e.g. installations or households).
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