Games People Play: Lessons on Performance Measure Gaming from New Zealand; Comment on “Gaming New Zealand’s Emergency Department Target: How and Why Did It Vary Over Time and Between Organisations?”
For decades, observers have noted that gaming of performance measurement appears to be both endemic and endlessly creative. A recent study by Tenbensel and colleagues provides a detailed look at gaming of a health system performance measure—emergency department (ED) wait time —within four hospitals...
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| Format: | Article |
| Language: | English |
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Kerman University of Medical Sciences
2021-04-01
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| Series: | International Journal of Health Policy and Management |
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| Online Access: | https://www.ijhpm.com/article_3781_dedf0fec939998371bcbb5e799927b56.pdf |
| _version_ | 1811158822053478400 |
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| author | Lisa M. Lines |
| author_facet | Lisa M. Lines |
| author_sort | Lisa M. Lines |
| collection | DOAJ |
| description | For decades, observers have noted that gaming of performance measurement appears to be both endemic and endlessly creative. A recent study by Tenbensel and colleagues provides a detailed look at gaming of a health system performance measure—emergency department (ED) wait time —within four hospitals in New Zealand. Combined, these four hospitals handled more than 25% of the ED visits in the country each year. Tenbensel and colleagues examine whether the New Zealand ED wait time target was set appropriately and whether we can trust any performance measure statistics that are not independently verified or audited. Their thought-provoking examination is relevant to anyone working in quality improvement and provides a valuable set of tools for detecting gaming in performance measurement. |
| first_indexed | 2024-04-10T05:30:48Z |
| format | Article |
| id | doaj.art-f533e1de95fa4208b8d13d6fb6276825 |
| institution | Directory Open Access Journal |
| issn | 2322-5939 |
| language | English |
| last_indexed | 2024-04-10T05:30:48Z |
| publishDate | 2021-04-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | International Journal of Health Policy and Management |
| spelling | doaj.art-f533e1de95fa4208b8d13d6fb62768252023-03-07T09:06:59ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392021-04-0110422522710.34172/ijhpm.2020.413781Games People Play: Lessons on Performance Measure Gaming from New Zealand; Comment on “Gaming New Zealand’s Emergency Department Target: How and Why Did It Vary Over Time and Between Organisations?”Lisa M. Lines0Center for Advanced Methods Development, RTI International, Durham, NC, USAFor decades, observers have noted that gaming of performance measurement appears to be both endemic and endlessly creative. A recent study by Tenbensel and colleagues provides a detailed look at gaming of a health system performance measure—emergency department (ED) wait time —within four hospitals in New Zealand. Combined, these four hospitals handled more than 25% of the ED visits in the country each year. Tenbensel and colleagues examine whether the New Zealand ED wait time target was set appropriately and whether we can trust any performance measure statistics that are not independently verified or audited. Their thought-provoking examination is relevant to anyone working in quality improvement and provides a valuable set of tools for detecting gaming in performance measurement.https://www.ijhpm.com/article_3781_dedf0fec939998371bcbb5e799927b56.pdfgaming, performance measurementemergency departmentsnew zealandhealthcare quality |
| spellingShingle | Lisa M. Lines Games People Play: Lessons on Performance Measure Gaming from New Zealand; Comment on “Gaming New Zealand’s Emergency Department Target: How and Why Did It Vary Over Time and Between Organisations?” International Journal of Health Policy and Management gaming, performance measurement emergency departments new zealand healthcare quality |
| title | Games People Play: Lessons on Performance Measure Gaming from New Zealand; Comment on “Gaming New Zealand’s Emergency Department Target: How and Why Did It Vary Over Time and Between Organisations?” |
| title_full | Games People Play: Lessons on Performance Measure Gaming from New Zealand; Comment on “Gaming New Zealand’s Emergency Department Target: How and Why Did It Vary Over Time and Between Organisations?” |
| title_fullStr | Games People Play: Lessons on Performance Measure Gaming from New Zealand; Comment on “Gaming New Zealand’s Emergency Department Target: How and Why Did It Vary Over Time and Between Organisations?” |
| title_full_unstemmed | Games People Play: Lessons on Performance Measure Gaming from New Zealand; Comment on “Gaming New Zealand’s Emergency Department Target: How and Why Did It Vary Over Time and Between Organisations?” |
| title_short | Games People Play: Lessons on Performance Measure Gaming from New Zealand; Comment on “Gaming New Zealand’s Emergency Department Target: How and Why Did It Vary Over Time and Between Organisations?” |
| title_sort | games people play lessons on performance measure gaming from new zealand comment on gaming new zealand s emergency department target how and why did it vary over time and between organisations |
| topic | gaming, performance measurement emergency departments new zealand healthcare quality |
| url | https://www.ijhpm.com/article_3781_dedf0fec939998371bcbb5e799927b56.pdf |
| work_keys_str_mv | AT lisamlines gamespeopleplaylessonsonperformancemeasuregamingfromnewzealandcommentongamingnewzealandsemergencydepartmenttargethowandwhydiditvaryovertimeandbetweenorganisations |