Reposted by Áine Carroll
Targets worked last time (initially) in the setting of high morale, additional resources and a focus on system improvements.
Later, further improvement was harder in the face of system constraints. This led to gaming of numbers.
pmc.ncbi.nlm.nih.gov/articles/PMC...
Welcome to Goodhart's Law
pmc.ncbi.nlm.nih.gov
Gaming New Zealand’s Emergency Department Target: How and Why Did It Vary Over Time and Between Organisations?
Background: Gaming is a potentially dysfunctional consequence of performance measurement and management systems in the health sector and more generally. In 2009, the New Zealand government initiated a...
