Ratings point to DHBs’ deficiencies – National – NZ Herald News.
Tony Ryall is doing two sensible things. Firstly, he is limiting his interventions and measurement to key performance indicators. These have to look sensible (face validity) and they have to act as proxy for good quality. Secondly, he is making this public.
This is sraight ouf ot the Blairite playbook. What Tony is should do, which is not from Blair is avoid micromanagement. Most DHBs have diverted staff from the front-line, to feed the beast called the Ministry. The Ministry funds, so what they want they get: as a result productivity has decreased in all areas but reports.
Last week the Mental Health Commussion visited work. When they asked what else could happen, someone muttered that the Health of Nation Outcome Scale (HoNOS, which is mandated reporting on all patients, is uselsess and should be scrapped. The other docs agrred. Vehemently. THen the clinical nurses specailists added that the scale is unreliable…
… but it is still there. It is a waste of time.
In the end, the government has to trust the professionalism of the system and its checks and balances. Not micromanage.
Super post, Need to mark it on Digg
Worker