Another performance system that doesn't work: SCIP

Being an Internal Medicine type I don't know a whole lot about SCIP so I'll leave the deconstruction to Skeptical Scalpel, guest blogging at Kevin MD. What's apparent from his analysis, though, is that the problems with SCIP mirror the problems of many other performance measures. It's not that they're not evidence based (they are) but when you turn then into a publicly reportable game the unintended consequences and the shortcomings of oversimplification come strongly into play.