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Relative rank vs absolute levels of performance

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See the attached files.

Read the following article:

Safavi, K. S. (2006). The measurement conundrum. Journal of Healthcare Management, 51(5), 287-290.

Discuss the following from the perspective of a provider:

If the measurement system is intended to judge performance from the outside, discuss the pros and cons of using a standard based on relative rank instead of absolute levels of performance.

If the measurement system is intended to improve performance from the inside, discuss the pros and cons of using a standard based on relative rank instead of absolute levels of performance.

Consider how different circumstances will impact the performance measurement. If it's based on relative rank, who is the peer group - a multi-facility organization, a state or national standard? If it's based on absolute value, are there circumstances that may be beyond the facility's control?

What does outside and inside mean? I have downloaded several other sources and am still having trouble.

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Solution Summary

A discussion of the pros and cons of relative rank vs absolute levels of performance.

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A measurement system intended to judge performance from the outside would be, for example, a healthcare program that measures hospitals or doctors against each other on a ranking scale. This is often used as a comparison in health plans, to help prospective enrollees decide which plan has a higher satisfaction ranking for various criteria such as satisfaction of doctors performance, or length of time it takes to get a claim processed. One pro for using a standard based on relative rank would be that a ...

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