Doctor Scorecards: The Wrong Answer To The Right Question

ProPublica’s recent publication of a Surgeon Scorecard has drawn intense criticism from many doctors. Without going into details here, I think it’s fair to say that many of the critics’ points are valid. Even its strongest defenders agree that the Scorecard is far from perfect.

I’m not sure I have much to add to the discussion except to say that I think you’d have to be crazy to rely on the Scorecard as a deciding factor to use in the choice of a surgeon, but that it could be helpful when used cautiously and with other decision aids.

What I want to consider here is a somewhat different question, which relates to the idea of a scorecard. Now the ProPublica reporters went to great efforts to put their scorecard into perspective and to explain its limitations, but it remains a scorecard, which is a simple measure of something that is in reality extraordinarily complex.

I want to argue that the very concept of a scorecard represents the wrong way to think about the problems that the scorecard attempts to begin to address.

Click here to read the full post on Forbes.



  1. Very informative look here. I’d definitely have to agree with you that this scorecard system isn’t on the right track at all. Thanks for sharing your insight!

Speak Your Mind