Logically Illogical Uses of Statistical Methods and Micromanagements
Health care and education are foundational areas of society. They are both in serious decline in the United States. Clearly the leadership and those who design are the cause of more and more problems. Look beyond the various highly promoted issues of the day, to see why this is so wrong and getting worse.
The overzealous application of statistical methods and their use in micromanagement - is perhaps the major disrupter of health care, education, and all who serve as front line human infrastructure.
Statistical methods plus micromanagement plus ignoring the inside out perspective of those who serve or interact or deliver the care - kills care and caring.
The first book is “SOMETHING IS WRONG WITH THE PRACTICE OF STATISTICS IN SCIENCE” by Clayton. This when combined with Obsessive Measurement Disorder brings it all home.
The Clayton book came to me via Steven Johnson FRSA, Director of Behavioural Science @ BCW Global.
“The methods of modern statistics - the tools of data analysis routinely taught in high schools and universities; the nouns and verbs of the common language of statistical inference spoken in research labs and written in journals; the theoretical results of thousands of person hours of effort are founded on a logical error.
These methods are not wrong in a minor way… they are simply and irredeemably wrong. They are logically bankrupt with severe consequences for the world of science that depends on them."
-- Aubrey Clayton
The second book is by Muller with the following review by Sullivan. Kip Sullivan is one of the best at taking apart health care design - over 40 years of designs. His review of the Muller book is outstanding.
Muller sets the stage for his sweeping review of the history of “metric fixation,” which he defines as an irresistible “aspiration to replace judgment based on personal experience with standardized measurement.” (p. 6) His book takes a long view – he takes us back to the turn of the last century – and a wide view – he examines the destructive impact of the measurement craze on the medical profession, schools and colleges, police departments, the armed forces, banks, businesses, charities, and foreign aid offices.
Message to CMS and other designers and thought leaders and think tanks and foundations and associations...
Stop destroying practice environments. Stop diverting more billions way from the support of the delivery team members, especially from basic health access and especially where the great majority of Americans are most behind by design.
Do not divert more dollars for micromanagement or social determinant or innovation or regulation or certification or digitalization.
Do No Harm DO NO HARM - same for designers as for human subject researchers and health care professionals
See the carnage where it matters most. See how flawed and biased research shapes worsening micromanagement and more harm to those who deliver the care.
Data Science Has Become About Lending False Credibility To Decisions Weve Already Made
Kalev Leetaru ?Contributor?AI & Big Data
We clearly have latched on to primary care level increases as "causative" for improved outcomes - not so.
Quality improvement studies are funded to show benefits of interventions by funders that want to show benefits and those doing the research also want to find benefits as do those who publish journals and those who read journals and those who report about journal articles.
See from the inside of practices. Understand environments made toxic. Look all the way back to DRG and profit focus taking down nursing for 40 years.
Understand MELTED Away - More to Do of greater complexity and in less time while trying to function with fewer and lesser delivery team members.
Force designers to stop ill advised changes. Blow the tires off of the micromanagement bandwagon.
more at https://www.dhirubhai.net/pulse/more-dollars-social-determinants-leaves-less-delivery-robert-bowman/ ?