Surgeon's Record September 9, 2025
In US healthcare, measuring quality consumes over 100,000 staff hours and $5 million per hospital system every year, yet we’re no closer to agreeing on what quality actually means. Everyone agrees that fixing healthcare requires putting quality at the center. The harder part is defining it, measuring it, and proving that we’ve actually improved it.
Healthcare has long chased quality through an alphabet soup of programs — MIPS, BPCI, CJR, ACOs, and now TEAM and ASM. The premise of these efforts is sound: measure what matters, pay for performance (outcomes), and hold stakeholders accountable.
Results are mixed. Savings have been modest at best, especially when accounting for reconciliation payments. Outcomes aren’t any worse than traditional care, but that’s not exactly...
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