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View Diary: Rhee and the Corporate Takeover of Public Education (167 comments)

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  •  If we tested (0+ / 0-)

    patients on their health after receiving treatment and then rated the doctor accordingly would you think that is fair?  You would use the same arguement that teachers are using.  There are many variables at play in a patients health.  It would not be fair to judge the doctor on the general health of the patient.

    And she's good at appearing sane, I just want you to know. Winwood/Capaldi

    by tobendaro on Sat Apr 02, 2011 at 05:48:42 PM PDT

    [ Parent ]

    •  Insurers already have patients grade us. (1+ / 0-)
      Recommended by:
      docmidwest

      The largest commercial insurer in our market withholds 10% of our pay, and report-cards from patients are a large fraction of the scoring that determines how much is returned to us. And I'm fine with that. It is indeed a sensible way to get at some aspects of quality. How long do we keep patients waiting? Do we treat them with respect?

      Patients are often very good judges of quality of care. They can instantly tell the difference between a physician who really cares about them, who is diligent on their behalf, and one who keeps checking his watch. They may not be up on the technical details, but outcomes measures and hospital statistics can capture that kind of data.

      There are valid statistical methods for evaluating how healthy or sickly a physician's panel of patients is (known as 'case mix ratio'), which corrects for such variables and permits reasonably accurate quality evaluations comparing physician quality. Do doctors like this? Of course not. Nobody likes being graded and held accountable for their work. But at the end of the day, it's the key to improving quality.

      Anything less is an evasion of accountability.

      •  "variables and permits (0+ / 0-)

        reasonably accurate quality evaluations"  That is not what is happening in education.  The other variables are not being included in evaluation.  You are being evaluated on one procedure and it is addressed accordingly.  Teachers are being evaluated on a child's general intellect and being blamed for low progress despite the myriad of variables that make a student successfull or not able to perform.
             If you were blamed for an obese patient's problems and then paid less because there is no progress in the patients overall health your situation would be similar to what teachers are facing.

        And she's good at appearing sane, I just want you to know. Winwood/Capaldi

        by tobendaro on Sun Apr 03, 2011 at 06:50:42 AM PDT

        [ Parent ]

        •  We have case mix ratio... (0+ / 0-)

          The same kind of correction can be applied to grading teachers. You obviously cannot expect at teacher with a class full of 'english as second language' students, kids from single parent households on their fourth generation of fossilized poverty to get the same kind of outcomes she'd get with a class full of affluent college-bound kids who bring their own laptops to class.

          •  But there is the problem. (0+ / 0-)

            That is exactly what they are expecting.  Kids with problems are lumped into scores with all other kids and then teachers are getting blamed.   Btw, teachers are evaluated and always have been.  By several different methods.  The testing we see now is an added evaluation and exists only to prove that we should not be paying for public schools because they don't work.  It is a scam to get money for education into private hands.

            And she's good at appearing sane, I just want you to know. Winwood/Capaldi

            by tobendaro on Mon Apr 04, 2011 at 06:46:51 AM PDT

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