Internet security is in a position similar to that of safety in the medical industry. Many doctors have an opinion like this one,
“Only 33% of my patients with diabetes have glycated hemoglobin levels that are at goal. Only 44% have cholesterol levels at goal. A measly 26% have blood pressure at goal. All my grades are well below my institution’s targets.”
And she says, “I don’t even bother checking the results anymore. I just quietly push the reports under my pile of unread journals, phone messages, insurance forms, and prior authorizations.”
“Dr. Kim A. Adcock, the radiology chief at Kaiser Permanente Colorado,
created a system that misses one-third fewer cancers on mammograms and
“has achieved what experts say is nearly as high a level of accuracy
as mammography can offer.” At the heart of the program was his
willingness to keep score and confront his doctors with their results.
He had to fire three radiologists who missed too many cancers,
and he had to reassign 8 doctors who were not reading enough
films to stay sharp.”
We could use more report cards for physicians, including firing ones
with failing grades, and maybe even paying the really good ones more,
or at least getting them to teach the others.