I’m here in the UK for work, and the BBC morning news show had a story about what they call “Accident & Emergency” here in the UK. There’s a lot of discussion, generally, in the news about improving true service quality instead of relying on targets. The BBC reported years ago on the challenges the National Health Service (NHS) faced with emergency department (“A&E” in the U.K.) targets. On the surface, the four-hour requirement–that patients … Continue reading How 4-Hour ER Targets Lead to Gaming the System in the NHS