Knowledge Coupling: Implementing Outcomes Measurement through the Disciplined and Routine Control of Inputs

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Abstract

The successful implementation of outcomes measurement is jeopardized by its application within systems that do not control inputs. This systemic flaw within health care can be corrected by placing critical knowledge that is now in the minds of individual practitioners into computer-based knowledge coupling tools that can (1) track and control the inputs to the system in a disciplined and routine manner and (2) process information without error or bias. Outcomes then become a natural by-product of what amounts to a paradigm shift in the conceptualization and implementation of health care.

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