...) evaluated ratings on eight websites against other sources of actual clinical outcome quality measures (QMs) data as well as against the distribution of patient experience satisfaction QMs scores. “The associations between physician website ratings and clinical QMs were small and statistically insignificant...

.... This led to pressures on managers and clinicians to meet the target. In turn this led to distortion of clinical care, gaming and manipulation of data, all products of an unhealthy target culture (Heyworth, 2011). Best practice Emergency department Health policy Quality measures...