Sunday, February 17, 2013

Comprehensive Rationality 

In times past there was an approach to planning called Comprehensive Rationality. 

According to an e-learning web page published by Freie University in Berlin, Germany, the approach was “based on instrumental rationality when analysing and making decisions (goal-rational).”  The central assumptions were that: 

The Affordable Care Act (a.k.a. Obamacare) provides for something called Accountable Care Organizations, which combine all elements of care – including doctors and hospitals – into single entities, which are offered financial incentives to improve quality and reduce cost.  Various approaches are offered with provision being made for evaluation to see which ones work best. 

This is Comprehensive Rationality in its pure form.   

I had been given to understand that the planning fraternity had long since concluded that the approach didn’t work.  Modern organizations are complicated and nobody is smart enough to compose a manual that will make them succeed. 

If my impression is correct, the word hasn’t yet penetrated health care.

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