What if we’re measuring the wrong things?

Kathy LetendreBlog, EAI Newsletter, Resources

What if we’re measuring the wrong things?

I thought I’d try a different medium (audio) this edition…

I recently sat down with Dr. Rhiannon Winsor, host of VBCare’s podcast The Exam Room . Our conversation explored a number of topics that I thought you’d be interested in.

Rhiannon describes our conversation like this:

What if healthcare organizations are measuring the wrong things?

In a two-part episode of The Exam Room Podcast, we explore a challenge many leaders are facing—but few are naming directly.

➡️ Part 1 focuses on transformation:

Why real change doesn’t come from quick fixes, and why sustained, intentional improvement is harder—but far more effective.

➡️ Part 2 focuses on measurement:

The critical difference between outputs (what we count) and outcomes (what actually matters), and how getting this wrong can lead to clinician burnout, misalignment, and stalled progress.

A few takeaways that stood out from our conversation:

  • Transformation takes time—and leadership patience is non-negotiable
  • Measuring activity is not the same as measuring impact
  • Productivity-driven metrics can unintentionally undermine teamwork
  • The most meaningful improvements happen at the system level—not the individual level

For anyone working in value-based care, community health centers (FQHCs), or healthcare leadership, the conversation is worth a listen. It challenges some deeply ingrained habits—and offers a clearer path forward.

I share both episodes here for you to have a listen. (16 min and 23 min)

Also available on Apple Podcasts: Listen to Episode 1 and Episode 2.


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Kathy LetendrePresident and Founder of Letendre & Associates, advises organizations and leaders to create their excellence advantage.
Contact Kathy by phone or text at 802-779-4315 or via email.