As my staff and customers know, I’m big on performance metrics. Metrics by themselves are innocuous. By definition, a metric is “a standard for measuring or evaluating something, especially one that uses figures or statistics.” But the concept of “metrics” represents a wholesale change in philosophy, management practice, and leadership in health and human services. Metrics are a different form of accountability. Use of metrics presumes that we can quantify the value of health and human services. Metrics force new responsibilities on supervisors, managers, and executives . . .

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