The implication is that what is not measurable, standardizable, auditable is not measured and so cannot be taken as standing for, as representing, the phenomenon at hand.
He also pointed out that the old system did not keep any auditable electronic record of what was issued to whom, by whom and when: the new Civil Registration and Vital Statistics database management system is critical in filling all of these gaps.
"These state governors, legislators, secretaries of state need to understand that if their voting systems are connected to the Internet, and they don't have an auditable paper trail, that what didn't happen in 2016 could happen in 2018, which is, say the actual impact on tabulated votes," Cotton told Politico in a wide-ranging interview last month.
But benefit managers' records may not be accessible or auditable, it added.
Overall, predefined auditable standards were not met for current records for both cholesterol measurement and statin prescription.
We have no reasons to assume that rates of missing EMR data (test done, but data not present in an electronically auditable form) are different between the two groups, so it is possible that some patients did not have a Hgb A1c done simply because they did not present for any screening blood work.
Through the open source development process a transparent, auditable voting system is not that far off.
Emmerich et al. argue that bodies like the Care Quality Commission CQCC) are therefore predisposed to privilege what is auditable over what is not.
My basic recommendation – that we should have a clear, auditable national data strategy – may not sound very radical, but we currently don't have such a strategy, and I believe it's the essential next step.
The essential problem of any system of assurance or audit lies in the need for auditable measures of performance: they have to be replicated and consistent.
