When a measure becomes a target, it ceases to be a good measure.
This case could be said to be creating misleading data. If the doctor's offices aren't recording appointments more than 48 hours in advance, the System is losing visibility on the total number of people who want appointments. Every office will appear to be 100% efficient even though there is effectively still an invisible waiting list.
This case could be said to be creating misleading data. If the doctor's offices aren't recording appointments more than 48 hours in advance, the System is losing visibility on the total number of people who want appointments. Every office will appear to be 100% efficient even though there is effectively still an invisible waiting list.