In health care, as in education, there is pressure to increase revenue. In K-12 this results from a need to improve quality; in health care, from a need to expand access. Like clinics and hospitals, K-12 districts seeking additional revenue like to say "my cases are tougher." Walt McClure describes techniques for measuring quality that show major differences in effectiveness among the 'producers'.
Notes from an evening with a group of teachers, and the partners in a law firm and a medical clinic. The discussion about the relationship of professionals and administrators, in law and medicine, compared to the relationship of teachers and principal in a typical school, is fascinating especially with regards to authority and pay.