Quality measures in pediatric hospital medicine: Moneyball or looking for Fabio?

“What are we doing here?” Brad Pitt asks a table full of weathered scouts in a memorable scene in the movie Moneyball. Playing Oakland Athletics manager Billy Beane, he goes on to critique the scouts’ traditional, subjective ranking of players as “looking for Fabio.” The fi lm is based on a book of the same name that chronicles the record-breaking success of the 2002 Oakland Athletics baseball team. At the heart of this achievement was the application of novel evidence-based metrics to maximize performance in the setting of a limited supply of fi scal resources.