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A New Strategy to Improve QualityRewarding Actions Rather Than Measures
Rachel M. Werner, MD, PhD;
Robert McNutt, MD
JAMA. 2009;301(13):1375-1377.
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The focus on improving the quality of medical care in the United States through initiatives like public reporting and pay for performance is based on the belief that measuring quality of care is an essential first step in improving quality of care. Without measurement, it is implored, it will be impossible to know if the care clinicians deliver is good or bad. As a result, quality measurement has flourished and has been the foundation for quality improvement initiatives. Quality measures are publicly reported and perhaps influence consumer choice of physicians and hospitals and, therefore, create incentives to deliver high-quality care.1 They are also used to determine clinician and hospital reimbursement.2-3
Despite this focus on improving quality using measures thought to predict quality, the health care sector has made remarkably little progress toward that goal.4 Also, the rate of improvement is getting smaller . . . [Full Text of this Article] Limitations of Current Quality Improvement Initiatives
Author Affiliations: Center for Health Equity Research and Promotion and Division of General Internal Medicine, University of Pennsylvania School of Medicine, Philadelphia (Dr Werner); and Department of Medicine, Rush University Medical Center, Chicago, Illinois (Dr McNutt).
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Identifying and Improving Quality of Care
Schumacher
JAMA 2009;302:383-383.
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