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Patient-Centered Performance Management:  Enhancing Value for Patients and Health Care Systems

Eve A. Kerr, MD, MPH1,2; Rodney A. Hayward, MD1,2,3
[+] Author Affiliations
1Department of Veterans Affairs, Health Services Research and Development Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan
2Department of Internal Medicine, University of Michigan, Ann Arbor
3Robert Wood Johnson Clinical Scholars Program, University of Michigan, Ann Arbor
JAMA. 2013;310(2):137-138. doi:10.1001/jama.2013.6828.
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All too often, the US health care system fails patients at 2 levels. Some patients fail to receive care that would clearly help them, whereas other patients receive care that will not benefit them (and may even be harmful).1,2 Worse, clinicians also might fail to inform patients about the risks and benefits they might incur from even simple and common treatments. Instead, the current focus on one-size-fits-all guidelines and performance measures (eg, all patients should achieve a specified blood pressure [BP] threshold) discounts key commitments to personalizing care based on individual risks and preferences, even to the point of promoting unnecessary and harmful treatment.3,4

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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