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Letters |

Accounting Principles and Measuring Health Care Quality—Reply

Peter J. Pronovost, MD, PhD; Marlene Miller, MD, MSc; Robert M. Wachter, PhD
JAMA. 2008;299(7):764-765. doi:10.1001/jama.299.7.764-b.
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In Reply: In response to Drs Jayaraman and Rivenson, we recognize that measuring health care quality is exceedingly complex, and standards for reporting will evolve. Rather than offer a prescriptive solution, the intent of our Commentary was to start a long overdue discussion. Although we support public reporting of quality, the data must be accurate to be helpful.

Presently, the reporting of quality measures is like the Wild West. Without national or international standards as guidelines for health care organizations publicizing quality measures, there is little assurance that the information reported is based on science. Such measures may misinform consumers.

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February 20, 2008
Dev Jayaraman, MD, FRCP; Howard Rivenson, PhD
JAMA. 2008;299(7):764-765. doi:10.1001/jama.299.7.764-a.
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