Catalyzed by evidence of poor-quality care and remarkable variations in processes and outcomes, the interest in quality measurement has increased exponentially. Manifestations of this interest include widespread promulgation of quality measures, an increase in public reporting of these measures, and early experiments in paying for quality.1,2 Now that quality of care is being measured rather than assumed, there seems little doubt that better quality scores will lead to major competitive advantages for clinicians and organizations.
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