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Viewpoint |

Creating Safe Harbors for Quality Measurement Innovation and Improvement

Elizabeth A. McGlynn, PhD1; Eve A. Kerr, MD, MPH2,3
[+] Author Affiliations
1Kaiser Permanente Center for Effectiveness & Safety Research, Pasadena, California
2Department of Veterans Affairs Center for Clinical Management Research, Ann Arbor, Michigan
3University of Michigan Department of Internal Medicine and Institute for Healthcare Policy and Innovation, Ann Arbor
JAMA. 2016;315(2):129-130. doi:10.1001/jama.2015.16858.
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This Viewpoint discusses barriers to innovation in health care delivery and outlines a program for driving such innovation while maintaining a focus on accountability.

Public reporting on quality performance has become widespread, and financial rewards for demonstrating higher quality are now common. National organizations, such as the Centers for Medicare & Medicaid Services (CMS), the National Committee for Quality Assurance (NCQA), and The Joint Commission, as well as some employers, large health care systems, and multistakeholder collations, operate programs that track, and sometimes pay for, quality using a defined set of measures. Although there is evidence that measurement and reporting have contributed to improved quality, there also is evidence that current quality monitoring systems have had unintended consequences and sometimes limited returns.1,2

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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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