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Can Administrative Data Assess Physicians' Quality of Care?Can Administrative Data Assess Physicians' Quality of Care?

JAMA. 2003;289(20):2648-2648. doi:10.1001/jama.289.20.2648-c
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AUTHOR INFORMATION

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

CAN ADMINISTRATIVE DATA ASSESS PHYSICIANS' QUALITY OF CARE?

To the Editor: In his Editorial, Dr Hsia1 briefly mentioned the need for computerized medical records. As a clinician I take issue with any study that presumes to evaluate the care I may give patients in the hospital or in my office. Such data are mostly collected through the administrative side of the chart and the data are wrong more often than they are correct. A clinically driven electronic medical record would be much more accurate to effectively monitor both physicians and patients.

It is very frustrating to be forced to send data to the government or whatever watchdog agency, knowing that it will be misused and misinterpreted. I recently received a demand for a patient record from such an agency in order to evaluate the care of a new patient. However, I am still waiting for the patient's old record in order to fashion his care more completely. Will the agency document my efforts to get as much information as possible or does the agency only document the fact that the patient has not had a glycohemoglobin test this month?

References
Hsia DC. Medicare quality improvement: bad apples or bad systems?  JAMA.2003;289:354-356.

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Hsia DC. Medicare quality improvement: bad apples or bad systems?  JAMA.2003;289:354-356.
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