RT Journal
A1 Werner RM, McNutt RA
T1 IDentifying and improving quality of care—reply
JF JAMA
JO JAMA
YR 2009
FD July 22
VO 302
IS 4
SP 383
OP 383
DO 10.1001/jama.2009.1044
UL http://dx.doi.org/10.1001/jama.2009.1044
AB 
Outcomes measures are often poorly risk adjusted and seem to have minimal effect on which physicians patients select.1 Measuring processes of care, although evidence-based and actionable, has had little effect on patient outcomes.2- 3 To our knowledge, neither measure type has successfully been used to improve quality of care.