TY - JOUR T1 - QUality of care—how good is good enough? AU - Sox HC, Greenfield S Y1 - 2010/06/16 N1 - 10.1001/jama.2010.810 JO - JAMA SP - 2403 EP - 2404 VL - 303 IS - 23 N2 - According to current practice, a payer judges a physician or a practice organization by the proportion of patients for which the physician adhered to the practice measure. “Good enough” therefore is an adherence rate that exceeds a threshold, which is typically expressed as a percentile of the distribution of adherence rates in a population of clinical practices. For example, in its recognition program, the National Committee for Quality Assurance sets the threshold for passing a measure according to the population-derived adherence rate for the corresponding Healthcare Effectiveness Data and Information Set (HEDIS) Health Plan measure (usually at the 70th percentile) (Gregory Pawlson, MD, National Committee for Quality Assurance, e-mail communication, April 2010). SN - 0098-7484 M3 - doi: 10.1001/jama.2010.810 UR - http://dx.doi.org/10.1001/jama.2010.810 ER -