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March 17, 1999

Defining and Improving Health Care Quality

Author Affiliations

Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor

JAMA. 1999;281(11):984-985. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-11-jbk0317

To the Editor: In asserting that current quality improvement efforts are "sporadic at best," the consensus statement published by the Institute of Medicine's (IOM's) National Roundtable on Health Care Quality1 overlooks the recent accomplishments of the nation's network of quality improvement organizations (QIOs). Quality improvement organizations are nonprofit, community-based, physician-sponsored organizations that collaborate with health care professionals, health insurance plans, and hospitals to analyze health care patterns and interpret and share information about current science and best practices.

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