Author Affiliations: San Francisco Veterans Affairs Medical Center and Division of Geriatrics, University of California, San Francisco.
Quality indicators are quantitative measures used to evaluate the quality of health care. They are often based on clinical practice guidelines and are designed to encourage effective, evidence-based care.1 Quality indicators are becoming increasingly important, with Medicare, the Department of Veterans Affairs, and commercial managed care plans implementing pay-for-performance programs that tie reimbursement to these indicators. However, for medically complex older patients, there are concerns that closer adherence to current quality indicators may lead to unintended harms.1- 3
Lee SJ, Walter LC. Quality Indicators for Older AdultsPreventing Unintended Harms. JAMA. 2011;306(13):1481-1482. doi:10.1001/jama.2011.1418