To the Editor: The study of the effectiveness of report cards in cardiac care by Dr Tu and colleagues1 addressed an important issue in health policy: does the public reporting of quality indicators actually improve the performance of hospitals? The well-designed trial effectively demonstrated the disconnect that sometimes exists between the need to improve health care delivery and the willingness or ability of hospitals to actually do so.
Van Spall H. Report Cards for Cardiac Care. JAMA. 2010;303(14):1367-1368. doi:10.1001/jama.2010.386