Letters Section Editor: Robert M. Golub,
MD, Senior Editor.
To the Editor: The article by Dr Walter et
al1 illustrates why the implementation of
quality measuring requires careful attention to sampling and target population.
However, the issue raised in their article is not a problem of translating
guidelines into measures, but rather one of implementing measures in practice.
The use of a nonrandom sample of patients with severe chronic illness to examine
performance on a screening measure is a problem.
Pawlson G, Scholle SH, Renner P. Pitfalls of Converting Practice Guidelines Into Quality Measures. JAMA. 2004;292(11):1301. doi:10.1001/jama.292.11.1301-a