Letters Section Editor: Robert M. Golub,
MD, Senior Editor.
To the Editor: Dr Walter and colleagues find
much to approve of in the Veterans Health Administration's (VHA's) system
of performance measures—a key aspect of our improvements in quality
health care over the past 10 years.1- 3 However,
the significant criticisms of our system that they offer require response.
Fleming BB, Petzel RA. Pitfalls of Converting Practice Guidelines Into Quality Measures. JAMA. 2004;292(11):1301. doi:10.1001/jama.292.11.1301-b