Letters Section Editor: Robert M. Golub,
MD, Senior Editor.
To the Editor: In their study of QIOs and the
quality of hospital care, Drs Snyder and Anderson1 cite
our study of the effects of the Cooperative Cardiovascular Project,2 a QIO project undertaken in 4 pilot states. We compared
the performance of these states with the rest of the nation, using the latter
as a control group. Snyder and Anderson write, “Significant improvements
were found in the pilot states, but evidence from the study suggests the nation
as a whole also improved during this time.” While true, this does not
take into account our most striking finding.
Gold JA, Ellerbeck EF, Vogel RA. Quality Improvement Organizations and Hospital Care. JAMA. 2005;294(16):2028-2030. doi:10.1001/jama.294.16.2029-b