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October 26, 2005

Quality Improvement Organizations and Hospital Care

Author Affiliations

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2005;294(16):2028-2030. doi:10.1001/jama.294.16.2029-b

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.

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