Letters Section Editor: Robert M. Golub, MD, Senior Editor.
To the Editor: Dr Bradley and colleagues1 evaluated the relationship between hospital compliance with process measures for acute myocardial infarction (AMI) and short-term cardiac mortality. The data demonstrate that compliance with Joint Commission on Accreditation of Healthcare Organizations and the Center for Medicare and Medicaid Services core process measures can account for about 6% of the variation in outcomes for this patient population. We believe that their suggestion for expanded process measure reporting as a way to improve quality of care is not supported by the available evidence.
McKalip D, Harbaugh RE. Process Measures and Short-term Mortality for Acute Myocardial Infarction. JAMA. 2006;296(21):2557-2558. doi:10.1001/jama.296.21.2557-a