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May 15, 2013

Use of Administrative Data for Public Reporting of Outcomes

Author Affiliations

Letters Section Editor: Jody W. Zylke, MD, Senior Editor.

Author Affiliations: Departments of Surgery (Dr Utter; garth.utter@ucdmc.ucdavis.edu) and Internal Medicine (Dr Romano), University of California, Davis, Medical Center, Sacramento.

JAMA. 2013;309(19):1991-1992. doi:10.1001/jama.2013.4544

To the Editor: In their Viewpoint regarding the use of administrative data (ie, International Classification of Diseases, Ninth Revision, Clinical Modification [ICD-9-CM]) in public reporting of outcomes and pay for performance, Dr Farmer and colleagues1 argued for “a national, standardized system for outcome reporting” separate from administrative data that is “minimally affected by the incentives to alter coding created by public reporting.” Count us as skeptics.