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Comment & Response
May 14, 2019

Patient-Centered Performance Metrics

Author Affiliations
  • 1University of Illinois College of Medicine at Urbana-Champaign, Champaign, Illinois
  • 2Carle Illinois College of Medicine, Champaign, Illinois
JAMA. 2019;321(18):1829. doi:10.1001/jama.2019.2056

To the Editor The Viewpoint by Dr Khullar and colleagues raised some important points about how organizations evaluate high-quality care.1 In particular, the authors highlighted a shift from individual physician performance metrics toward organizational metrics. This shift addresses one aspect of performance metrics that was lacking in early iterations: the effect of factors not directly under the control of physicians. Additionally, an estimated $15.4 billion annually is spent by US physician practices on reporting performance.2 However, in their closing arguments, the authors focused on physician professionalism. While we agree that professionalism is necessary, it will not address these shortcomings.