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Thirteen years ago, we reported that American adults were receiving about half of recommended care for the 30 leading causes of illness and death.1 We used 439 indicators covering inpatient and outpatient care that were validated through a modified Delphi process. Indicators were scored using data abstracted from all physicians seeing participants supplemented by survey data. We also found that quality deficits were similar across very different communities2 and that everyone was at risk for experiencing substandard quality.3 These findings caught the public and health professionals by surprise, although they were consistent with prior small studies. Since then, there has been a proliferation of public and private programs to measure, publicly report, and reward or penalize health plans, hospitals, physicians, and other care settings on quality.
McGlynn EA, Adams JL, Kerr EA. The Quest to Improve Quality: Measurement Is Necessary but Not Sufficient. JAMA Intern Med. 2016;176(12):1790–1791. doi:10.1001/jamainternmed.2016.6233
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