Not Sold on Performance Measures

  1. Michael E. Miller, MD
  1. From Medical Care Affiliates, Boston, MA 02199.

    TO THE EDITOR:

    I've practiced internal medicine with 3 colleagues for 28 years and have no desire to impede the improvement of patient safety and care quality. However, in their recent article, Landon and Normand (1) evoke more questions than answers, leaving me unconvinced of the value of performance measurements and unenthusiastic about embracing them.

    Where is the evidence that public reporting of performance measures and pay-for-performance programs improve (rather than worsen) outcomes and reduce (rather than increase) health care costs?

    Are these programs the best place to invest …

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    1. Ann Intern Med July 15, 2008 vol. 149 no. 2 146
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