ABSTRACT
Background ere has been a dramatic growth in recent years in the development of performance measures to monitor and evaluate the quality of medical care [1]. Examples include performance measures developed for the Institute of Medicine’s (IOMs) national report card [2], the National Committee for Quality Assurance’s (NCQA) Healthcare Eectiveness Data and Information Set (HEDIS) [3], the National Quality Forum’s (NQF) “Standardizing Ambulatory Care Performance Measures” project [4], and the American Medical Association’s outpatient chronic care clinical performance measures [5].
