Assessing the Validity of National Quality Measures for Coronary Artery Disease Using an Electronic Health Record

Abstract
Momentum from health care payers and policy makers continues to build for increased public reporting of clinical quality data and for distributing payments to health care providers based on the quality of care they provide (pay-for-performance). The United Kingdom's National Health Service has begun to use this approach in distributing payment to primary care physicians.1 However, some physician groups in the United States have voiced resistance to pay-for-performance, citing burdens of data collection and inaccuracies associated with quality measurement.2,3 The Centers for Medicare and Medicaid Services (CMS) has expressed interest in quality measurement using data contained in electronic health records (EHRs) for pay-for-reporting and pay-for-performance.4

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