(Article from Medical Economics) I see the need for quality improvement targets but what are these targets based on and who creates them? From what I've read, even the best quality-improvement measures can be flawed by the inherent difficulty in measuring health outcomes and other indicators. How do you track a patient's care over a lifetime and attribute those outcomes directly to a specific provider? If you do evaluate shorter term measures such as patient care episodes, is it really possible to isolate for other factors outside a provider's control? Also, can the party that is creating and benchmarking the quality improvement targets be truly impartial?...especially when targets are linked to a incentives or reimbursements of some type?
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