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Perspective

Time Out — Charting a Path for Improving Performance Measurement

List of authors.
  • Catherine H. MacLean, M.D., Ph.D.,
  • Eve A. Kerr, M.D., M.P.H.,
  • and Amir Qaseem, M.D., Ph.D., M.H.A.

As performance measures proliferate, an American College of Physicians committee rated the validity of 87 measures that are relevant to ambulatory general internal medicine. The committee found that 37% were valid, 35% were not valid, and 28% were of uncertain validity.

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Funding and Disclosures

Disclosure forms provided by the authors are available at NEJM.org.

This article was published on April 18, 2018, at NEJM.org.

Author Affiliations

From the Center for the Advancement of Value in Musculoskeletal Care, Hospital for Special Surgery, New York (C.H.M.); the University of Michigan Department of Internal Medicine and Institute for Healthcare Policy and Innovation and the Veterans Affairs Ann Arbor Center for Clinical Management and Research, Ann Arbor (E.A.K.); and the American College of Physicians, Philadelphia (A.Q.); and the ACP Performance Measurement Committee (C.H.M., E.A.K.). The other members of the Performance Measurement Committee were J. Thomas Cross, Jr., Eileen Barrett, Robert Centor, Andrew Dunn, Nick Fitterman, Bruce Leff, Ana María López, Mark Metersky, Robert Pendleton, Stephen D. Persell, Edmondo J. Robinson, Sameer D. Saini, Paul Shekelle, and from the American College of Physicians, Sarah Dinwiddie.

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