Features  |   February 2014
Why Measure? From Quality Measurement to Quality Improvement
Author Affiliations
  • Steven R. Tosone, M.D.
    Committee on Performance and Outcomes Measurement
Article Information
Quality Improvement / Features
Features   |   February 2014
Why Measure? From Quality Measurement to Quality Improvement
ASA Monitor 02 2014, Vol.78, 18-19.
ASA Monitor 02 2014, Vol.78, 18-19.
It is generally accepted that measurement of perfor-mance is the first step toward quality improvement, whether in business or medicine. This has been the fundamental concept driving the attention insurers and governmental and regulatory agencies place on development of quality and performance measures in health care. As our population ages, more health care will be consumed and even greater expense incurred. One of the hopes for the future is that we will find ways to maximize the benefit of our care, minimizing waste or harm – thus creating an optimal value (high quality at low cost) or “best practice”-based approach. While this is obviously not a near-term goal in an all-encompassing system, the longest journeys begin with the first step, and we can see the path before us. “Value-based purchasing” is coming. The public simply won’t accept that it takes many years or perhaps decades for widespread adoption of a “best practice.” We must accelerate the incorporation of our knowledge into everyday care.
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