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Previous Volume 333:57-61 July 6, 1995 Number 1 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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In recent years, it seemed that regular performance reports on the quality of health care would soon be de facto if not de jure national policy. Several states established statewide reporting systems for hospitals. Voluntary coalitions of employers and health plans developed performance-report prototypes and began pilot testing. The Clinton administration's proposal for comprehensive health care reform¹ and those of its competitors -- proposals from Representative Jim Cooper (D-Tenn.) and Senator John Chafee (R-R.I.) -- included provisions for federally mandated reports on quality.

Comprehensive health care reform in the United States is now dead. The prospect of a national reporting . . . [Full Text of this Article]

Prototypes

Problems

Prospects

Don't Give Up

Don't Overdrive the Headlights

Don't Let the Perfect Be the Enemy of the Good

Think Strategically -- The Devil Is in the Details

Make the Methods Clear

One Size Cannot Fit All

Conclusions

References

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