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Previous Volume 356:1782-1784 April 26, 2007 Number 17 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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To the Editor: Lindenauer et al. (Feb. 1 issue)¹ report that hospital participation in the Centers for Medicare and Medicaid Services (CMS) Premier Hospital Quality Incentive Demonstration (HQID), or pay for performance, was associated with modest but significant improvements in performance on 10 key quality measures. However, before we can conclude that pay for performance benefits patients, it is important to consider the potential for unintended negative effects on quality. Health care providers are responsible for many different aspects of patient care. As suggested in the "multitasking" literature of organizational economics,^2,3 compensating providers for only a subgroup of these activities . . . [Full Text of this Article]

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