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Previous Volume 359:2176-2177 November 13, 2008 Number 20 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: Doran et al. (July 17 issue)¹ found low rates of exception reporting among family practices in England and conclude that there is little evidence of gaming in the pay-for-performance system. The authors did not have access to the reasons for exception reporting.

This finding may allay fears of misuse of exceptions while heightening concern that capturing rare events adds an unnecessary data-collection burden. Some incorrectly may assume that all exception data are lost to inquiry.

In fact, exceptions should be captured, categorized, and reported to delineate appropriate and inappropriate variations in care. Exceptions flag important clinical conditions . . . [Full Text of this Article]

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