North Carolina medical journal
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Clinical quality measurement remains an elusive goal, and it has the potential to result in adverse outcomes and unexpected consequences. Practicing physicians are wary of current efforts but should remain professionally committed to the development of effective, evidence-based quality measures.
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The Improving Performance in Practice program of the South East Area Health Education Center aims to assist primary care practices in using electronic health records to improve outcomes for patients with chronic diseases. This commentary describes the challenges and successes of practices that have participated in this program.
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Community Care of North Carolina's provider-driven approach to quality improvement has benefitted tens of thousands of North Carolinians with diabetes, asthma, hypertension, heart failure, and cardiovascular disease, and it has achieved better results than commercial Medicaid managed care nationally. Substantial opportunities remain, however, particularly for patients with complex care needs.