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	<title>Comments on: Performance measure overdose</title>
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	<description>Internal medicine, American health care, and especially medical education</description>
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		<title>By: lilane</title>
		<link>http://www.medrants.com/archives/4697/comment-page-1#comment-528988</link>
		<dc:creator>lilane</dc:creator>
		<pubDate>Sat, 15 Aug 2009 06:31:50 +0000</pubDate>
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		<content:encoded><![CDATA[<p>Apparel|Ed Hardy Men Clothing|Ed Hardy Men T-Shirts|Ed Hardy Women T-Shirts|Footwear|Jerseys|Sunglasses|Tiffany Jewelry    <a href="http://www.80trade.com" rel="nofollow">http://www.80trade.com</a></p>
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		<title>By: curious</title>
		<link>http://www.medrants.com/archives/4697/comment-page-1#comment-528728</link>
		<dc:creator>curious</dc:creator>
		<pubDate>Fri, 24 Jul 2009 18:03:56 +0000</pubDate>
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		<description>Tell us, please: since Onora O&#039;Neill is such an unquestionable source of Truth, what solution does she suggest?  Implicit quality review?  Kudos, if that&#039;s the case!  (if only we could realign payment rules to support implicit review activities)

I doubt she supports a state of blissful ignorance or believes there are no deficiencies in the quality of care delivered to patients.</description>
		<content:encoded><![CDATA[<p>Tell us, please: since Onora O&#8217;Neill is such an unquestionable source of Truth, what solution does she suggest?  Implicit quality review?  Kudos, if that&#8217;s the case!  (if only we could realign payment rules to support implicit review activities)</p>
<p>I doubt she supports a state of blissful ignorance or believes there are no deficiencies in the quality of care delivered to patients.</p>
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		<title>By: Mary Andrawis</title>
		<link>http://www.medrants.com/archives/4697/comment-page-1#comment-528721</link>
		<dc:creator>Mary Andrawis</dc:creator>
		<pubDate>Fri, 24 Jul 2009 13:55:38 +0000</pubDate>
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		<description>Thanks for a thought-provoking post! I think it comes down to the use of strong, evidence-based clinical guidelines in the development of these quality metrics. Quality IS complex, but if we could just find a better way to PRACTICE what the guidelines deem as good care, I think care can, and will, improve.</description>
		<content:encoded><![CDATA[<p>Thanks for a thought-provoking post! I think it comes down to the use of strong, evidence-based clinical guidelines in the development of these quality metrics. Quality IS complex, but if we could just find a better way to PRACTICE what the guidelines deem as good care, I think care can, and will, improve.</p>
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