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Editorials |

Physician Leadership for High-Quality Care

Carolyn M. Clancy, MD
Author and Funding Information

Correspondence to: Carolyn M. Clancy, MD, Director, AHRQ, John M. Eisenberg Building, 540 Gaither Rd, Rockville, MD 20850; e-mail: Carolyn.clancy@ahrq.hhs.gov

Affiliations: Dr. Clancy is Director, Agency for Healthcare Research and Quality.


Financial/nonfinancial disclosures: The author has reported to the ACCP that no significant conflicts of interest exist with any conflicts/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/site/misc/reprints.xhtml).


© 2009 American College of Chest Physicians


Chest. 2009;136(6):1452-1454. doi:10.1378/chest.09-1396
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Extract

As policymakers grapple with reforming the US health-care system, a common theme is the urgent need to assure that all Americans receive high-quality, affordable care. While specific details regarding how that goal will be achieved, and how rapidly we can get there, are the focus of extensive debate, it is clear that a focus on the public reporting of quality is likely to expand. In more recent years, strong collaborations between Medicare and the private sector now make it possible for the public to access information on quality within hospitals, nursing homes, home health care, and many other settings. Medicare demonstrations and private sector initiatives that attempt to align payment with quality rather than volume provide a foundation for future value-based purchasing initiatives.

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