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Current Quality Registries Lack the Accurate Data Needed to Perform Adequate Reliability Adjustments

Aug 1, 2016

To the Editor:

We would like to thank Drs. Wakeam and Hyder1 for their excellent discussion and description of reliability adjustment in the recent issue of Anesthesiology. The authors correctly highlight the important role that the statistical analysis of data submitted to the various registries can play in the ranking of institutions. This is particularly important now that the Centers for Medicare and Medicaid Services requires providers to participate in a Physician Quality Reporting System2 using a Qualified Clinical Data Registry. These requirements are a precursor to altering physician payments based upon measures of care quality.

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