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Quality indicators are becoming progressively more accepted among health care reformers, who believe that the quality of a physician’s care can be measured with easily defined metrics. The folly of that presumption is tackled in my book and in this blog. Now we are learning about another dark side of quality measures: they are very costly. A recent survey published in Health Affairs (March, 2016) demonstrats the financial burden that quality measurements impose on physician practices. Most practices surveyed spent on average 15 hours a week per doctor adhering to quality measures, with 4 hours of that time delegated to the doctor and the rest of the time falling on the laps of office sta
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