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Review

Problems for clinical judgement: 4. Surviving in the report card era

Jack V. Tu, Michael J. Schull, Lorraine E. Ferris, Janet E. Hux and Donald A. Redelmeier
CMAJ June 12, 2001 164 (12) 1709-1712;
Jack V. Tu
From the *Department of Medicine, University of Toronto, Toronto, Ont.; the †Division of Clinical Epidemiology and Health Care Research, Sunnybrook & Women's College Health Sciences Centre, Toronto, Ont.; the ‡Departments of Health Administration and Public Health Sciences, University of Toronto, Toronto, Ont.; and the §Institute for Clinical Evaluative Sciences, Toronto, Ont.
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Michael J. Schull
From the *Department of Medicine, University of Toronto, Toronto, Ont.; the †Division of Clinical Epidemiology and Health Care Research, Sunnybrook & Women's College Health Sciences Centre, Toronto, Ont.; the ‡Departments of Health Administration and Public Health Sciences, University of Toronto, Toronto, Ont.; and the §Institute for Clinical Evaluative Sciences, Toronto, Ont.
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Lorraine E. Ferris
From the *Department of Medicine, University of Toronto, Toronto, Ont.; the †Division of Clinical Epidemiology and Health Care Research, Sunnybrook & Women's College Health Sciences Centre, Toronto, Ont.; the ‡Departments of Health Administration and Public Health Sciences, University of Toronto, Toronto, Ont.; and the §Institute for Clinical Evaluative Sciences, Toronto, Ont.
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Janet E. Hux
From the *Department of Medicine, University of Toronto, Toronto, Ont.; the †Division of Clinical Epidemiology and Health Care Research, Sunnybrook & Women's College Health Sciences Centre, Toronto, Ont.; the ‡Departments of Health Administration and Public Health Sciences, University of Toronto, Toronto, Ont.; and the §Institute for Clinical Evaluative Sciences, Toronto, Ont.
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Donald A. Redelmeier
From the *Department of Medicine, University of Toronto, Toronto, Ont.; the †Division of Clinical Epidemiology and Health Care Research, Sunnybrook & Women's College Health Sciences Centre, Toronto, Ont.; the ‡Departments of Health Administration and Public Health Sciences, University of Toronto, Toronto, Ont.; and the §Institute for Clinical Evaluative Sciences, Toronto, Ont.
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Abstract

HEALTH CARE REPORT CARDS INVOLVE COMPARISONS of health care systems, hospitals or clinicians on performance measures. They are going to be an important feature of medical care in Canada in the new millennium as patients demand more information about their medical care. Although many clinicians are aware of this growing trend, they may not be prepared for all of its implications. In this article, we provide some historical background on health care report cards and describe a number of strategies to help clinicians survive and thrive in the report card era. We offer a number of tips ranging from knowing your outcomes first to proactively getting involved in developing report cards.

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CMAJ
Vol. 164, Issue 12
12 Jun 2001
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Problems for clinical judgement: 4. Surviving in the report card era
Jack V. Tu, Michael J. Schull, Lorraine E. Ferris, Janet E. Hux, Donald A. Redelmeier
CMAJ Jun 2001, 164 (12) 1709-1712;

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Problems for clinical judgement: 4. Surviving in the report card era
Jack V. Tu, Michael J. Schull, Lorraine E. Ferris, Janet E. Hux, Donald A. Redelmeier
CMAJ Jun 2001, 164 (12) 1709-1712;
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  • Article
    • Abstract
    • 1. Don't shoot the messenger
    • 2. Check that the results are risk-adjusted
    • 3. Check the quality of the data prior to analysis
    • 4. Ask if the authors have conflicts of interest
    • 5. Know your outcomes before others do
    • 6. Complete your charts carefully
    • 7. Focus your practice
    • 8. Learn from your colleagues
    • 9. Ask for the full story of both process and outcomes
    • 10. If you can't beat them, join them
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