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A methodology for setting performance standards for physicians in clinical practice.

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Hess BJ, Weng W, Lipner RS. — American Board of Internal Medicine

Presented: American Educational Research Association Conference, April 2009

Abstract: Assessing physicians' performance in clinical practice is becoming increasingly important for quality improvement initiatives, competency-based education, pay-for-performance recognition programs, and physician accountability. To assess physician performance in practice or in residency programs, we need to not only use reliable and evidence-based measures, but also meaningful and credible performance standards. Our study presents an application of cluster analysis and receiver operating characteristic (ROC) curves to determine whether a viable performance-based standard can be set using clinical data from a sample of 1,260 physician practices. This study addresses a gap in the literature by proffering one method for assessing physicians' performance in practice and for determining standards based on a set of standardized clinical measures of quality.

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