coordination across all care settings; they provide virtually no information on the costs of care, especially for a population over time; and they offer very limited measures of the outcomes of care. To begin to address these shortcomings, the committee proposes longitudinal measures of outcomes and costs, starting with 1-year mortality, resource use, and functional status measures for acute myocardial infarction.

CLOSING COMMENTS

The next step in enhancing current performance measurement and reporting capabilities is to address the gaps identified in this chapter through a research agenda. Chapter 5 provides a strategy for the development of a research agenda to support the aggressive development of the resolution of underlying methodological issues, the improvement of public reporting methods, and the evaluation of the overall progress of the national system for performance measurement and reporting proposed in this report.

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