id sid tid token lemma pos cord-030380-okue1kso 1 1 key key JJ cord-030380-okue1kso 2 1 : : : cord-030380-okue1kso 2 2 cord-030380-okue1kso cord-030380-okue1kso NNP cord-030380-okue1kso 2 3 authors author NNS cord-030380-okue1kso 2 4 : : : cord-030380-okue1kso 2 5 McWilliams McWilliams NNP cord-030380-okue1kso 2 6 , , , cord-030380-okue1kso 2 7 J. J. NNP cord-030380-okue1kso 2 8 Michael Michael NNP cord-030380-okue1kso 3 1 title title NN cord-030380-okue1kso 3 2 : : : cord-030380-okue1kso 3 3 Professionalism Professionalism NNP cord-030380-okue1kso 3 4 Revealed reveal VBD cord-030380-okue1kso 3 5 : : : cord-030380-okue1kso 3 6 Rethinking rethink VBG cord-030380-okue1kso 3 7 Quality quality NN cord-030380-okue1kso 3 8 Improvement Improvement NNP cord-030380-okue1kso 3 9 in in IN cord-030380-okue1kso 3 10 the the DT cord-030380-okue1kso 3 11 Wake Wake NNP cord-030380-okue1kso 3 12 of of IN cord-030380-okue1kso 3 13 a a DT cord-030380-okue1kso 3 14 Pandemic Pandemic NNP cord-030380-okue1kso 3 15 date date NN cord-030380-okue1kso 3 16 : : : cord-030380-okue1kso 3 17 2020 2020 CD cord-030380-okue1kso 3 18 - - HYPH cord-030380-okue1kso 3 19 07 07 CD cord-030380-okue1kso 3 20 - - SYM cord-030380-okue1kso 3 21 22 22 CD cord-030380-okue1kso 3 22 journal journal NN cord-030380-okue1kso 3 23 : : : cord-030380-okue1kso 4 1 NEJM NEJM NNP cord-030380-okue1kso 4 2 Catal Catal NNP cord-030380-okue1kso 4 3 Innov Innov NNP cord-030380-okue1kso 4 4 Care Care NNP cord-030380-okue1kso 4 5 Deliv Deliv NNP cord-030380-okue1kso 4 6 DOI DOI NNP cord-030380-okue1kso 5 1 : : : cord-030380-okue1kso 5 2 10.1056 10.1056 CD cord-030380-okue1kso 5 3 / / SYM cord-030380-okue1kso 5 4 cat.20.0226 cat.20.0226 NNP cord-030380-okue1kso 5 5 sha sha NNP cord-030380-okue1kso 5 6 : : : cord-030380-okue1kso 6 1 626cad4217b6b0fe0aa99a69801acfbb4232187b 626cad4217b6b0fe0aa99a69801acfbb4232187b LS cord-030380-okue1kso 7 1 doc_id doc_id CD cord-030380-okue1kso 7 2 : : : cord-030380-okue1kso 8 1 30380 30380 CD cord-030380-okue1kso 8 2 cord_uid cord_uid NNS cord-030380-okue1kso 8 3 : : : cord-030380-okue1kso 8 4 okue1kso okue1kso JJ cord-030380-okue1kso 9 1 The the DT cord-030380-okue1kso 9 2 response response NN cord-030380-okue1kso 9 3 of of IN cord-030380-okue1kso 9 4 clinicians clinician NNS cord-030380-okue1kso 9 5 to to IN cord-030380-okue1kso 9 6 the the DT cord-030380-okue1kso 9 7 Covid-19 covid-19 JJ cord-030380-okue1kso 9 8 pandemic pandemic NN cord-030380-okue1kso 9 9 has have VBZ cord-030380-okue1kso 9 10 been be VBN cord-030380-okue1kso 9 11 remarkable remarkable JJ cord-030380-okue1kso 9 12 but but CC cord-030380-okue1kso 9 13 unsurprising unsurprising JJ cord-030380-okue1kso 9 14 . . . cord-030380-okue1kso 10 1 As as IN cord-030380-okue1kso 10 2 the the DT cord-030380-okue1kso 10 3 hard hard JJ cord-030380-okue1kso 10 4 work work NN cord-030380-okue1kso 10 5 of of IN cord-030380-okue1kso 10 6 improving improve VBG cord-030380-okue1kso 10 7 health health NN cord-030380-okue1kso 10 8 care care NN cord-030380-okue1kso 10 9 delivery delivery NN cord-030380-okue1kso 10 10 resumes resume VBZ cord-030380-okue1kso 10 11 , , , cord-030380-okue1kso 10 12 their -PRON- PRP$ cord-030380-okue1kso 10 13 performance performance NN cord-030380-okue1kso 10 14 should should MD cord-030380-okue1kso 10 15 serve serve VB cord-030380-okue1kso 10 16 as as IN cord-030380-okue1kso 10 17 a a DT cord-030380-okue1kso 10 18 reminder reminder NN cord-030380-okue1kso 10 19 that that IN cord-030380-okue1kso 10 20 professionalism professionalism NN cord-030380-okue1kso 10 21 in in IN cord-030380-okue1kso 10 22 medicine medicine NN cord-030380-okue1kso 10 23 is be VBZ cord-030380-okue1kso 10 24 a a DT cord-030380-okue1kso 10 25 resource resource NN cord-030380-okue1kso 10 26 to to TO cord-030380-okue1kso 10 27 harness harness VB cord-030380-okue1kso 10 28 and and CC cord-030380-okue1kso 10 29 not not RB cord-030380-okue1kso 10 30 squander squander VB cord-030380-okue1kso 10 31 . . . cord-030380-okue1kso 11 1 The the DT cord-030380-okue1kso 11 2 Covid-19 covid-19 NN cord-030380-okue1kso 11 3 pandemic pandemic NN cord-030380-okue1kso 11 4 has have VBZ cord-030380-okue1kso 11 5 exposed expose VBN cord-030380-okue1kso 11 6 many many JJ cord-030380-okue1kso 11 7 weaknesses weakness NNS cord-030380-okue1kso 11 8 in in IN cord-030380-okue1kso 11 9 the the DT cord-030380-okue1kso 11 10 U.S. U.S. NNP cord-030380-okue1kso 11 11 health health NN cord-030380-okue1kso 11 12 care care NN cord-030380-okue1kso 11 13 system system NN cord-030380-okue1kso 11 14 but but CC cord-030380-okue1kso 11 15 has have VBZ cord-030380-okue1kso 11 16 also also RB cord-030380-okue1kso 11 17 revealed reveal VBN cord-030380-okue1kso 11 18 its -PRON- PRP$ cord-030380-okue1kso 11 19 core core NN cord-030380-okue1kso 11 20 strength strength NN cord-030380-okue1kso 11 21 : : : cord-030380-okue1kso 11 22 the the DT cord-030380-okue1kso 11 23 professionalism professionalism NN cord-030380-okue1kso 11 24 of of IN cord-030380-okue1kso 11 25 its -PRON- PRP$ cord-030380-okue1kso 11 26 workforce workforce NN cord-030380-okue1kso 11 27 . . . cord-030380-okue1kso 12 1 As as IN cord-030380-okue1kso 12 2 the the DT cord-030380-okue1kso 12 3 global global JJ cord-030380-okue1kso 12 4 crisis crisis NN cord-030380-okue1kso 12 5 unfolded unfold VBD cord-030380-okue1kso 12 6 , , , cord-030380-okue1kso 12 7 nations nation NNS cord-030380-okue1kso 12 8 of of IN cord-030380-okue1kso 12 9 worried worried JJ cord-030380-okue1kso 12 10 people people NNS cord-030380-okue1kso 12 11 confined confine VBN cord-030380-okue1kso 12 12 at at IN cord-030380-okue1kso 12 13 home home NN cord-030380-okue1kso 12 14 watched watch VBD cord-030380-okue1kso 12 15 their -PRON- PRP$ cord-030380-okue1kso 12 16 physicians physician NNS cord-030380-okue1kso 12 17 and and CC cord-030380-okue1kso 12 18 nurses nurse NNS cord-030380-okue1kso 12 19 report report VBP cord-030380-okue1kso 12 20 to to IN cord-030380-okue1kso 12 21 work work NN cord-030380-okue1kso 12 22 . . . cord-030380-okue1kso 13 1 These these DT cord-030380-okue1kso 13 2 professionals professional NNS cord-030380-okue1kso 13 3 not not RB cord-030380-okue1kso 13 4 only only RB cord-030380-okue1kso 13 5 exhausted exhausted JJ cord-030380-okue1kso 13 6 and and CC cord-030380-okue1kso 13 7 imperiled imperil VBD cord-030380-okue1kso 13 8 themselves -PRON- PRP cord-030380-okue1kso 13 9 , , , cord-030380-okue1kso 13 10 but but CC cord-030380-okue1kso 13 11 they -PRON- PRP cord-030380-okue1kso 13 12 also also RB cord-030380-okue1kso 13 13 rapidly rapidly RB cord-030380-okue1kso 13 14 absorbed absorb VBN cord-030380-okue1kso 13 15 ever ever RB cord-030380-okue1kso 13 16 - - HYPH cord-030380-okue1kso 13 17 changing change VBG cord-030380-okue1kso 13 18 information information NN cord-030380-okue1kso 13 19 about about IN cord-030380-okue1kso 13 20 an an DT cord-030380-okue1kso 13 21 emerging emerge VBG cord-030380-okue1kso 13 22 disease disease NN cord-030380-okue1kso 13 23 , , , cord-030380-okue1kso 13 24 mastered master VBD cord-030380-okue1kso 13 25 new new JJ cord-030380-okue1kso 13 26 skills skill NNS cord-030380-okue1kso 13 27 , , , cord-030380-okue1kso 13 28 and and CC cord-030380-okue1kso 13 29 implemented implement VBD cord-030380-okue1kso 13 30 new new JJ cord-030380-okue1kso 13 31 practices practice NNS cord-030380-okue1kso 13 32 . . . cord-030380-okue1kso 14 1 They -PRON- PRP cord-030380-okue1kso 14 2 embraced embrace VBD cord-030380-okue1kso 14 3 new new JJ cord-030380-okue1kso 14 4 responsibilities responsibility NNS cord-030380-okue1kso 14 5 , , , cord-030380-okue1kso 14 6 with with IN cord-030380-okue1kso 14 7 new new JJ cord-030380-okue1kso 14 8 physicians physician NNS cord-030380-okue1kso 14 9 joining join VBG cord-030380-okue1kso 14 10 the the DT cord-030380-okue1kso 14 11 ranks rank NNS cord-030380-okue1kso 14 12 early early RB cord-030380-okue1kso 14 13 and and CC cord-030380-okue1kso 14 14 others other NNS cord-030380-okue1kso 14 15 coming come VBG cord-030380-okue1kso 14 16 out out IN cord-030380-okue1kso 14 17 of of IN cord-030380-okue1kso 14 18 retirement retirement NN cord-030380-okue1kso 14 19 . . . cord-030380-okue1kso 15 1 They -PRON- PRP cord-030380-okue1kso 15 2 did do VBD cord-030380-okue1kso 15 3 not not RB cord-030380-okue1kso 15 4 retreat retreat VB cord-030380-okue1kso 15 5 from from IN cord-030380-okue1kso 15 6 compassion compassion NN cord-030380-okue1kso 15 7 . . . cord-030380-okue1kso 16 1 They -PRON- PRP cord-030380-okue1kso 16 2 remained remain VBD cord-030380-okue1kso 16 3 inquisitive inquisitive JJ cord-030380-okue1kso 16 4 and and CC cord-030380-okue1kso 16 5 instructive instructive JJ cord-030380-okue1kso 16 6 , , , cord-030380-okue1kso 16 7 teaching teach VBG cord-030380-okue1kso 16 8 colleagues colleague NNS cord-030380-okue1kso 16 9 how how WRB cord-030380-okue1kso 16 10 to to TO cord-030380-okue1kso 16 11 address address VB cord-030380-okue1kso 16 12 new new JJ cord-030380-okue1kso 16 13 problems problem NNS cord-030380-okue1kso 16 14 and and CC cord-030380-okue1kso 16 15 generating generate VBG cord-030380-okue1kso 16 16 protocols protocol NNS cord-030380-okue1kso 16 17 on on IN cord-030380-okue1kso 16 18 the the DT cord-030380-okue1kso 16 19 fly fly NN cord-030380-okue1kso 16 20 . . . cord-030380-okue1kso 17 1 They -PRON- PRP cord-030380-okue1kso 17 2 expressed express VBD cord-030380-okue1kso 17 3 composed compose VBN cord-030380-okue1kso 17 4 outrage outrage NN cord-030380-okue1kso 17 5 when when WRB cord-030380-okue1kso 17 6 systems system NNS cord-030380-okue1kso 17 7 failed fail VBD cord-030380-okue1kso 17 8 their -PRON- PRP$ cord-030380-okue1kso 17 9 patients patient NNS cord-030380-okue1kso 17 10 ; ; : cord-030380-okue1kso 17 11 they -PRON- PRP cord-030380-okue1kso 17 12 mobilized mobilize VBD cord-030380-okue1kso 17 13 to to TO cord-030380-okue1kso 17 14 fix fix VB cord-030380-okue1kso 17 15 what what WP cord-030380-okue1kso 17 16 they -PRON- PRP cord-030380-okue1kso 17 17 could could MD cord-030380-okue1kso 17 18 . . . cord-030380-okue1kso 18 1 And and CC cord-030380-okue1kso 18 2 , , , cord-030380-okue1kso 18 3 with with IN cord-030380-okue1kso 18 4 somber somber JJ cord-030380-okue1kso 18 5 resolve resolve NN cord-030380-okue1kso 18 6 , , , cord-030380-okue1kso 18 7 they -PRON- PRP cord-030380-okue1kso 18 8 prepared prepare VBD cord-030380-okue1kso 18 9 to to TO cord-030380-okue1kso 18 10 ration ration VB cord-030380-okue1kso 18 11 critical critical JJ cord-030380-okue1kso 18 12 care care NN cord-030380-okue1kso 18 13 according accord VBG cord-030380-okue1kso 18 14 to to IN cord-030380-okue1kso 18 15 ethical ethical JJ cord-030380-okue1kso 18 16 and and CC cord-030380-okue1kso 18 17 economic economic JJ cord-030380-okue1kso 18 18 principles principle NNS cord-030380-okue1kso 18 19 . . . cord-030380-okue1kso 19 1 No no DT cord-030380-okue1kso 19 2 financial financial JJ cord-030380-okue1kso 19 3 incentives incentive NNS cord-030380-okue1kso 19 4 or or CC cord-030380-okue1kso 19 5 performance performance NN cord-030380-okue1kso 19 6 measures measure NNS cord-030380-okue1kso 19 7 were be VBD cord-030380-okue1kso 19 8 required require VBN cord-030380-okue1kso 19 9 to to TO cord-030380-okue1kso 19 10 prompt prompt VB cord-030380-okue1kso 19 11 their -PRON- PRP$ cord-030380-okue1kso 19 12 efforts effort NNS cord-030380-okue1kso 19 13 ; ; : cord-030380-okue1kso 19 14 in in IN cord-030380-okue1kso 19 15 fact fact NN cord-030380-okue1kso 19 16 , , , cord-030380-okue1kso 19 17 many many JJ cord-030380-okue1kso 19 18 pitched pitch VBD cord-030380-okue1kso 19 19 in in RP cord-030380-okue1kso 19 20 against against IN cord-030380-okue1kso 19 21 their -PRON- PRP$ cord-030380-okue1kso 19 22 financial financial JJ cord-030380-okue1kso 19 23 self self NN cord-030380-okue1kso 19 24 - - HYPH cord-030380-okue1kso 19 25 interest interest NN cord-030380-okue1kso 19 26 . . . cord-030380-okue1kso 20 1 While while IN cord-030380-okue1kso 20 2 some some DT cord-030380-okue1kso 20 3 less less JJR cord-030380-okue1kso 20 4 - - HYPH cord-030380-okue1kso 20 5 than than IN cord-030380-okue1kso 20 6 - - HYPH cord-030380-okue1kso 20 7 admirable admirable JJ cord-030380-okue1kso 20 8 behavior behavior NN cord-030380-okue1kso 20 9 may may MD cord-030380-okue1kso 20 10 be be VB cord-030380-okue1kso 20 11 exposed expose VBN cord-030380-okue1kso 20 12 when when WRB cord-030380-okue1kso 20 13 the the DT cord-030380-okue1kso 20 14 fog fog NN cord-030380-okue1kso 20 15 of of IN cord-030380-okue1kso 20 16 war war NN cord-030380-okue1kso 20 17 lifts lift NNS cord-030380-okue1kso 20 18 , , , cord-030380-okue1kso 20 19 the the DT cord-030380-okue1kso 20 20 overall overall JJ cord-030380-okue1kso 20 21 display display NN cord-030380-okue1kso 20 22 of of IN cord-030380-okue1kso 20 23 professionalism professionalism NN cord-030380-okue1kso 20 24 is be VBZ cord-030380-okue1kso 20 25 nothing nothing NN cord-030380-okue1kso 20 26 short short JJ cord-030380-okue1kso 20 27 of of IN cord-030380-okue1kso 20 28 astonishing astonishing JJ cord-030380-okue1kso 20 29 and and CC cord-030380-okue1kso 20 30 should should MD cord-030380-okue1kso 20 31 serve serve VB cord-030380-okue1kso 20 32 as as IN cord-030380-okue1kso 20 33 a a DT cord-030380-okue1kso 20 34 reminder reminder NN cord-030380-okue1kso 20 35 that that IN cord-030380-okue1kso 20 36 clinicians clinician NNS cord-030380-okue1kso 20 37 ' ' POS cord-030380-okue1kso 20 38 unique unique JJ cord-030380-okue1kso 20 39 training training NN cord-030380-okue1kso 20 40 and and CC cord-030380-okue1kso 20 41 intrinsic intrinsic JJ cord-030380-okue1kso 20 42 concern concern NN cord-030380-okue1kso 20 43 for for IN cord-030380-okue1kso 20 44 their -PRON- PRP$ cord-030380-okue1kso 20 45 patients patient NNS cord-030380-okue1kso 20 46 is be VBZ cord-030380-okue1kso 20 47 our -PRON- PRP$ cord-030380-okue1kso 20 48 greatest great JJS cord-030380-okue1kso 20 49 resource resource NN cord-030380-okue1kso 20 50 , , , cord-030380-okue1kso 20 51 our -PRON- PRP$ cord-030380-okue1kso 20 52 best good JJS cord-030380-okue1kso 20 53 hope hope NN cord-030380-okue1kso 20 54 , , , cord-030380-okue1kso 20 55 for for IN cord-030380-okue1kso 20 56 improving improve VBG cord-030380-okue1kso 20 57 health health NN cord-030380-okue1kso 20 58 care care NN cord-030380-okue1kso 20 59 . . . cord-030380-okue1kso 21 1 The the DT cord-030380-okue1kso 21 2 vastness vastness NN cord-030380-okue1kso 21 3 of of IN cord-030380-okue1kso 21 4 that that DT cord-030380-okue1kso 21 5 resource resource NN cord-030380-okue1kso 21 6 , , , cord-030380-okue1kso 21 7 revealed reveal VBN cord-030380-okue1kso 21 8 but but CC cord-030380-okue1kso 21 9 not not RB cord-030380-okue1kso 21 10 created create VBN cord-030380-okue1kso 21 11 by by IN cord-030380-okue1kso 21 12 the the DT cord-030380-okue1kso 21 13 Covid-19 covid-19 NN cord-030380-okue1kso 21 14 response response NN cord-030380-okue1kso 21 15 , , , cord-030380-okue1kso 21 16 should should MD cord-030380-okue1kso 21 17 also also RB cord-030380-okue1kso 21 18 make make VB cord-030380-okue1kso 21 19 us -PRON- PRP cord-030380-okue1kso 21 20 recognize recognize VB cord-030380-okue1kso 21 21 that that IN cord-030380-okue1kso 21 22 it -PRON- PRP cord-030380-okue1kso 21 23 may may MD cord-030380-okue1kso 21 24 be be VB cord-030380-okue1kso 21 25 underused underuse VBN cord-030380-okue1kso 21 26 -whether -whether HYPH cord-030380-okue1kso 21 27 mismanaged mismanaged JJ cord-030380-okue1kso 21 28 , , , cord-030380-okue1kso 21 29 malnourished malnourished JJ cord-030380-okue1kso 21 30 , , , cord-030380-okue1kso 21 31 or or CC cord-030380-okue1kso 21 32 undermined undermine VBN cord-030380-okue1kso 21 33 -in -in : cord-030380-okue1kso 21 34 normal normal JJ cord-030380-okue1kso 21 35 times time NNS cord-030380-okue1kso 21 36 . . . cord-030380-okue1kso 22 1 The the DT cord-030380-okue1kso 22 2 heroes hero NNS cord-030380-okue1kso 22 3 on on IN cord-030380-okue1kso 22 4 the the DT cord-030380-okue1kso 22 5 front front JJ cord-030380-okue1kso 22 6 lines line NNS cord-030380-okue1kso 22 7 were be VBD cord-030380-okue1kso 22 8 not not RB cord-030380-okue1kso 22 9 born bear VBN cord-030380-okue1kso 22 10 overnight overnight RB cord-030380-okue1kso 22 11 . . . cord-030380-okue1kso 23 1 Although although IN cord-030380-okue1kso 23 2 the the DT cord-030380-okue1kso 23 3 same same JJ cord-030380-okue1kso 23 4 might may MD cord-030380-okue1kso 23 5 be be VB cord-030380-okue1kso 23 6 observed observe VBN cord-030380-okue1kso 23 7 of of IN cord-030380-okue1kso 23 8 workers worker NNS cord-030380-okue1kso 23 9 outside outside IN cord-030380-okue1kso 23 10 of of IN cord-030380-okue1kso 23 11 health health NN cord-030380-okue1kso 23 12 care care NN cord-030380-okue1kso 23 13 who who WP cord-030380-okue1kso 23 14 have have VBP cord-030380-okue1kso 23 15 also also RB cord-030380-okue1kso 23 16 risen rise VBN cord-030380-okue1kso 23 17 to to IN cord-030380-okue1kso 23 18 the the DT cord-030380-okue1kso 23 19 occasion occasion NN cord-030380-okue1kso 23 20 , , , cord-030380-okue1kso 23 21 the the DT cord-030380-okue1kso 23 22 implications implication NNS cord-030380-okue1kso 23 23 for for IN cord-030380-okue1kso 23 24 medicine medicine NN cord-030380-okue1kso 23 25 are be VBP cord-030380-okue1kso 23 26 distinctive distinctive JJ cord-030380-okue1kso 23 27 . . . cord-030380-okue1kso 24 1 First first RB cord-030380-okue1kso 24 2 , , , cord-030380-okue1kso 24 3 health health NN cord-030380-okue1kso 24 4 care care NN cord-030380-okue1kso 24 5 workers worker NNS cord-030380-okue1kso 24 6 choose choose VBP cord-030380-okue1kso 24 7 their -PRON- PRP$ cord-030380-okue1kso 24 8 jobs job NNS cord-030380-okue1kso 24 9 at at IN cord-030380-okue1kso 24 10 least least JJS cord-030380-okue1kso 24 11 in in IN cord-030380-okue1kso 24 12 part part NN cord-030380-okue1kso 24 13 to to TO cord-030380-okue1kso 24 14 help help VB cord-030380-okue1kso 24 15 others other NNS cord-030380-okue1kso 24 16 , , , cord-030380-okue1kso 24 17 and and CC cord-030380-okue1kso 24 18 many many JJ cord-030380-okue1kso 24 19 spend spend VBP cord-030380-okue1kso 24 20 years year NNS cord-030380-okue1kso 24 21 learning learn VBG cord-030380-okue1kso 24 22 their -PRON- PRP$ cord-030380-okue1kso 24 23 craft craft NN cord-030380-okue1kso 24 24 ; ; : cord-030380-okue1kso 24 25 the the DT cord-030380-okue1kso 24 26 concentration concentration NN cord-030380-okue1kso 24 27 of of IN cord-030380-okue1kso 24 28 human human JJ cord-030380-okue1kso 24 29 capital capital NN cord-030380-okue1kso 24 30 and and CC cord-030380-okue1kso 24 31 goodwill goodwill NN cord-030380-okue1kso 24 32 in in IN cord-030380-okue1kso 24 33 the the DT cord-030380-okue1kso 24 34 medical medical JJ cord-030380-okue1kso 24 35 profession profession NN cord-030380-okue1kso 24 36 is be VBZ cord-030380-okue1kso 24 37 unique unique JJ cord-030380-okue1kso 24 38 . . . cord-030380-okue1kso 25 1 Second second RB cord-030380-okue1kso 25 2 , , , cord-030380-okue1kso 25 3 after after IN cord-030380-okue1kso 25 4 the the DT cord-030380-okue1kso 25 5 Covid-19 covid-19 NN cord-030380-okue1kso 25 6 crisis crisis NN cord-030380-okue1kso 25 7 passes pass VBZ cord-030380-okue1kso 25 8 , , , cord-030380-okue1kso 25 9 suffering suffering NN cord-030380-okue1kso 25 10 will will MD cord-030380-okue1kso 25 11 continue continue VB cord-030380-okue1kso 25 12 in in IN cord-030380-okue1kso 25 13 medicine medicine NN cord-030380-okue1kso 25 14 . . . cord-030380-okue1kso 26 1 Much much JJ cord-030380-okue1kso 26 2 of of IN cord-030380-okue1kso 26 3 what what WP cord-030380-okue1kso 26 4 physicians physician NNS cord-030380-okue1kso 26 5 and and CC cord-030380-okue1kso 26 6 nurses nurse NNS cord-030380-okue1kso 26 7 have have VBP cord-030380-okue1kso 26 8 confronted confront VBN cord-030380-okue1kso 26 9 on on IN cord-030380-okue1kso 26 10 the the DT cord-030380-okue1kso 26 11 front front JJ cord-030380-okue1kso 26 12 lines line NNS cord-030380-okue1kso 26 13 is be VBZ cord-030380-okue1kso 26 14 not not RB cord-030380-okue1kso 26 15 new new JJ cord-030380-okue1kso 26 16 , , , cord-030380-okue1kso 26 17 just just RB cord-030380-okue1kso 26 18 different different JJ cord-030380-okue1kso 26 19 and and CC cord-030380-okue1kso 26 20 intense intense JJ cord-030380-okue1kso 26 21 . . . cord-030380-okue1kso 27 1 In in IN cord-030380-okue1kso 27 2 its -PRON- PRP$ cord-030380-okue1kso 27 3 steady steady JJ cord-030380-okue1kso 27 4 state state NN cord-030380-okue1kso 27 5 , , , cord-030380-okue1kso 27 6 the the DT cord-030380-okue1kso 27 7 system system NN cord-030380-okue1kso 27 8 constantly constantly RB cord-030380-okue1kso 27 9 encounters encounter VBZ cord-030380-okue1kso 27 10 patients patient NNS cord-030380-okue1kso 27 11 in in IN cord-030380-okue1kso 27 12 crisis crisis NN cord-030380-okue1kso 27 13 and and CC cord-030380-okue1kso 27 14 often often RB cord-030380-okue1kso 27 15 fails fail VBZ cord-030380-okue1kso 27 16 to to TO cord-030380-okue1kso 27 17 meet meet VB cord-030380-okue1kso 27 18 the the DT cord-030380-okue1kso 27 19 challenge challenge NN cord-030380-okue1kso 27 20 . . . cord-030380-okue1kso 28 1 If if IN cord-030380-okue1kso 28 2 our -PRON- PRP$ cord-030380-okue1kso 28 3 medical medical JJ cord-030380-okue1kso 28 4 professionals professional NNS cord-030380-okue1kso 28 5 have have VBP cord-030380-okue1kso 28 6 more more JJR cord-030380-okue1kso 28 7 to to TO cord-030380-okue1kso 28 8 offer offer VB cord-030380-okue1kso 28 9 , , , cord-030380-okue1kso 28 10 the the DT cord-030380-okue1kso 28 11 consequences consequence NNS cord-030380-okue1kso 28 12 of of IN cord-030380-okue1kso 28 13 squandering squander VBG cord-030380-okue1kso 28 14 it -PRON- PRP cord-030380-okue1kso 28 15 are be VBP cord-030380-okue1kso 28 16 perpetually perpetually RB cord-030380-okue1kso 28 17 great great JJ cord-030380-okue1kso 28 18 . . . cord-030380-okue1kso 29 1 Thus thus RB cord-030380-okue1kso 29 2 , , , cord-030380-okue1kso 29 3 when when WRB cord-030380-okue1kso 29 4 we -PRON- PRP cord-030380-okue1kso 29 5 return return VBP cord-030380-okue1kso 29 6 to to IN cord-030380-okue1kso 29 7 the the DT cord-030380-okue1kso 29 8 task task NN cord-030380-okue1kso 29 9 of of IN cord-030380-okue1kso 29 10 improving improve VBG cord-030380-okue1kso 29 11 the the DT cord-030380-okue1kso 29 12 quality quality NN cord-030380-okue1kso 29 13 of of IN cord-030380-okue1kso 29 14 health health NN cord-030380-okue1kso 29 15 care care NN cord-030380-okue1kso 29 16 delivery delivery NN cord-030380-okue1kso 29 17 , , , cord-030380-okue1kso 29 18 we -PRON- PRP cord-030380-okue1kso 29 19 should should MD cord-030380-okue1kso 29 20 ask ask VB cord-030380-okue1kso 29 21 how how WRB cord-030380-okue1kso 29 22 the the DT cord-030380-okue1kso 29 23 professionalism professionalism NN cord-030380-okue1kso 29 24 of of IN cord-030380-okue1kso 29 25 our -PRON- PRP$ cord-030380-okue1kso 29 26 clinicians clinician NNS cord-030380-okue1kso 29 27 can can MD cord-030380-okue1kso 29 28 be be VB cord-030380-okue1kso 29 29 more more RBR cord-030380-okue1kso 29 30 effectively effectively RB cord-030380-okue1kso 29 31 tapped tap VBN cord-030380-okue1kso 29 32 and and CC cord-030380-okue1kso 29 33 supported support VBN cord-030380-okue1kso 29 34 . . . cord-030380-okue1kso 30 1 A a DT cord-030380-okue1kso 30 2 central central JJ cord-030380-okue1kso 30 3 concept concept NN cord-030380-okue1kso 30 4 in in IN cord-030380-okue1kso 30 5 health health NN cord-030380-okue1kso 30 6 economics economic NNS cord-030380-okue1kso 30 7 is be VBZ cord-030380-okue1kso 30 8 that that IN cord-030380-okue1kso 30 9 the the DT cord-030380-okue1kso 30 10 physician physician NN cord-030380-okue1kso 30 11 acts act VBZ cord-030380-okue1kso 30 12 as as IN cord-030380-okue1kso 30 13 an an DT cord-030380-okue1kso 30 14 agent agent NN cord-030380-okue1kso 30 15 for for IN cord-030380-okue1kso 30 16 the the DT cord-030380-okue1kso 30 17 patient patient NN cord-030380-okue1kso 30 18 , , , cord-030380-okue1kso 30 19 determining determine VBG cord-030380-okue1kso 30 20 what what WP cord-030380-okue1kso 30 21 the the DT cord-030380-okue1kso 30 22 patient patient NN cord-030380-okue1kso 30 23 's 's POS cord-030380-okue1kso 30 24 problem problem NN cord-030380-okue1kso 30 25 is be VBZ cord-030380-okue1kso 30 26 and and CC cord-030380-okue1kso 30 27 what what WP cord-030380-okue1kso 30 28 should should MD cord-030380-okue1kso 30 29 be be VB cord-030380-okue1kso 30 30 done do VBN cord-030380-okue1kso 30 31 about about IN cord-030380-okue1kso 30 32 it.1 it.1 NNP cord-030380-okue1kso 30 33 While while IN cord-030380-okue1kso 30 34 patients patient NNS cord-030380-okue1kso 30 35 desire desire VBP cord-030380-okue1kso 30 36 high high JJ cord-030380-okue1kso 30 37 - - HYPH cord-030380-okue1kso 30 38 quality quality NN cord-030380-okue1kso 30 39 care care NN cord-030380-okue1kso 30 40 , , , cord-030380-okue1kso 30 41 they -PRON- PRP cord-030380-okue1kso 30 42 may may MD cord-030380-okue1kso 30 43 not not RB cord-030380-okue1kso 30 44 be be VB cord-030380-okue1kso 30 45 sufficiently sufficiently RB cord-030380-okue1kso 30 46 informed informed JJ cord-030380-okue1kso 30 47 to to TO cord-030380-okue1kso 30 48 demand demand VB cord-030380-okue1kso 30 49 it -PRON- PRP cord-030380-okue1kso 30 50 . . . cord-030380-okue1kso 31 1 Physicians physician NNS cord-030380-okue1kso 31 2 are be VBP cord-030380-okue1kso 31 3 more more RBR cord-030380-okue1kso 31 4 informed informed JJ cord-030380-okue1kso 31 5 than than IN cord-030380-okue1kso 31 6 patients patient NNS cord-030380-okue1kso 31 7 by by IN cord-030380-okue1kso 31 8 virtue virtue NN cord-030380-okue1kso 31 9 of of IN cord-030380-okue1kso 31 10 their -PRON- PRP$ cord-030380-okue1kso 31 11 training training NN cord-030380-okue1kso 31 12 and and CC cord-030380-okue1kso 31 13 experience experience NN cord-030380-okue1kso 31 14 , , , cord-030380-okue1kso 31 15 and and CC cord-030380-okue1kso 31 16 are be VBP cord-030380-okue1kso 31 17 expected expect VBN cord-030380-okue1kso 31 18 to to TO cord-030380-okue1kso 31 19 be be VB cord-030380-okue1kso 31 20 motivated motivate VBN cord-030380-okue1kso 31 21 by by IN cord-030380-okue1kso 31 22 their -PRON- PRP$ cord-030380-okue1kso 31 23 intrinsic intrinsic JJ cord-030380-okue1kso 31 24 concern concern NN cord-030380-okue1kso 31 25 to to TO cord-030380-okue1kso 31 26 use use VB cord-030380-okue1kso 31 27 that that DT cord-030380-okue1kso 31 28 knowledge knowledge NN cord-030380-okue1kso 31 29 in in IN cord-030380-okue1kso 31 30 their -PRON- PRP$ cord-030380-okue1kso 31 31 patients patient NNS cord-030380-okue1kso 31 32 ' ' POS cord-030380-okue1kso 31 33 interest.2 interest.2 JJ cord-030380-okue1kso 31 34 Professionalism Professionalism NNP cord-030380-okue1kso 31 35 can can MD cord-030380-okue1kso 31 36 be be VB cord-030380-okue1kso 31 37 thought think VBN cord-030380-okue1kso 31 38 of of IN cord-030380-okue1kso 31 39 as as IN cord-030380-okue1kso 31 40 determining determine VBG cord-030380-okue1kso 31 41 the the DT cord-030380-okue1kso 31 42 outcome outcome NN cord-030380-okue1kso 31 43 of of IN cord-030380-okue1kso 31 44 physician physician NN cord-030380-okue1kso 31 45 agency agency NN cord-030380-okue1kso 31 46 ( ( -LRB- cord-030380-okue1kso 31 47 how how WRB cord-030380-okue1kso 31 48 patient patient JJ cord-030380-okue1kso 31 49 welfare welfare NN cord-030380-okue1kso 31 50 is be VBZ cord-030380-okue1kso 31 51 served serve VBN cord-030380-okue1kso 31 52 by by IN cord-030380-okue1kso 31 53 physicians physician NNS cord-030380-okue1kso 31 54 ' ' POS cord-030380-okue1kso 31 55 knowledge knowledge NN cord-030380-okue1kso 31 56 and and CC cord-030380-okue1kso 31 57 concern concern NN cord-030380-okue1kso 31 58 ) ) -RRB- cord-030380-okue1kso 31 59 . . . cord-030380-okue1kso 32 1 Conceptually conceptually RB cord-030380-okue1kso 32 2 , , , cord-030380-okue1kso 32 3 with with IN cord-030380-okue1kso 32 4 informed informed JJ cord-030380-okue1kso 32 5 and and CC cord-030380-okue1kso 32 6 motivated motivated JJ cord-030380-okue1kso 32 7 professionals professional NNS cord-030380-okue1kso 32 8 as as IN cord-030380-okue1kso 32 9 their -PRON- PRP$ cord-030380-okue1kso 32 10 agents agent NNS cord-030380-okue1kso 32 11 , , , cord-030380-okue1kso 32 12 patients patient NNS cord-030380-okue1kso 32 13 effectively effectively RB cord-030380-okue1kso 32 14 become become VBP cord-030380-okue1kso 32 15 discerning discern VBG cord-030380-okue1kso 32 16 consumers consumer NNS cord-030380-okue1kso 32 17 capable capable JJ cord-030380-okue1kso 32 18 of of IN cord-030380-okue1kso 32 19 driving drive VBG cord-030380-okue1kso 32 20 healthy healthy JJ cord-030380-okue1kso 32 21 competition competition NN cord-030380-okue1kso 32 22 in in IN cord-030380-okue1kso 32 23 health health NN cord-030380-okue1kso 32 24 care care NN cord-030380-okue1kso 32 25 markets market NNS cord-030380-okue1kso 32 26 where where WRB cord-030380-okue1kso 32 27 extrinsic extrinsic JJ cord-030380-okue1kso 32 28 pressure pressure NN cord-030380-okue1kso 32 29 may may MD cord-030380-okue1kso 32 30 be be VB cord-030380-okue1kso 32 31 needed need VBN cord-030380-okue1kso 32 32 to to TO cord-030380-okue1kso 32 33 encourage encourage VB cord-030380-okue1kso 32 34 highquality highquality JJ cord-030380-okue1kso 32 35 care care NN cord-030380-okue1kso 32 36 ( ( -LRB- cord-030380-okue1kso 32 37 e.g. e.g. RB cord-030380-okue1kso 32 38 , , , cord-030380-okue1kso 32 39 primary primary JJ cord-030380-okue1kso 32 40 care care NN cord-030380-okue1kso 32 41 physicians physician NNS cord-030380-okue1kso 32 42 [ [ -LRB- cord-030380-okue1kso 32 43 PCPs pcp NNS cord-030380-okue1kso 32 44 ] ] -RRB- cord-030380-okue1kso 32 45 directing direct VBG cord-030380-okue1kso 32 46 patients patient NNS cord-030380-okue1kso 32 47 to to IN cord-030380-okue1kso 32 48 the the DT cord-030380-okue1kso 32 49 safest safe JJS cord-030380-okue1kso 32 50 hospitals hospital NNS cord-030380-okue1kso 32 51 or or CC cord-030380-okue1kso 32 52 surgeons surgeon NNS cord-030380-okue1kso 32 53 selecting select VBG cord-030380-okue1kso 32 54 the the DT cord-030380-okue1kso 32 55 best good JJS cord-030380-okue1kso 32 56 devices device NNS cord-030380-okue1kso 32 57 ) ) -RRB- cord-030380-okue1kso 32 58 . . . cord-030380-okue1kso 33 1 ( ( -LRB- cord-030380-okue1kso 33 2 This this DT cord-030380-okue1kso 33 3 article article NN cord-030380-okue1kso 33 4 focuses focus VBZ cord-030380-okue1kso 33 5 largely largely RB cord-030380-okue1kso 33 6 on on IN cord-030380-okue1kso 33 7 physician physician NN cord-030380-okue1kso 33 8 agency agency NN cord-030380-okue1kso 33 9 as as IN cord-030380-okue1kso 33 10 an an DT cord-030380-okue1kso 33 11 instructive instructive JJ cord-030380-okue1kso 33 12 case case NN cord-030380-okue1kso 33 13 , , , cord-030380-okue1kso 33 14 but but CC cord-030380-okue1kso 33 15 other other JJ cord-030380-okue1kso 33 16 health health NN cord-030380-okue1kso 33 17 care care NN cord-030380-okue1kso 33 18 professionals professional NNS cord-030380-okue1kso 33 19 act act VBP cord-030380-okue1kso 33 20 as as IN cord-030380-okue1kso 33 21 agents agent NNS cord-030380-okue1kso 33 22 , , , cord-030380-okue1kso 33 23 too too RB cord-030380-okue1kso 33 24 , , , cord-030380-okue1kso 33 25 presenting present VBG cord-030380-okue1kso 33 26 analogous analogous JJ cord-030380-okue1kso 33 27 issues issue NNS cord-030380-okue1kso 33 28 that that WDT cord-030380-okue1kso 33 29 are be VBP cord-030380-okue1kso 33 30 no no RB cord-030380-okue1kso 33 31 less less RBR cord-030380-okue1kso 33 32 important important JJ cord-030380-okue1kso 33 33 . . . cord-030380-okue1kso 33 34 ) ) -RRB- cord-030380-okue1kso 34 1 Potential potential JJ cord-030380-okue1kso 34 2 refinements refinement NNS cord-030380-okue1kso 34 3 notwithstanding notwithstanding RB cord-030380-okue1kso 34 4 , , , cord-030380-okue1kso 35 1 the the DT cord-030380-okue1kso 35 2 dissatisfying dissatisfying JJ cord-030380-okue1kso 35 3 pace pace NN cord-030380-okue1kso 35 4 of of IN cord-030380-okue1kso 35 5 quality quality NN cord-030380-okue1kso 35 6 improvement improvement NN cord-030380-okue1kso 35 7 over over IN cord-030380-okue1kso 35 8 the the DT cord-030380-okue1kso 35 9 last last JJ cord-030380-okue1kso 35 10 2 2 CD cord-030380-okue1kso 35 11 decades decade NNS cord-030380-okue1kso 35 12 should should MD cord-030380-okue1kso 35 13 tell tell VB cord-030380-okue1kso 35 14 us -PRON- PRP cord-030380-okue1kso 35 15 that that IN cord-030380-okue1kso 35 16 measure measure NN cord-030380-okue1kso 35 17 - - HYPH cord-030380-okue1kso 35 18 reliant reliant JJ cord-030380-okue1kso 35 19 approaches approach NNS cord-030380-okue1kso 35 20 are be VBP cord-030380-okue1kso 35 21 unlikely unlikely JJ cord-030380-okue1kso 35 22 to to TO cord-030380-okue1kso 35 23 deliver deliver VB cord-030380-okue1kso 35 24 on on IN cord-030380-okue1kso 35 25 their -PRON- PRP$ cord-030380-okue1kso 35 26 promise promise NN cord-030380-okue1kso 35 27 . . . cord-030380-okue1kso 35 28 " " '' cord-030380-okue1kso 36 1 Early early JJ cord-030380-okue1kso 36 2 data datum NNS cord-030380-okue1kso 36 3 indicating indicate VBG cord-030380-okue1kso 36 4 that that IN cord-030380-okue1kso 36 5 physicians physician NNS cord-030380-okue1kso 36 6 are be VBP cord-030380-okue1kso 36 7 not not RB cord-030380-okue1kso 36 8 perfect perfect JJ cord-030380-okue1kso 36 9 agents agent NNS cord-030380-okue1kso 36 10 with with IN cord-030380-okue1kso 36 11 perfect perfect JJ cord-030380-okue1kso 36 12 information information NN cord-030380-okue1kso 36 13 spurred spur VBD cord-030380-okue1kso 36 14 the the DT cord-030380-okue1kso 36 15 growth growth NN cord-030380-okue1kso 36 16 of of IN cord-030380-okue1kso 36 17 quality quality NN cord-030380-okue1kso 36 18 measurement measurement NN cord-030380-okue1kso 36 19 , , , cord-030380-okue1kso 36 20 which which WDT cord-030380-okue1kso 36 21 has have VBZ cord-030380-okue1kso 36 22 uncovered uncover VBN cord-030380-okue1kso 36 23 more more RBR cord-030380-okue1kso 36 24 such such JJ cord-030380-okue1kso 36 25 evidence.3 evidence.3 NN cord-030380-okue1kso 37 1 , , , cord-030380-okue1kso 37 2 4 4 CD cord-030380-okue1kso 37 3 Empirical empirical JJ cord-030380-okue1kso 37 4 observations observation NNS cord-030380-okue1kso 37 5 that that IN cord-030380-okue1kso 37 6 physicians physician NNS cord-030380-okue1kso 37 7 can can MD cord-030380-okue1kso 37 8 be be VB cord-030380-okue1kso 37 9 misinformed misinformed JJ cord-030380-okue1kso 37 10 , , , cord-030380-okue1kso 37 11 unaware unaware JJ cord-030380-okue1kso 37 12 of of IN cord-030380-okue1kso 37 13 evidence evidence NN cord-030380-okue1kso 37 14 , , , cord-030380-okue1kso 37 15 subject subject JJ cord-030380-okue1kso 37 16 to to IN cord-030380-okue1kso 37 17 biases bias NNS cord-030380-okue1kso 37 18 , , , cord-030380-okue1kso 37 19 and and CC cord-030380-okue1kso 37 20 influenced influence VBN cord-030380-okue1kso 37 21 by by IN cord-030380-okue1kso 37 22 financial financial JJ cord-030380-okue1kso 37 23 incentives incentive NNS cord-030380-okue1kso 37 24 upended upend VBD cord-030380-okue1kso 37 25 physicians physician NNS cord-030380-okue1kso 37 26 ' ' POS cord-030380-okue1kso 37 27 long long RB cord-030380-okue1kso 37 28 - - HYPH cord-030380-okue1kso 37 29 standing stand VBG cord-030380-okue1kso 37 30 position position NN cord-030380-okue1kso 37 31 as as IN cord-030380-okue1kso 37 32 unquestioned unquestioned JJ cord-030380-okue1kso 37 33 and and CC cord-030380-okue1kso 37 34 self self NN cord-030380-okue1kso 37 35 - - HYPH cord-030380-okue1kso 37 36 regulated regulate VBN cord-030380-okue1kso 37 37 authorities authority NNS cord-030380-okue1kso 37 38 . . . cord-030380-okue1kso 38 1 With with IN cord-030380-okue1kso 38 2 these these DT cord-030380-okue1kso 38 3 shortcomings shortcoming NNS cord-030380-okue1kso 38 4 exposed expose VBN cord-030380-okue1kso 38 5 , , , cord-030380-okue1kso 38 6 consensus consensus NN cord-030380-okue1kso 38 7 emerged emerge VBD cord-030380-okue1kso 38 8 that that IN cord-030380-okue1kso 38 9 physicians physician NNS cord-030380-okue1kso 38 10 could could MD cord-030380-okue1kso 38 11 no no RB cord-030380-okue1kso 38 12 longer longer RB cord-030380-okue1kso 38 13 be be VB cord-030380-okue1kso 38 14 solely solely RB cord-030380-okue1kso 38 15 entrusted entrust VBN cord-030380-okue1kso 38 16 to to TO cord-030380-okue1kso 38 17 know know VB cord-030380-okue1kso 38 18 and and CC cord-030380-okue1kso 38 19 do do VB cord-030380-okue1kso 38 20 what what WP cord-030380-okue1kso 38 21 is be VBZ cord-030380-okue1kso 38 22 best good JJS cord-030380-okue1kso 38 23 for for IN cord-030380-okue1kso 38 24 their -PRON- PRP$ cord-030380-okue1kso 38 25 patients patient NNS cord-030380-okue1kso 38 26 . . . cord-030380-okue1kso 39 1 For for IN cord-030380-okue1kso 39 2 more more JJR cord-030380-okue1kso 39 3 than than IN cord-030380-okue1kso 39 4 2 2 CD cord-030380-okue1kso 39 5 decades decade NNS cord-030380-okue1kso 39 6 , , , cord-030380-okue1kso 39 7 we -PRON- PRP cord-030380-okue1kso 39 8 have have VBP cord-030380-okue1kso 39 9 deployed deploy VBN cord-030380-okue1kso 39 10 quality quality NN cord-030380-okue1kso 39 11 measures measure NNS cord-030380-okue1kso 39 12 hoping hope VBG cord-030380-okue1kso 39 13 to to TO cord-030380-okue1kso 39 14 overcome overcome VB cord-030380-okue1kso 39 15 physicians physician NNS cord-030380-okue1kso 39 16 ' ' POS cord-030380-okue1kso 39 17 limitations limitation NNS cord-030380-okue1kso 39 18 . . . cord-030380-okue1kso 40 1 In in IN cord-030380-okue1kso 40 2 general general JJ cord-030380-okue1kso 40 3 , , , cord-030380-okue1kso 40 4 quality quality NN cord-030380-okue1kso 40 5 improvement improvement NN cord-030380-okue1kso 40 6 strategies strategy NNS cord-030380-okue1kso 40 7 can can MD cord-030380-okue1kso 40 8 be be VB cord-030380-okue1kso 40 9 categorized categorize VBN cord-030380-okue1kso 40 10 based base VBN cord-030380-okue1kso 40 11 on on IN cord-030380-okue1kso 40 12 their -PRON- PRP$ cord-030380-okue1kso 40 13 reliance reliance NN cord-030380-okue1kso 40 14 on on IN cord-030380-okue1kso 40 15 performance performance NN cord-030380-okue1kso 40 16 measures measure NNS cord-030380-okue1kso 40 17 and and CC cord-030380-okue1kso 40 18 involvement involvement NN cord-030380-okue1kso 40 19 of of IN cord-030380-okue1kso 40 20 the the DT cord-030380-okue1kso 40 21 payment payment NN cord-030380-okue1kso 40 22 system system NN cord-030380-okue1kso 40 23 ( ( -LRB- cord-030380-okue1kso 40 24 Figure figure NN cord-030380-okue1kso 40 25 1 1 CD cord-030380-okue1kso 40 26 ) ) -RRB- cord-030380-okue1kso 40 27 . . . cord-030380-okue1kso 41 1 Performance performance NN cord-030380-okue1kso 41 2 measures measure NNS cord-030380-okue1kso 41 3 , , , cord-030380-okue1kso 41 4 defined define VBN cord-030380-okue1kso 41 5 by by IN cord-030380-okue1kso 41 6 specifications specification NNS cord-030380-okue1kso 41 7 for for IN cord-030380-okue1kso 41 8 processing process VBG cord-030380-okue1kso 41 9 information information NN cord-030380-okue1kso 41 10 to to TO cord-030380-okue1kso 41 11 score score VB cord-030380-okue1kso 41 12 provider provider NN cord-030380-okue1kso 41 13 quality quality NN cord-030380-okue1kso 41 14 , , , cord-030380-okue1kso 41 15 should should MD cord-030380-okue1kso 41 16 be be VB cord-030380-okue1kso 41 17 distinguished distinguish VBN cord-030380-okue1kso 41 18 from from IN cord-030380-okue1kso 41 19 information information NN cord-030380-okue1kso 41 20 more more RBR cord-030380-okue1kso 41 21 generally generally RB cord-030380-okue1kso 41 22 ( ( -LRB- cord-030380-okue1kso 41 23 without without IN cord-030380-okue1kso 41 24 which which WDT cord-030380-okue1kso 41 25 no no DT cord-030380-okue1kso 41 26 strategy strategy NN cord-030380-okue1kso 41 27 can can MD cord-030380-okue1kso 41 28 be be VB cord-030380-okue1kso 41 29 successful successful JJ cord-030380-okue1kso 41 30 ) ) -RRB- cord-030380-okue1kso 41 31 and and CC cord-030380-okue1kso 41 32 from from IN cord-030380-okue1kso 41 33 tools tool NNS cord-030380-okue1kso 41 34 that that WDT cord-030380-okue1kso 41 35 standardize standardize VBP cord-030380-okue1kso 41 36 practices practice NNS cord-030380-okue1kso 41 37 ( ( -LRB- cord-030380-okue1kso 41 38 checklists checklist NNS cord-030380-okue1kso 41 39 , , , cord-030380-okue1kso 41 40 guidelines guideline NNS cord-030380-okue1kso 41 41 , , , cord-030380-okue1kso 41 42 order order NN cord-030380-okue1kso 41 43 entry entry NN cord-030380-okue1kso 41 44 systems system NNS cord-030380-okue1kso 41 45 , , , cord-030380-okue1kso 41 46 etc etc FW cord-030380-okue1kso 41 47 . . . cord-030380-okue1kso 41 48 ) ) -RRB- cord-030380-okue1kso 42 1 but but CC cord-030380-okue1kso 42 2 do do VBP cord-030380-okue1kso 42 3 not not RB cord-030380-okue1kso 42 4 assess assess VB cord-030380-okue1kso 42 5 provider provider NN cord-030380-okue1kso 42 6 performance performance NN cord-030380-okue1kso 42 7 . . . cord-030380-okue1kso 43 1 Without without IN cord-030380-okue1kso 43 2 linked link VBN cord-030380-okue1kso 43 3 payment payment NN cord-030380-okue1kso 43 4 incentives incentive NNS cord-030380-okue1kso 43 5 , , , cord-030380-okue1kso 43 6 measures measure NNS cord-030380-okue1kso 43 7 may may MD cord-030380-okue1kso 43 8 be be VB cord-030380-okue1kso 43 9 used use VBN cord-030380-okue1kso 43 10 privately privately RB cord-030380-okue1kso 43 11 for for IN cord-030380-okue1kso 43 12 quality quality NN cord-030380-okue1kso 43 13 improvement improvement NN cord-030380-okue1kso 43 14 initiatives initiative NNS cord-030380-okue1kso 43 15 or or CC cord-030380-okue1kso 43 16 publicly publicly RB cord-030380-okue1kso 43 17 to to TO cord-030380-okue1kso 43 18 inform inform VB cord-030380-okue1kso 43 19 consumers consumer NNS cord-030380-okue1kso 43 20 and and CC cord-030380-okue1kso 43 21 providers provider NNS cord-030380-okue1kso 43 22 in in IN cord-030380-okue1kso 43 23 a a DT cord-030380-okue1kso 43 24 market market NN cord-030380-okue1kso 43 25 . . . cord-030380-okue1kso 44 1 In in IN cord-030380-okue1kso 44 2 recent recent JJ cord-030380-okue1kso 44 3 years year NNS cord-030380-okue1kso 44 4 , , , cord-030380-okue1kso 44 5 we -PRON- PRP cord-030380-okue1kso 44 6 have have VBP cord-030380-okue1kso 44 7 focused focus VBN cord-030380-okue1kso 44 8 almost almost RB cord-030380-okue1kso 44 9 exclusively exclusively RB cord-030380-okue1kso 44 10 on on IN cord-030380-okue1kso 44 11 the the DT cord-030380-okue1kso 44 12 box box NN cord-030380-okue1kso 44 13 of of IN cord-030380-okue1kso 44 14 strategies strategy NNS cord-030380-okue1kso 44 15 that that WDT cord-030380-okue1kso 44 16 combine combine VBP cord-030380-okue1kso 44 17 measurement measurement NN cord-030380-okue1kso 44 18 with with IN cord-030380-okue1kso 44 19 payment payment NN cord-030380-okue1kso 44 20 to to TO cord-030380-okue1kso 44 21 make make VB cord-030380-okue1kso 44 22 up up RP cord-030380-okue1kso 44 23 for for IN cord-030380-okue1kso 44 24 weak weak JJ cord-030380-okue1kso 44 25 competition competition NN cord-030380-okue1kso 44 26 or or CC cord-030380-okue1kso 44 27 deficient deficient JJ cord-030380-okue1kso 44 28 provider provider NN cord-030380-okue1kso 44 29 agency agency NN cord-030380-okue1kso 44 30 by by IN cord-030380-okue1kso 44 31 tying tie VBG cord-030380-okue1kso 44 32 financial financial JJ cord-030380-okue1kso 44 33 incentives incentive NNS cord-030380-okue1kso 44 34 directly directly RB cord-030380-okue1kso 44 35 to to IN cord-030380-okue1kso 44 36 performance performance VB cord-030380-okue1kso 44 37 on on IN cord-030380-okue1kso 44 38 specific specific JJ cord-030380-okue1kso 44 39 measures measure NNS cord-030380-okue1kso 44 40 . . . cord-030380-okue1kso 45 1 At at IN cord-030380-okue1kso 45 2 best well RBS cord-030380-okue1kso 45 3 , , , cord-030380-okue1kso 45 4 the the DT cord-030380-okue1kso 45 5 gains gain NNS cord-030380-okue1kso 45 6 have have VBP cord-030380-okue1kso 45 7 been be VBN cord-030380-okue1kso 45 8 spotty spotty JJ cord-030380-okue1kso 45 9 and and CC cord-030380-okue1kso 45 10 perhaps perhaps RB cord-030380-okue1kso 45 11 not not RB cord-030380-okue1kso 45 12 surprisingly surprisingly RB cord-030380-okue1kso 45 13 so so RB cord-030380-okue1kso 45 14 . . . cord-030380-okue1kso 46 1 Measure measure NN cord-030380-okue1kso 46 2 - - HYPH cord-030380-okue1kso 46 3 reliant reliant JJ cord-030380-okue1kso 46 4 strategies strategy NNS cord-030380-okue1kso 46 5 such such JJ cord-030380-okue1kso 46 6 as as IN cord-030380-okue1kso 46 7 public public JJ cord-030380-okue1kso 46 8 reporting reporting NN cord-030380-okue1kso 46 9 , , , cord-030380-okue1kso 46 10 pay pay VB cord-030380-okue1kso 46 11 for for IN cord-030380-okue1kso 46 12 performance performance NN cord-030380-okue1kso 46 13 , , , cord-030380-okue1kso 46 14 or or CC cord-030380-okue1kso 46 15 value value NN cord-030380-okue1kso 46 16 - - HYPH cord-030380-okue1kso 46 17 based base VBN cord-030380-okue1kso 46 18 purchasing purchasing NN cord-030380-okue1kso 46 19 are be VBP cord-030380-okue1kso 46 20 constrained constrain VBN cord-030380-okue1kso 46 21 by by IN cord-030380-okue1kso 46 22 the the DT cord-030380-okue1kso 46 23 multidimensional multidimensional JJ cord-030380-okue1kso 46 24 nature nature NN cord-030380-okue1kso 46 25 of of IN cord-030380-okue1kso 46 26 quality quality NN cord-030380-okue1kso 46 27 and and CC cord-030380-okue1kso 46 28 the the DT cord-030380-okue1kso 46 29 challenges challenge NNS cord-030380-okue1kso 46 30 inherent inherent JJ cord-030380-okue1kso 46 31 in in IN cord-030380-okue1kso 46 32 measuring measure VBG cord-030380-okue1kso 46 33 and and CC cord-030380-okue1kso 46 34 rewarding reward VBG cord-030380-okue1kso 46 35 it -PRON- PRP cord-030380-okue1kso 46 36 . . . cord-030380-okue1kso 47 1 First first RB cord-030380-okue1kso 47 2 , , , cord-030380-okue1kso 47 3 focusing focus VBG cord-030380-okue1kso 47 4 on on IN cord-030380-okue1kso 47 5 measurable measurable JJ cord-030380-okue1kso 47 6 markers marker NNS cord-030380-okue1kso 47 7 of of IN cord-030380-okue1kso 47 8 quality quality NN cord-030380-okue1kso 47 9 can can MD cord-030380-okue1kso 47 10 divert divert VB cord-030380-okue1kso 47 11 resources resource NNS cord-030380-okue1kso 47 12 from from IN cord-030380-okue1kso 47 13 harder hard JJR cord-030380-okue1kso 47 14 - - HYPH cord-030380-okue1kso 47 15 to to IN cord-030380-okue1kso 47 16 - - HYPH cord-030380-okue1kso 47 17 measure measure NN cord-030380-okue1kso 47 18 but but CC cord-030380-okue1kso 47 19 equally equally RB cord-030380-okue1kso 47 20 or or CC cord-030380-okue1kso 47 21 more more RBR cord-030380-okue1kso 47 22 important important JJ cord-030380-okue1kso 47 23 aspects aspect NNS cord-030380-okue1kso 47 24 of of IN cord-030380-okue1kso 47 25 care care NN cord-030380-okue1kso 47 26 , , , cord-030380-okue1kso 47 27 resulting result VBG cord-030380-okue1kso 47 28 in in IN cord-030380-okue1kso 47 29 unchanged unchanged JJ cord-030380-okue1kso 47 30 or or CC cord-030380-okue1kso 47 31 even even RB cord-030380-okue1kso 47 32 worse bad JJR cord-030380-okue1kso 47 33 quality quality NN cord-030380-okue1kso 47 34 overall overall RB cord-030380-okue1kso 47 35 . . . cord-030380-okue1kso 48 1 As as IN cord-030380-okue1kso 48 2 cases case NNS cord-030380-okue1kso 48 3 of of IN cord-030380-okue1kso 48 4 Covid-19 covid-19 NN cord-030380-okue1kso 48 5 mounted mount VBN cord-030380-okue1kso 48 6 , , , cord-030380-okue1kso 48 7 the the DT cord-030380-okue1kso 48 8 U.S. U.S. NNP cord-030380-okue1kso 48 9 Centers Centers NNPS cord-030380-okue1kso 48 10 for for IN cord-030380-okue1kso 48 11 Medicare Medicare NNP cord-030380-okue1kso 48 12 & & CC cord-030380-okue1kso 48 13 Medicaid Medicaid NNP cord-030380-okue1kso 48 14 Services Services NNP cord-030380-okue1kso 48 15 directly directly RB cord-030380-okue1kso 48 16 acknowledged acknowledge VBD cord-030380-okue1kso 48 17 this this DT cord-030380-okue1kso 48 18 trade trade NN cord-030380-okue1kso 48 19 - - HYPH cord-030380-okue1kso 48 20 off off NN cord-030380-okue1kso 48 21 when when WRB cord-030380-okue1kso 48 22 it -PRON- PRP cord-030380-okue1kso 48 23 relieved relieve VBD cord-030380-okue1kso 48 24 providers provider NNS cord-030380-okue1kso 48 25 of of IN cord-030380-okue1kso 48 26 reporting reporting NN cord-030380-okue1kso 48 27 requirements requirement NNS cord-030380-okue1kso 48 28 and and CC cord-030380-okue1kso 48 29 penalties penalty NNS cord-030380-okue1kso 48 30 in in IN cord-030380-okue1kso 48 31 its -PRON- PRP$ cord-030380-okue1kso 48 32 quality quality NN cord-030380-okue1kso 48 33 performance performance NN cord-030380-okue1kso 48 34 programs program NNS cord-030380-okue1kso 48 35 " " '' cord-030380-okue1kso 48 36 so so IN cord-030380-okue1kso 48 37 the the DT cord-030380-okue1kso 48 38 healthcare healthcare NN cord-030380-okue1kso 48 39 delivery delivery NN cord-030380-okue1kso 48 40 system system NN cord-030380-okue1kso 48 41 can can MD cord-030380-okue1kso 48 42 direct direct VB cord-030380-okue1kso 48 43 its -PRON- PRP$ cord-030380-okue1kso 48 44 time time NN cord-030380-okue1kso 48 45 and and CC cord-030380-okue1kso 48 46 resources resource NNS cord-030380-okue1kso 48 47 toward toward IN cord-030380-okue1kso 48 48 caring care VBG cord-030380-okue1kso 48 49 for for IN cord-030380-okue1kso 48 50 patients patient NNS cord-030380-okue1kso 48 51 . . . cord-030380-okue1kso 49 1 " " `` cord-030380-okue1kso 49 2 5 5 CD cord-030380-okue1kso 50 1 If if IN cord-030380-okue1kso 50 2 resources resource NNS cord-030380-okue1kso 50 3 could could MD cord-030380-okue1kso 50 4 be be VB cord-030380-okue1kso 50 5 more more RBR cord-030380-okue1kso 50 6 productively productively RB cord-030380-okue1kso 50 7 allocated allocate VBN cord-030380-okue1kso 50 8 during during IN cord-030380-okue1kso 50 9 an an DT cord-030380-okue1kso 50 10 acute acute JJ cord-030380-okue1kso 50 11 crisis crisis NN cord-030380-okue1kso 50 12 , , , cord-030380-okue1kso 50 13 they -PRON- PRP cord-030380-okue1kso 50 14 could could MD cord-030380-okue1kso 50 15 probably probably RB cord-030380-okue1kso 50 16 also also RB cord-030380-okue1kso 50 17 be be VB cord-030380-okue1kso 50 18 better well RBR cord-030380-okue1kso 50 19 spent spend VBN cord-030380-okue1kso 50 20 during during IN cord-030380-okue1kso 50 21 a a DT cord-030380-okue1kso 50 22 chronic chronic JJ cord-030380-okue1kso 50 23 one one NN cord-030380-okue1kso 50 24 in in IN cord-030380-okue1kso 50 25 which which WDT cord-030380-okue1kso 50 26 the the DT cord-030380-okue1kso 50 27 health health NN cord-030380-okue1kso 50 28 care care NN cord-030380-okue1kso 50 29 system system NN cord-030380-okue1kso 50 30 regularly regularly RB cord-030380-okue1kso 50 31 fails fail VBZ cord-030380-okue1kso 50 32 patients patient NNS cord-030380-okue1kso 50 33 in in IN cord-030380-okue1kso 50 34 extremis extremis NN cord-030380-okue1kso 50 35 . . . cord-030380-okue1kso 51 1 Second second JJ cord-030380-okue1kso 51 2 , , , cord-030380-okue1kso 51 3 performance performance NN cord-030380-okue1kso 51 4 measures measure NNS cord-030380-okue1kso 51 5 detect detect VBP cord-030380-okue1kso 51 6 the the DT cord-030380-okue1kso 51 7 symptoms symptom NNS cord-030380-okue1kso 51 8 of of IN cord-030380-okue1kso 51 9 dysfunction dysfunction NN cord-030380-okue1kso 51 10 , , , cord-030380-okue1kso 51 11 not not RB cord-030380-okue1kso 51 12 necessarily necessarily RB cord-030380-okue1kso 51 13 the the DT cord-030380-okue1kso 51 14 cause cause NN cord-030380-okue1kso 51 15 . . . cord-030380-okue1kso 52 1 Thus thus RB cord-030380-okue1kso 52 2 , , , cord-030380-okue1kso 52 3 performance performance NN cord-030380-okue1kso 52 4 - - HYPH cord-030380-okue1kso 52 5 linked link VBN cord-030380-okue1kso 52 6 incentives incentive NNS cord-030380-okue1kso 52 7 often often RB cord-030380-okue1kso 52 8 elicit elicit VBP cord-030380-okue1kso 52 9 low low JJ cord-030380-okue1kso 52 10 - - HYPH cord-030380-okue1kso 52 11 cost cost NN cord-030380-okue1kso 52 12 responses response NNS cord-030380-okue1kso 52 13 that that WDT cord-030380-okue1kso 52 14 improve improve VBP cord-030380-okue1kso 52 15 measured measure VBN cord-030380-okue1kso 52 16 performance performance NN cord-030380-okue1kso 52 17 ( ( -LRB- cord-030380-okue1kso 52 18 e.g. e.g. RB cord-030380-okue1kso 52 19 , , , cord-030380-okue1kso 52 20 teaching teach VBG cord-030380-okue1kso 52 21 to to IN cord-030380-okue1kso 52 22 the the DT cord-030380-okue1kso 52 23 test test NN cord-030380-okue1kso 52 24 or or CC cord-030380-okue1kso 52 25 gaming gaming NN cord-030380-okue1kso 52 26 ) ) -RRB- cord-030380-okue1kso 52 27 but but CC cord-030380-okue1kso 52 28 do do VBP cord-030380-okue1kso 52 29 not not RB cord-030380-okue1kso 52 30 address address VB cord-030380-okue1kso 52 31 the the DT cord-030380-okue1kso 52 32 underlying underlying JJ cord-030380-okue1kso 52 33 disorder disorder NN cord-030380-okue1kso 52 34 . . . cord-030380-okue1kso 53 1 In in IN cord-030380-okue1kso 53 2 contrast contrast NN cord-030380-okue1kso 53 3 , , , cord-030380-okue1kso 53 4 when when WRB cord-030380-okue1kso 53 5 measures measure NNS cord-030380-okue1kso 53 6 are be VBP cord-030380-okue1kso 53 7 used use VBN cord-030380-okue1kso 53 8 for for IN cord-030380-okue1kso 53 9 evaluation evaluation NN cord-030380-okue1kso 53 10 , , , cord-030380-okue1kso 53 11 they -PRON- PRP cord-030380-okue1kso 53 12 may may MD cord-030380-okue1kso 53 13 serve serve VB cord-030380-okue1kso 53 14 to to TO cord-030380-okue1kso 53 15 detect detect VB cord-030380-okue1kso 53 16 valid valid JJ cord-030380-okue1kso 53 17 signals signal NNS cord-030380-okue1kso 53 18 of of IN cord-030380-okue1kso 53 19 systemic systemic JJ cord-030380-okue1kso 53 20 improvement improvement NN cord-030380-okue1kso 53 21 . . . cord-030380-okue1kso 54 1 That that RB cord-030380-okue1kso 54 2 is is RB cord-030380-okue1kso 54 3 , , , cord-030380-okue1kso 54 4 a a DT cord-030380-okue1kso 54 5 measure measure NN cord-030380-okue1kso 54 6 may may MD cord-030380-okue1kso 54 7 successfully successfully RB cord-030380-okue1kso 54 8 reflect reflect VB cord-030380-okue1kso 54 9 a a DT cord-030380-okue1kso 54 10 change change NN cord-030380-okue1kso 54 11 in in IN cord-030380-okue1kso 54 12 a a DT cord-030380-okue1kso 54 13 deeper deep JJR cord-030380-okue1kso 54 14 construct construct NN cord-030380-okue1kso 54 15 ( ( -LRB- cord-030380-okue1kso 54 16 e.g. e.g. RB cord-030380-okue1kso 54 17 , , , cord-030380-okue1kso 54 18 patient patient JJ cord-030380-okue1kso 54 19 safety safety NN cord-030380-okue1kso 54 20 ) ) -RRB- cord-030380-okue1kso 54 21 ; ; : cord-030380-okue1kso 54 22 its -PRON- PRP$ cord-030380-okue1kso 54 23 psychometric psychometric JJ cord-030380-okue1kso 54 24 properties property NNS cord-030380-okue1kso 54 25 may may MD cord-030380-okue1kso 54 26 be be VB cord-030380-okue1kso 54 27 sound sound JJ cord-030380-okue1kso 54 28 . . . cord-030380-okue1kso 55 1 But but CC cord-030380-okue1kso 55 2 a a DT cord-030380-okue1kso 55 3 change change NN cord-030380-okue1kso 55 4 in in IN cord-030380-okue1kso 55 5 performance performance NN cord-030380-okue1kso 55 6 on on IN cord-030380-okue1kso 55 7 that that DT cord-030380-okue1kso 55 8 measure measure NN cord-030380-okue1kso 55 9 may may MD cord-030380-okue1kso 55 10 mean mean VB cord-030380-okue1kso 55 11 little little JJ cord-030380-okue1kso 55 12 when when WRB cord-030380-okue1kso 55 13 the the DT cord-030380-okue1kso 55 14 measure measure NN cord-030380-okue1kso 55 15 , , , cord-030380-okue1kso 55 16 not not RB cord-030380-okue1kso 55 17 the the DT cord-030380-okue1kso 55 18 construct construct NN cord-030380-okue1kso 55 19 , , , cord-030380-okue1kso 55 20 is be VBZ cord-030380-okue1kso 55 21 the the DT cord-030380-okue1kso 55 22 target target NN cord-030380-okue1kso 55 23 of of IN cord-030380-okue1kso 55 24 change change NN cord-030380-okue1kso 55 25 . . . cord-030380-okue1kso 56 1 Because because IN cord-030380-okue1kso 56 2 of of IN cord-030380-okue1kso 56 3 their -PRON- PRP$ cord-030380-okue1kso 56 4 training training NN cord-030380-okue1kso 56 5 , , , cord-030380-okue1kso 56 6 experience experience NN cord-030380-okue1kso 56 7 , , , cord-030380-okue1kso 56 8 and and CC cord-030380-okue1kso 56 9 exposure exposure NN cord-030380-okue1kso 56 10 , , , cord-030380-okue1kso 56 11 physicians physician NNS cord-030380-okue1kso 56 12 are be VBP cord-030380-okue1kso 56 13 uniquely uniquely RB cord-030380-okue1kso 56 14 positioned position VBN cord-030380-okue1kso 56 15 to to TO cord-030380-okue1kso 56 16 understand understand VB cord-030380-okue1kso 56 17 what what WP cord-030380-okue1kso 56 18 constitutes constitute VBZ cord-030380-okue1kso 56 19 high high JJ cord-030380-okue1kso 56 20 - - HYPH cord-030380-okue1kso 56 21 quality quality NN cord-030380-okue1kso 56 22 care care NN cord-030380-okue1kso 56 23 , , , cord-030380-okue1kso 56 24 identify identify VB cord-030380-okue1kso 56 25 it -PRON- PRP cord-030380-okue1kso 56 26 , , , cord-030380-okue1kso 56 27 and and CC cord-030380-okue1kso 56 28 learn learn VB cord-030380-okue1kso 56 29 how how WRB cord-030380-okue1kso 56 30 to to TO cord-030380-okue1kso 56 31 deliver deliver VB cord-030380-okue1kso 56 32 it -PRON- PRP cord-030380-okue1kso 56 33 . . . cord-030380-okue1kso 56 34 " " '' cord-030380-okue1kso 57 1 Third third JJ cord-030380-okue1kso 57 2 , , , cord-030380-okue1kso 57 3 risk risk NN cord-030380-okue1kso 57 4 adjustment adjustment NN cord-030380-okue1kso 57 5 presents present VBZ cord-030380-okue1kso 57 6 a a DT cord-030380-okue1kso 57 7 thorny thorny JJ cord-030380-okue1kso 57 8 challenge challenge NN cord-030380-okue1kso 57 9 with with IN cord-030380-okue1kso 57 10 no no DT cord-030380-okue1kso 57 11 satisfying satisfying JJ cord-030380-okue1kso 57 12 solution solution NN cord-030380-okue1kso 57 13 , , , cord-030380-okue1kso 57 14 particularly particularly RB cord-030380-okue1kso 57 15 for for IN cord-030380-okue1kso 57 16 outcome outcome NN cord-030380-okue1kso 57 17 measures measure NNS cord-030380-okue1kso 57 18 such such JJ cord-030380-okue1kso 57 19 as as IN cord-030380-okue1kso 57 20 functional functional JJ cord-030380-okue1kso 57 21 status status NN cord-030380-okue1kso 57 22 or or CC cord-030380-okue1kso 57 23 mortality mortality NN cord-030380-okue1kso 57 24 . . . cord-030380-okue1kso 58 1 When when WRB cord-030380-okue1kso 58 2 adjustment adjustment NN cord-030380-okue1kso 58 3 is be VBZ cord-030380-okue1kso 58 4 incomplete incomplete JJ cord-030380-okue1kso 58 5 ( ( -LRB- cord-030380-okue1kso 58 6 as as IN cord-030380-okue1kso 58 7 it -PRON- PRP cord-030380-okue1kso 58 8 will will MD cord-030380-okue1kso 58 9 always always RB cord-030380-okue1kso 58 10 be be VB cord-030380-okue1kso 58 11 to to IN cord-030380-okue1kso 58 12 some some DT cord-030380-okue1kso 58 13 extent extent NN cord-030380-okue1kso 58 14 ) ) -RRB- cord-030380-okue1kso 58 15 , , , cord-030380-okue1kso 58 16 budget budget NN cord-030380-okue1kso 58 17 - - HYPH cord-030380-okue1kso 58 18 neutral neutral JJ cord-030380-okue1kso 58 19 pay pay NN cord-030380-okue1kso 58 20 - - HYPH cord-030380-okue1kso 58 21 for for IN cord-030380-okue1kso 58 22 - - HYPH cord-030380-okue1kso 58 23 performance performance NN cord-030380-okue1kso 58 24 programs program NNS cord-030380-okue1kso 58 25 transfer transfer VBP cord-030380-okue1kso 58 26 resources resource NNS cord-030380-okue1kso 58 27 between between IN cord-030380-okue1kso 58 28 providers provider NNS cord-030380-okue1kso 58 29 partly partly RB cord-030380-okue1kso 58 30 based base VBN cord-030380-okue1kso 58 31 on on IN cord-030380-okue1kso 58 32 the the DT cord-030380-okue1kso 58 33 patients patient NNS cord-030380-okue1kso 58 34 they -PRON- PRP cord-030380-okue1kso 58 35 serve serve VBP cord-030380-okue1kso 58 36 rather rather RB cord-030380-okue1kso 58 37 than than IN cord-030380-okue1kso 58 38 the the DT cord-030380-okue1kso 58 39 care care NN cord-030380-okue1kso 58 40 they -PRON- PRP cord-030380-okue1kso 58 41 deliver deliver VBP cord-030380-okue1kso 58 42 . . . cord-030380-okue1kso 59 1 Attempts attempt NNS cord-030380-okue1kso 59 2 at at IN cord-030380-okue1kso 59 3 more more RBR cord-030380-okue1kso 59 4 exhaustive exhaustive JJ cord-030380-okue1kso 59 5 adjustment adjustment NN cord-030380-okue1kso 59 6 can can MD cord-030380-okue1kso 59 7 backfire backfire VB cord-030380-okue1kso 59 8 by by IN cord-030380-okue1kso 59 9 interfering interfere VBG cord-030380-okue1kso 59 10 with with IN cord-030380-okue1kso 59 11 incentives incentive NNS cord-030380-okue1kso 59 12 to to TO cord-030380-okue1kso 59 13 improve improve VB cord-030380-okue1kso 59 14 modifiable modifiable JJ cord-030380-okue1kso 59 15 factors factor NNS cord-030380-okue1kso 59 16 . . . cord-030380-okue1kso 60 1 For for IN cord-030380-okue1kso 60 2 example example NN cord-030380-okue1kso 60 3 , , , cord-030380-okue1kso 60 4 adjusting adjust VBG cord-030380-okue1kso 60 5 functional functional JJ cord-030380-okue1kso 60 6 status status NN cord-030380-okue1kso 60 7 for for IN cord-030380-okue1kso 60 8 a a DT cord-030380-okue1kso 60 9 history history NN cord-030380-okue1kso 60 10 of of IN cord-030380-okue1kso 60 11 stroke stroke NN cord-030380-okue1kso 60 12 weakens weaken VBZ cord-030380-okue1kso 60 13 incentives incentive NNS cord-030380-okue1kso 60 14 to to TO cord-030380-okue1kso 60 15 prevent prevent VB cord-030380-okue1kso 60 16 strokes stroke NNS cord-030380-okue1kso 60 17 ( ( -LRB- cord-030380-okue1kso 60 18 e.g. e.g. RB cord-030380-okue1kso 60 19 , , , cord-030380-okue1kso 60 20 the the DT cord-030380-okue1kso 60 21 net net JJ cord-030380-okue1kso 60 22 costs cost NNS cord-030380-okue1kso 60 23 of of IN cord-030380-okue1kso 60 24 population population NN cord-030380-okue1kso 60 25 health health NN cord-030380-okue1kso 60 26 management management NN cord-030380-okue1kso 60 27 programs program NNS cord-030380-okue1kso 60 28 increase increase VBP cord-030380-okue1kso 60 29 when when WRB cord-030380-okue1kso 60 30 improvement improvement NN cord-030380-okue1kso 60 31 via via IN cord-030380-okue1kso 60 32 stroke stroke NN cord-030380-okue1kso 60 33 prevention prevention NN cord-030380-okue1kso 60 34 is be VBZ cord-030380-okue1kso 60 35 not not RB cord-030380-okue1kso 60 36 fully fully RB cord-030380-okue1kso 60 37 rewarded reward VBN cord-030380-okue1kso 60 38 ) ) -RRB- cord-030380-okue1kso 60 39 . . . cord-030380-okue1kso 61 1 Fourth fourth RB cord-030380-okue1kso 61 2 , , , cord-030380-okue1kso 61 3 whereas whereas IN cord-030380-okue1kso 61 4 payers payer NNS cord-030380-okue1kso 61 5 can can MD cord-030380-okue1kso 61 6 set set VB cord-030380-okue1kso 61 7 strong strong JJ cord-030380-okue1kso 61 8 incentives incentive NNS cord-030380-okue1kso 61 9 for for IN cord-030380-okue1kso 61 10 providers provider NNS cord-030380-okue1kso 61 11 to to TO cord-030380-okue1kso 61 12 minimize minimize VB cord-030380-okue1kso 61 13 costs cost NNS cord-030380-okue1kso 61 14 without without IN cord-030380-okue1kso 61 15 having have VBG cord-030380-okue1kso 61 16 to to TO cord-030380-okue1kso 61 17 measure measure VB cord-030380-okue1kso 61 18 provider provider NN cord-030380-okue1kso 61 19 costs cost NNS cord-030380-okue1kso 61 20 ( ( -LRB- cord-030380-okue1kso 61 21 e.g. e.g. RB cord-030380-okue1kso 61 22 , , , cord-030380-okue1kso 61 23 via via IN cord-030380-okue1kso 61 24 capitation capitation NN cord-030380-okue1kso 61 25 contracts contract NNS cord-030380-okue1kso 61 26 ) ) -RRB- cord-030380-okue1kso 61 27 , , , cord-030380-okue1kso 61 28 financial financial JJ cord-030380-okue1kso 61 29 incentives incentive NNS cord-030380-okue1kso 61 30 to to TO cord-030380-okue1kso 61 31 improve improve VB cord-030380-okue1kso 61 32 quality quality NN cord-030380-okue1kso 61 33 as as IN cord-030380-okue1kso 61 34 a a DT cord-030380-okue1kso 61 35 whole whole NN cord-030380-okue1kso 61 36 are be VBP cord-030380-okue1kso 61 37 inherently inherently RB cord-030380-okue1kso 61 38 weaker weak JJR cord-030380-okue1kso 61 39 because because IN cord-030380-okue1kso 61 40 quality quality NN cord-030380-okue1kso 61 41 must must MD cord-030380-okue1kso 61 42 first first RB cord-030380-okue1kso 61 43 be be VB cord-030380-okue1kso 61 44 measured measure VBN cord-030380-okue1kso 61 45 to to TO cord-030380-okue1kso 61 46 serve serve VB cord-030380-okue1kso 61 47 as as IN cord-030380-okue1kso 61 48 a a DT cord-030380-okue1kso 61 49 basis basis NN cord-030380-okue1kso 61 50 for for IN cord-030380-okue1kso 61 51 payment payment NN cord-030380-okue1kso 61 52 . . . cord-030380-okue1kso 62 1 As as IN cord-030380-okue1kso 62 2 an an DT cord-030380-okue1kso 62 3 enormously enormously RB cord-030380-okue1kso 62 4 complex complex JJ cord-030380-okue1kso 62 5 construct construct NN cord-030380-okue1kso 62 6 , , , cord-030380-okue1kso 62 7 quality quality NN cord-030380-okue1kso 62 8 can can MD cord-030380-okue1kso 62 9 not not RB cord-030380-okue1kso 62 10 be be VB cord-030380-okue1kso 62 11 measured measure VBN cord-030380-okue1kso 62 12 in in IN cord-030380-okue1kso 62 13 its -PRON- PRP$ cord-030380-okue1kso 62 14 entirety entirety NN cord-030380-okue1kso 62 15 . . . cord-030380-okue1kso 63 1 The the DT cord-030380-okue1kso 63 2 bulk bulk NN cord-030380-okue1kso 63 3 of of IN cord-030380-okue1kso 63 4 reimbursement reimbursement NN cord-030380-okue1kso 63 5 will will MD cord-030380-okue1kso 63 6 always always RB cord-030380-okue1kso 63 7 be be VB cord-030380-okue1kso 63 8 unrelated unrelated JJ cord-030380-okue1kso 63 9 to to IN cord-030380-okue1kso 63 10 quality quality NN cord-030380-okue1kso 63 11 . . . cord-030380-okue1kso 64 1 Paying pay VBG cord-030380-okue1kso 64 2 on on IN cord-030380-okue1kso 64 3 numerous numerous JJ cord-030380-okue1kso 64 4 measures measure NNS cord-030380-okue1kso 64 5 further further RB cord-030380-okue1kso 64 6 weakens weaken VBZ cord-030380-okue1kso 64 7 incentives incentive NNS cord-030380-okue1kso 64 8 to to TO cord-030380-okue1kso 64 9 improve improve VB cord-030380-okue1kso 64 10 on on IN cord-030380-okue1kso 64 11 any any DT cord-030380-okue1kso 64 12 one one CD cord-030380-okue1kso 64 13 dimension dimension NN cord-030380-okue1kso 64 14 , , , cord-030380-okue1kso 64 15 whereas whereas IN cord-030380-okue1kso 64 16 paying pay VBG cord-030380-okue1kso 64 17 on on IN cord-030380-okue1kso 64 18 fewer few JJR cord-030380-okue1kso 64 19 may may MD cord-030380-okue1kso 64 20 support support VB cord-030380-okue1kso 64 21 stronger strong JJR cord-030380-okue1kso 64 22 incentives incentive NNS cord-030380-okue1kso 64 23 for for IN cord-030380-okue1kso 64 24 meaningful meaningful JJ cord-030380-okue1kso 64 25 change change NN cord-030380-okue1kso 64 26 but but CC cord-030380-okue1kso 64 27 only only RB cord-030380-okue1kso 64 28 for for IN cord-030380-okue1kso 64 29 a a DT cord-030380-okue1kso 64 30 narrow narrow JJ cord-030380-okue1kso 64 31 slice slice NN cord-030380-okue1kso 64 32 of of IN cord-030380-okue1kso 64 33 quality quality NN cord-030380-okue1kso 64 34 . . . cord-030380-okue1kso 65 1 " " `` cord-030380-okue1kso 65 2 Turning turn VBG cord-030380-okue1kso 65 3 to to IN cord-030380-okue1kso 65 4 experience experience NN cord-030380-okue1kso 65 5 to to IN cord-030380-okue1kso 65 6 date date NN cord-030380-okue1kso 65 7 , , , cord-030380-okue1kso 65 8 gains gain NNS cord-030380-okue1kso 65 9 from from IN cord-030380-okue1kso 65 10 performance performance NN cord-030380-okue1kso 65 11 - - HYPH cord-030380-okue1kso 65 12 linked link VBN cord-030380-okue1kso 65 13 payments payment NNS cord-030380-okue1kso 65 14 have have VBP cord-030380-okue1kso 65 15 generally generally RB cord-030380-okue1kso 65 16 ranged range VBN cord-030380-okue1kso 65 17 from from IN cord-030380-okue1kso 65 18 absent absent JJ cord-030380-okue1kso 65 19 to to IN cord-030380-okue1kso 65 20 modest modest JJ cord-030380-okue1kso 65 21 and and CC cord-030380-okue1kso 65 22 have have VBP cord-030380-okue1kso 65 23 come come VBN cord-030380-okue1kso 65 24 at at IN cord-030380-okue1kso 65 25 great great JJ cord-030380-okue1kso 65 26 expense6 expense6 NN cord-030380-okue1kso 66 1 -12 -12 : cord-030380-okue1kso 66 2 -including -include VBG cord-030380-okue1kso 66 3 substantial substantial JJ cord-030380-okue1kso 66 4 reporting reporting NN cord-030380-okue1kso 66 5 costs,13 costs,13 NNP cord-030380-okue1kso 67 1 the the DT cord-030380-okue1kso 67 2 deadweight deadweight NN cord-030380-okue1kso 67 3 loss loss NN cord-030380-okue1kso 67 4 from from IN cord-030380-okue1kso 67 5 wasteful wasteful JJ cord-030380-okue1kso 67 6 score score NN cord-030380-okue1kso 67 7 - - HYPH cord-030380-okue1kso 67 8 promoting promote VBG cord-030380-okue1kso 67 9 behaviors,14 behaviors,14 NNP cord-030380-okue1kso 67 10 and and CC cord-030380-okue1kso 67 11 an an DT cord-030380-okue1kso 67 12 inequitable inequitable JJ cord-030380-okue1kso 67 13 and and CC cord-030380-okue1kso 67 14 potentially potentially RB cord-030380-okue1kso 67 15 harmful harmful JJ cord-030380-okue1kso 67 16 redistribution redistribution NN cord-030380-okue1kso 67 17 of of IN cord-030380-okue1kso 67 18 resources.6 resources.6 NN cord-030380-okue1kso 67 19 , , , cord-030380-okue1kso 67 20 15 15 CD cord-030380-okue1kso 67 21 , , , cord-030380-okue1kso 67 22 16 16 CD cord-030380-okue1kso 67 23 Harder hard JJR cord-030380-okue1kso 67 24 to to TO cord-030380-okue1kso 67 25 quantify quantify VB cord-030380-okue1kso 67 26 , , , cord-030380-okue1kso 67 27 but but CC cord-030380-okue1kso 67 28 no no DT cord-030380-okue1kso 67 29 less less RBR cord-030380-okue1kso 67 30 real real JJ cord-030380-okue1kso 67 31 , , , cord-030380-okue1kso 67 32 are be VBP cord-030380-okue1kso 67 33 the the DT cord-030380-okue1kso 67 34 insidious insidious JJ cord-030380-okue1kso 67 35 effects effect NNS cord-030380-okue1kso 67 36 that that WDT cord-030380-okue1kso 67 37 performance performance NN cord-030380-okue1kso 67 38 - - HYPH cord-030380-okue1kso 67 39 based base VBN cord-030380-okue1kso 67 40 pay pay NN cord-030380-okue1kso 67 41 have have VBP cord-030380-okue1kso 67 42 on on IN cord-030380-okue1kso 67 43 professionalism professionalism NN cord-030380-okue1kso 67 44 . . . cord-030380-okue1kso 68 1 As as IN cord-030380-okue1kso 68 2 the the DT cord-030380-okue1kso 68 3 concept concept NN cord-030380-okue1kso 68 4 of of IN cord-030380-okue1kso 68 5 quality quality NN cord-030380-okue1kso 68 6 is be VBZ cord-030380-okue1kso 68 7 reduced reduce VBN cord-030380-okue1kso 68 8 to to IN cord-030380-okue1kso 68 9 that that DT cord-030380-okue1kso 68 10 which which WDT cord-030380-okue1kso 68 11 is be VBZ cord-030380-okue1kso 68 12 measured measure VBN cord-030380-okue1kso 68 13 , , , cord-030380-okue1kso 68 14 improvement improvement NN cord-030380-okue1kso 68 15 redefined redefine VBN cord-030380-okue1kso 68 16 as as IN cord-030380-okue1kso 68 17 higher high JJR cord-030380-okue1kso 68 18 scores score NNS cord-030380-okue1kso 68 19 , , , cord-030380-okue1kso 68 20 extrinsic extrinsic JJ cord-030380-okue1kso 68 21 judgments judgment NNS cord-030380-okue1kso 68 22 elevated elevate VBN cord-030380-okue1kso 68 23 above above IN cord-030380-okue1kso 68 24 unseen unseen JJ cord-030380-okue1kso 68 25 efforts effort NNS cord-030380-okue1kso 68 26 , , , cord-030380-okue1kso 68 27 and and CC cord-030380-okue1kso 68 28 time time NN cord-030380-okue1kso 68 29 for for IN cord-030380-okue1kso 68 30 patients patient NNS cord-030380-okue1kso 68 31 and and CC cord-030380-okue1kso 68 32 colleagues colleague NNS cord-030380-okue1kso 68 33 hijacked hijack VBN cord-030380-okue1kso 68 34 by by IN cord-030380-okue1kso 68 35 box box NN cord-030380-okue1kso 68 36 - - HYPH cord-030380-okue1kso 68 37 checking checking NN cord-030380-okue1kso 68 38 , , , cord-030380-okue1kso 68 39 demoralization demoralization NN cord-030380-okue1kso 68 40 sets set VBZ cord-030380-okue1kso 68 41 in.17 in.17 NNP cord-030380-okue1kso 68 42 , , , cord-030380-okue1kso 68 43 18 18 CD cord-030380-okue1kso 68 44 Purpose Purpose NNP cord-030380-okue1kso 68 45 is be VBZ cord-030380-okue1kso 68 46 undermined undermine VBN cord-030380-okue1kso 68 47 as as IN cord-030380-okue1kso 68 48 demands demand NNS cord-030380-okue1kso 68 49 on on IN cord-030380-okue1kso 68 50 physicians physician NNS cord-030380-okue1kso 68 51 diverge diverge VBP cord-030380-okue1kso 68 52 from from IN cord-030380-okue1kso 68 53 their -PRON- PRP$ cord-030380-okue1kso 68 54 values value NNS cord-030380-okue1kso 68 55 , , , cord-030380-okue1kso 68 56 professional professional JJ cord-030380-okue1kso 68 57 identity identity NN cord-030380-okue1kso 68 58 is be VBZ cord-030380-okue1kso 68 59 lost lose VBN cord-030380-okue1kso 68 60 , , , cord-030380-okue1kso 68 61 and and CC cord-030380-okue1kso 68 62 intrinsic intrinsic JJ cord-030380-okue1kso 68 63 motivation motivation NN cord-030380-okue1kso 68 64 gives give VBZ cord-030380-okue1kso 68 65 way way NN cord-030380-okue1kso 68 66 to to IN cord-030380-okue1kso 68 67 a a DT cord-030380-okue1kso 68 68 self self NN cord-030380-okue1kso 68 69 - - HYPH cord-030380-okue1kso 68 70 fulfilling fulfil VBG cord-030380-okue1kso 68 71 prophecy prophecy NN cord-030380-okue1kso 68 72 that that WDT cord-030380-okue1kso 68 73 physicians physician NNS cord-030380-okue1kso 68 74 care care VBP cord-030380-okue1kso 68 75 only only RB cord-030380-okue1kso 68 76 about about IN cord-030380-okue1kso 68 77 financial financial JJ cord-030380-okue1kso 68 78 incentives incentive NNS cord-030380-okue1kso 68 79 . . . cord-030380-okue1kso 69 1 Imagine imagine VB cord-030380-okue1kso 69 2 an an DT cord-030380-okue1kso 69 3 analogous analogous JJ cord-030380-okue1kso 69 4 system system NN cord-030380-okue1kso 69 5 in in IN cord-030380-okue1kso 69 6 the the DT cord-030380-okue1kso 69 7 production production NN cord-030380-okue1kso 69 8 of of IN cord-030380-okue1kso 69 9 research research NN cord-030380-okue1kso 69 10 . . . cord-030380-okue1kso 70 1 Suppose suppose VB cord-030380-okue1kso 70 2 an an DT cord-030380-okue1kso 70 3 expert expert NN cord-030380-okue1kso 70 4 is be VBZ cord-030380-okue1kso 70 5 commissioned commission VBN cord-030380-okue1kso 70 6 to to TO cord-030380-okue1kso 70 7 write write VB cord-030380-okue1kso 70 8 a a DT cord-030380-okue1kso 70 9 guideline guideline NN cord-030380-okue1kso 70 10 or or CC cord-030380-okue1kso 70 11 review review NN cord-030380-okue1kso 70 12 article article NN cord-030380-okue1kso 70 13 about about IN cord-030380-okue1kso 70 14 a a DT cord-030380-okue1kso 70 15 controversial controversial JJ cord-030380-okue1kso 70 16 topic topic NN cord-030380-okue1kso 70 17 . . . cord-030380-okue1kso 71 1 Under under IN cord-030380-okue1kso 71 2 one one CD cord-030380-okue1kso 71 3 approach approach NN cord-030380-okue1kso 71 4 , , , cord-030380-okue1kso 71 5 she -PRON- PRP cord-030380-okue1kso 71 6 is be VBZ cord-030380-okue1kso 71 7 paid pay VBN cord-030380-okue1kso 71 8 a a DT cord-030380-okue1kso 71 9 fixed fix VBN cord-030380-okue1kso 71 10 sum sum NN cord-030380-okue1kso 71 11 to to TO cord-030380-okue1kso 71 12 use use VB cord-030380-okue1kso 71 13 her -PRON- PRP$ cord-030380-okue1kso 71 14 professional professional JJ cord-030380-okue1kso 71 15 judgment judgment NN cord-030380-okue1kso 71 16 in in IN cord-030380-okue1kso 71 17 selecting select VBG cord-030380-okue1kso 71 18 and and CC cord-030380-okue1kso 71 19 synthesizing synthesize VBG cord-030380-okue1kso 71 20 studies study NNS cord-030380-okue1kso 71 21 that that WDT cord-030380-okue1kso 71 22 should should MD cord-030380-okue1kso 71 23 serve serve VB cord-030380-okue1kso 71 24 as as IN cord-030380-okue1kso 71 25 the the DT cord-030380-okue1kso 71 26 scientific scientific JJ cord-030380-okue1kso 71 27 basis basis NN cord-030380-okue1kso 71 28 for for IN cord-030380-okue1kso 71 29 conclusions conclusion NNS cord-030380-okue1kso 71 30 and and CC cord-030380-okue1kso 71 31 recommendations recommendation NNS cord-030380-okue1kso 71 32 . . . cord-030380-okue1kso 72 1 Under under IN cord-030380-okue1kso 72 2 another another DT cord-030380-okue1kso 72 3 approach approach NN cord-030380-okue1kso 72 4 , , , cord-030380-okue1kso 72 5 she -PRON- PRP cord-030380-okue1kso 72 6 is be VBZ cord-030380-okue1kso 72 7 paid pay VBN cord-030380-okue1kso 72 8 $ $ $ cord-030380-okue1kso 72 9 100 100 CD cord-030380-okue1kso 72 10 per per IN cord-030380-okue1kso 72 11 summarized summarize VBN cord-030380-okue1kso 72 12 study study NN cord-030380-okue1kso 72 13 with with IN cord-030380-okue1kso 72 14 a a DT cord-030380-okue1kso 72 15 bonus bonus NN cord-030380-okue1kso 72 16 if if IN cord-030380-okue1kso 72 17 the the DT cord-030380-okue1kso 72 18 total total JJ cord-030380-okue1kso 72 19 Altmetric Altmetric NNP cord-030380-okue1kso 72 20 Attention attention NN cord-030380-okue1kso 72 21 Score score NN cord-030380-okue1kso 72 22 for for IN cord-030380-okue1kso 72 23 the the DT cord-030380-okue1kso 72 24 cited cite VBN cord-030380-okue1kso 72 25 references reference NNS cord-030380-okue1kso 72 26 exceeds exceed VBZ cord-030380-okue1kso 72 27 a a DT cord-030380-okue1kso 72 28 target target NN cord-030380-okue1kso 72 29 and and CC cord-030380-okue1kso 72 30 a a DT cord-030380-okue1kso 72 31 penalty penalty NN cord-030380-okue1kso 72 32 for for IN cord-030380-okue1kso 72 33 each each DT cord-030380-okue1kso 72 34 letter letter NN cord-030380-okue1kso 72 35 to to IN cord-030380-okue1kso 72 36 the the DT cord-030380-okue1kso 72 37 editor editor NN cord-030380-okue1kso 72 38 critiquing critique VBG cord-030380-okue1kso 72 39 the the DT cord-030380-okue1kso 72 40 conclusions conclusion NNS cord-030380-okue1kso 72 41 . . . cord-030380-okue1kso 73 1 Which which WDT cord-030380-okue1kso 73 2 approach approach NN cord-030380-okue1kso 73 3 would would MD cord-030380-okue1kso 73 4 produce produce VB cord-030380-okue1kso 73 5 the the DT cord-030380-okue1kso 73 6 better well JJR cord-030380-okue1kso 73 7 paper paper NN cord-030380-okue1kso 73 8 ? ? . cord-030380-okue1kso 74 1 Which which WDT cord-030380-okue1kso 74 2 the the DT cord-030380-okue1kso 74 3 better well JJR cord-030380-okue1kso 74 4 scientist scientist NN cord-030380-okue1kso 74 5 ? ? . cord-030380-okue1kso 75 1 Recognizing recognize VBG cord-030380-okue1kso 75 2 the the DT cord-030380-okue1kso 75 3 costs cost NNS cord-030380-okue1kso 75 4 , , , cord-030380-okue1kso 75 5 experts expert NNS cord-030380-okue1kso 75 6 agree agree VBP cord-030380-okue1kso 75 7 that that IN cord-030380-okue1kso 75 8 the the DT cord-030380-okue1kso 75 9 deployment deployment NN cord-030380-okue1kso 75 10 of of IN cord-030380-okue1kso 75 11 quality quality NN cord-030380-okue1kso 75 12 measures measure NNS cord-030380-okue1kso 75 13 needs need VBZ cord-030380-okue1kso 75 14 to to TO cord-030380-okue1kso 75 15 be be VB cord-030380-okue1kso 75 16 rethought.19 rethought.19 JJ cord-030380-okue1kso 75 17 , , , cord-030380-okue1kso 75 18 20 20 CD cord-030380-okue1kso 75 19 Yet yet CC cord-030380-okue1kso 75 20 in in IN cord-030380-okue1kso 75 21 the the DT cord-030380-okue1kso 75 22 scramble scramble NN cord-030380-okue1kso 75 23 for for IN cord-030380-okue1kso 75 24 new new JJ cord-030380-okue1kso 75 25 directions direction NNS cord-030380-okue1kso 75 26 , , , cord-030380-okue1kso 75 27 the the DT cord-030380-okue1kso 75 28 conversation conversation NN cord-030380-okue1kso 75 29 is be VBZ cord-030380-okue1kso 75 30 still still RB cord-030380-okue1kso 75 31 dominated dominate VBN cord-030380-okue1kso 75 32 by by IN cord-030380-okue1kso 75 33 a a DT cord-030380-okue1kso 75 34 measure measure NN cord-030380-okue1kso 75 35 - - HYPH cord-030380-okue1kso 75 36 reliant reliant JJ cord-030380-okue1kso 75 37 orientation orientation NN cord-030380-okue1kso 75 38 . . . cord-030380-okue1kso 76 1 Measure measure NN cord-030380-okue1kso 76 2 enthusiasts enthusiast NNS cord-030380-okue1kso 76 3 offer offer VBP cord-030380-okue1kso 76 4 only only RB cord-030380-okue1kso 76 5 incremental incremental JJ cord-030380-okue1kso 76 6 suggestions suggestion NNS cord-030380-okue1kso 76 7 -such -such : cord-030380-okue1kso 76 8 as as IN cord-030380-okue1kso 76 9 introducing introduce VBG cord-030380-okue1kso 76 10 more more JJR cord-030380-okue1kso 76 11 " " `` cord-030380-okue1kso 76 12 skin skin NN cord-030380-okue1kso 76 13 in in IN cord-030380-okue1kso 76 14 the the DT cord-030380-okue1kso 76 15 game game NN cord-030380-okue1kso 76 16 , , , cord-030380-okue1kso 76 17 " " '' cord-030380-okue1kso 76 18 limiting limit VBG cord-030380-okue1kso 76 19 the the DT cord-030380-okue1kso 76 20 number number NN cord-030380-okue1kso 76 21 of of IN cord-030380-okue1kso 76 22 measures measure NNS cord-030380-okue1kso 76 23 , , , cord-030380-okue1kso 76 24 and and CC cord-030380-okue1kso 76 25 improving improve VBG cord-030380-okue1kso 76 26 risk risk NN cord-030380-okue1kso 76 27 adjustment adjustment NN cord-030380-okue1kso 76 28 -or -or HYPH cord-030380-okue1kso 76 29 inviable inviable JJ cord-030380-okue1kso 76 30 aspirations aspiration NNS cord-030380-okue1kso 76 31 to to TO cord-030380-okue1kso 76 32 link link VB cord-030380-okue1kso 76 33 strong strong JJ cord-030380-okue1kso 76 34 incentives incentive NNS cord-030380-okue1kso 76 35 with with IN cord-030380-okue1kso 76 36 fanciful fanciful JJ cord-030380-okue1kso 76 37 measures measure NNS cord-030380-okue1kso 76 38 that that WDT cord-030380-okue1kso 76 39 somehow somehow RB cord-030380-okue1kso 76 40 capture capture VBP cord-030380-okue1kso 76 41 all all DT cord-030380-okue1kso 76 42 that that WDT cord-030380-okue1kso 76 43 we -PRON- PRP cord-030380-okue1kso 76 44 care care VBP cord-030380-okue1kso 76 45 about about IN cord-030380-okue1kso 76 46 and and CC cord-030380-okue1kso 76 47 are be VBP cord-030380-okue1kso 76 48 immune immune JJ cord-030380-okue1kso 76 49 to to IN cord-030380-okue1kso 76 50 the the DT cord-030380-okue1kso 76 51 problems problem NNS cord-030380-okue1kso 76 52 above above RB cord-030380-okue1kso 76 53 . . . cord-030380-okue1kso 77 1 Organizations organization NNS cord-030380-okue1kso 77 2 , , , cord-030380-okue1kso 77 3 technology technology NN cord-030380-okue1kso 77 4 , , , cord-030380-okue1kso 77 5 and and CC cord-030380-okue1kso 77 6 regulatory regulatory JJ cord-030380-okue1kso 77 7 policy policy NN cord-030380-okue1kso 77 8 should should MD cord-030380-okue1kso 77 9 feature feature VB cord-030380-okue1kso 77 10 prominently prominently RB cord-030380-okue1kso 77 11 in in IN cord-030380-okue1kso 77 12 attempts attempt NNS cord-030380-okue1kso 77 13 to to TO cord-030380-okue1kso 77 14 better well JJR cord-030380-okue1kso 77 15 leverage leverage NN cord-030380-okue1kso 77 16 professionalism professionalism NN cord-030380-okue1kso 77 17 in in IN cord-030380-okue1kso 77 18 health health NN cord-030380-okue1kso 77 19 care care NN cord-030380-okue1kso 77 20 . . . cord-030380-okue1kso 78 1 Strategies strategy NNS cord-030380-okue1kso 78 2 to to TO cord-030380-okue1kso 78 3 do do VB cord-030380-okue1kso 78 4 so so RB cord-030380-okue1kso 78 5 can can MD cord-030380-okue1kso 78 6 be be VB cord-030380-okue1kso 78 7 conceived conceive VBN cord-030380-okue1kso 78 8 as as IN cord-030380-okue1kso 78 9 targeting target VBG cord-030380-okue1kso 78 10 problems problem NNS cord-030380-okue1kso 78 11 of of IN cord-030380-okue1kso 78 12 information information NN cord-030380-okue1kso 78 13 ormotivation ormotivation NN cord-030380-okue1kso 78 14 when when WRB cord-030380-okue1kso 78 15 providers provider NNS cord-030380-okue1kso 78 16 act act VBP cord-030380-okue1kso 78 17 as as IN cord-030380-okue1kso 78 18 agents agent NNS cord-030380-okue1kso 78 19 . . . cord-030380-okue1kso 79 1 " " `` cord-030380-okue1kso 79 2 Undoubtedly undoubtedly RB cord-030380-okue1kso 79 3 , , , cord-030380-okue1kso 79 4 quality quality NN cord-030380-okue1kso 79 5 measurement measurement NN cord-030380-okue1kso 79 6 has have VBZ cord-030380-okue1kso 79 7 driven drive VBN cord-030380-okue1kso 79 8 some some DT cord-030380-okue1kso 79 9 improvements improvement NNS cord-030380-okue1kso 79 10 by by IN cord-030380-okue1kso 79 11 exposing expose VBG cord-030380-okue1kso 79 12 deficits deficit NNS cord-030380-okue1kso 79 13 and and CC cord-030380-okue1kso 79 14 generating generate VBG cord-030380-okue1kso 79 15 pressure pressure NN cord-030380-okue1kso 79 16 for for IN cord-030380-okue1kso 79 17 change change NN cord-030380-okue1kso 79 18 . . . cord-030380-okue1kso 80 1 Provider provider NN cord-030380-okue1kso 80 2 organizations organization NNS cord-030380-okue1kso 80 3 , , , cord-030380-okue1kso 80 4 like like IN cord-030380-okue1kso 80 5 most most JJS cord-030380-okue1kso 80 6 complex complex JJ cord-030380-okue1kso 80 7 organizations organization NNS cord-030380-okue1kso 80 8 , , , cord-030380-okue1kso 80 9 routinely routinely RB cord-030380-okue1kso 80 10 use use VBP cord-030380-okue1kso 80 11 measures measure NNS cord-030380-okue1kso 80 12 for for IN cord-030380-okue1kso 80 13 internal internal JJ cord-030380-okue1kso 80 14 efforts effort NNS cord-030380-okue1kso 80 15 that that WDT cord-030380-okue1kso 80 16 have have VBP cord-030380-okue1kso 80 17 also also RB cord-030380-okue1kso 80 18 likely likely RB cord-030380-okue1kso 80 19 achieved achieve VBN cord-030380-okue1kso 80 20 progress progress NN cord-030380-okue1kso 80 21 . . . cord-030380-okue1kso 81 1 There there EX cord-030380-okue1kso 81 2 have have VBP cord-030380-okue1kso 81 3 been be VBN cord-030380-okue1kso 81 4 some some DT cord-030380-okue1kso 81 5 wins win NNS cord-030380-okue1kso 81 6 . . . cord-030380-okue1kso 82 1 And and CC cord-030380-okue1kso 82 2 smarter smart JJR cord-030380-okue1kso 82 3 uses use NNS cord-030380-okue1kso 82 4 of of IN cord-030380-okue1kso 82 5 measures measure NNS cord-030380-okue1kso 82 6 could could MD cord-030380-okue1kso 82 7 yield yield VB cord-030380-okue1kso 82 8 further further JJ cord-030380-okue1kso 82 9 gains gain NNS cord-030380-okue1kso 82 10 . . . cord-030380-okue1kso 83 1 For for IN cord-030380-okue1kso 83 2 example example NN cord-030380-okue1kso 83 3 , , , cord-030380-okue1kso 83 4 an an DT cord-030380-okue1kso 83 5 adaptive adaptive JJ cord-030380-okue1kso 83 6 measurement measurement NN cord-030380-okue1kso 83 7 approach approach NN cord-030380-okue1kso 83 8 could could MD cord-030380-okue1kso 83 9 support support VB cord-030380-okue1kso 83 10 low low JJ cord-030380-okue1kso 83 11 - - HYPH cord-030380-okue1kso 83 12 cost cost NN cord-030380-okue1kso 83 13 surveillance surveillance NN cord-030380-okue1kso 83 14 for for IN cord-030380-okue1kso 83 15 poor poor JJ cord-030380-okue1kso 83 16 quality quality NN cord-030380-okue1kso 83 17 , , , cord-030380-okue1kso 83 18 conserving conserve VBG cord-030380-okue1kso 83 19 resources resource NNS cord-030380-okue1kso 83 20 for for IN cord-030380-okue1kso 83 21 audit audit NN cord-030380-okue1kso 83 22 - - HYPH cord-030380-okue1kso 83 23 like like JJ cord-030380-okue1kso 83 24 investigations investigation NNS cord-030380-okue1kso 83 25 of of IN cord-030380-okue1kso 83 26 signal signal NN cord-030380-okue1kso 83 27 - - HYPH cord-030380-okue1kso 83 28 trippers tripper NNS cord-030380-okue1kso 83 29 and and CC cord-030380-okue1kso 83 30 serving serve VBG cord-030380-okue1kso 83 31 as as IN cord-030380-okue1kso 83 32 a a DT cord-030380-okue1kso 83 33 system system NN cord-030380-okue1kso 83 34 - - HYPH cord-030380-okue1kso 83 35 wide wide JJ cord-030380-okue1kso 83 36 deterrent.21 deterrent.21 NNS cord-030380-okue1kso 84 1 If if IN cord-030380-okue1kso 84 2 not not RB cord-030380-okue1kso 84 3 bound bind VBN cord-030380-okue1kso 84 4 by by IN cord-030380-okue1kso 84 5 budget budget NN cord-030380-okue1kso 84 6 neutrality neutrality NN cord-030380-okue1kso 84 7 , , , cord-030380-okue1kso 84 8 pay pay NN cord-030380-okue1kso 84 9 - - HYPH cord-030380-okue1kso 84 10 for for IN cord-030380-okue1kso 84 11 - - HYPH cord-030380-okue1kso 84 12 improvement improvement NN cord-030380-okue1kso 84 13 programs program NNS cord-030380-okue1kso 84 14 could could MD cord-030380-okue1kso 84 15 target target VB cord-030380-okue1kso 84 16 providers provider NNS cord-030380-okue1kso 84 17 with with IN cord-030380-okue1kso 84 18 poor poor JJ cord-030380-okue1kso 84 19 outcomes outcome NNS cord-030380-okue1kso 84 20 ( ( -LRB- cord-030380-okue1kso 84 21 whether whether IN cord-030380-okue1kso 84 22 because because IN cord-030380-okue1kso 84 23 of of IN cord-030380-okue1kso 84 24 low low JJ cord-030380-okue1kso 84 25 quality quality NN cord-030380-okue1kso 84 26 or or CC cord-030380-okue1kso 84 27 high high JJ cord-030380-okue1kso 84 28 - - HYPH cord-030380-okue1kso 84 29 risk risk NN cord-030380-okue1kso 84 30 patients patient NNS cord-030380-okue1kso 84 31 ) ) -RRB- cord-030380-okue1kso 84 32 without without IN cord-030380-okue1kso 84 33 the the DT cord-030380-okue1kso 84 34 usual usual JJ cord-030380-okue1kso 84 35 unintended unintended JJ cord-030380-okue1kso 84 36 consequences consequence NNS cord-030380-okue1kso 84 37 of of IN cord-030380-okue1kso 84 38 budget budget NN cord-030380-okue1kso 84 39 - - HYPH cord-030380-okue1kso 84 40 neutral neutral JJ cord-030380-okue1kso 84 41 programs program NNS cord-030380-okue1kso 84 42 , , , cord-030380-okue1kso 84 43 which which WDT cord-030380-okue1kso 84 44 necessitate necessitate VBP cord-030380-okue1kso 84 45 potentially potentially RB cord-030380-okue1kso 84 46 unfair unfair JJ cord-030380-okue1kso 84 47 and and CC cord-030380-okue1kso 84 48 deleterious deleterious JJ cord-030380-okue1kso 84 49 penalties penalty NNS cord-030380-okue1kso 84 50 on on IN cord-030380-okue1kso 84 51 low low JJ cord-030380-okue1kso 84 52 performers performer NNS cord-030380-okue1kso 84 53 who who WP cord-030380-okue1kso 84 54 do do VBP cord-030380-okue1kso 84 55 not not RB cord-030380-okue1kso 84 56 improve improve VB cord-030380-okue1kso 84 57 . . . cord-030380-okue1kso 85 1 Potential potential JJ cord-030380-okue1kso 85 2 refinements refinement NNS cord-030380-okue1kso 85 3 notwithstanding notwithstanding RB cord-030380-okue1kso 85 4 , , , cord-030380-okue1kso 86 1 the the DT cord-030380-okue1kso 86 2 dissatisfying dissatisfying JJ cord-030380-okue1kso 86 3 pace pace NN cord-030380-okue1kso 86 4 of of IN cord-030380-okue1kso 86 5 quality quality NN cord-030380-okue1kso 86 6 improvement improvement NN cord-030380-okue1kso 86 7 over over IN cord-030380-okue1kso 86 8 the the DT cord-030380-okue1kso 86 9 last last JJ cord-030380-okue1kso 86 10 2 2 CD cord-030380-okue1kso 86 11 decades decade NNS cord-030380-okue1kso 86 12 should should MD cord-030380-okue1kso 86 13 tell tell VB cord-030380-okue1kso 86 14 us -PRON- PRP cord-030380-okue1kso 86 15 that that IN cord-030380-okue1kso 86 16 measure measure NN cord-030380-okue1kso 86 17 - - HYPH cord-030380-okue1kso 86 18 reliant reliant JJ cord-030380-okue1kso 86 19 " " '' cord-030380-okue1kso 86 20 approaches approach NNS cord-030380-okue1kso 86 21 are be VBP cord-030380-okue1kso 86 22 unlikely unlikely JJ cord-030380-okue1kso 86 23 to to TO cord-030380-okue1kso 86 24 deliver deliver VB cord-030380-okue1kso 86 25 on on IN cord-030380-okue1kso 86 26 their -PRON- PRP$ cord-030380-okue1kso 86 27 promise.22 promise.22 NN cord-030380-okue1kso 86 28 , , , cord-030380-okue1kso 86 29 23 23 CD cord-030380-okue1kso 86 30 Measurement Measurement NNP cord-030380-okue1kso 86 31 is be VBZ cord-030380-okue1kso 86 32 important important JJ cord-030380-okue1kso 86 33 ; ; : cord-030380-okue1kso 86 34 it -PRON- PRP cord-030380-okue1kso 86 35 has have VBZ cord-030380-okue1kso 86 36 been be VBN cord-030380-okue1kso 86 37 a a DT cord-030380-okue1kso 86 38 revelation revelation NN cord-030380-okue1kso 86 39 . . . cord-030380-okue1kso 87 1 But but CC cord-030380-okue1kso 87 2 new new JJ cord-030380-okue1kso 87 3 , , , cord-030380-okue1kso 87 4 or or CC cord-030380-okue1kso 87 5 at at IN cord-030380-okue1kso 87 6 least least JJS cord-030380-okue1kso 87 7 different different JJ cord-030380-okue1kso 87 8 , , , cord-030380-okue1kso 87 9 strategies strategy NNS cord-030380-okue1kso 87 10 are be VBP cord-030380-okue1kso 87 11 needed need VBN cord-030380-okue1kso 87 12 . . . cord-030380-okue1kso 88 1 A a DT cord-030380-okue1kso 88 2 more more RBR cord-030380-okue1kso 88 3 optimistic optimistic JJ cord-030380-okue1kso 88 4 interpretation interpretation NN cord-030380-okue1kso 88 5 of of IN cord-030380-okue1kso 88 6 performance performance NN cord-030380-okue1kso 88 7 data datum NNS cord-030380-okue1kso 88 8 might may MD cord-030380-okue1kso 88 9 focus focus VB cord-030380-okue1kso 88 10 on on IN cord-030380-okue1kso 88 11 the the DT cord-030380-okue1kso 88 12 successes success NNS cord-030380-okue1kso 88 13 rather rather RB cord-030380-okue1kso 88 14 than than IN cord-030380-okue1kso 88 15 the the DT cord-030380-okue1kso 88 16 deficits deficit NNS cord-030380-okue1kso 88 17 revealed reveal VBN cord-030380-okue1kso 88 18 by by IN cord-030380-okue1kso 88 19 measures measure NNS cord-030380-okue1kso 88 20 and and CC cord-030380-okue1kso 88 21 recognize recognize VB cord-030380-okue1kso 88 22 that that IN cord-030380-okue1kso 88 23 physicians physician NNS cord-030380-okue1kso 88 24 produce produce VBP cord-030380-okue1kso 88 25 much much JJ cord-030380-okue1kso 88 26 valuable valuable JJ cord-030380-okue1kso 88 27 care care NN cord-030380-okue1kso 88 28 without without IN cord-030380-okue1kso 88 29 value value NN cord-030380-okue1kso 88 30 - - HYPH cord-030380-okue1kso 88 31 based base VBN cord-030380-okue1kso 88 32 payment payment NN cord-030380-okue1kso 88 33 . . . cord-030380-okue1kso 89 1 If if IN cord-030380-okue1kso 89 2 their -PRON- PRP$ cord-030380-okue1kso 89 3 special special JJ cord-030380-okue1kso 89 4 knowledge knowledge NN cord-030380-okue1kso 89 5 and and CC cord-030380-okue1kso 89 6 intrinsic intrinsic JJ cord-030380-okue1kso 89 7 motivation motivation NN cord-030380-okue1kso 89 8 are be VBP cord-030380-okue1kso 89 9 responsible responsible JJ cord-030380-okue1kso 89 10 for for IN cord-030380-okue1kso 89 11 buoying buoy VBG cord-030380-okue1kso 89 12 quality quality NN cord-030380-okue1kso 89 13 to to IN cord-030380-okue1kso 89 14 its -PRON- PRP$ cord-030380-okue1kso 89 15 current current JJ cord-030380-okue1kso 89 16 level level NN cord-030380-okue1kso 89 17 , , , cord-030380-okue1kso 89 18 perhaps perhaps RB cord-030380-okue1kso 89 19 those those DT cord-030380-okue1kso 89 20 resources resource NNS cord-030380-okue1kso 89 21 can can MD cord-030380-okue1kso 89 22 be be VB cord-030380-okue1kso 89 23 more more RBR cord-030380-okue1kso 89 24 effectively effectively RB cord-030380-okue1kso 89 25 tapped tap VBN cord-030380-okue1kso 89 26 to to TO cord-030380-okue1kso 89 27 elevate elevate VB cord-030380-okue1kso 89 28 quality quality NN cord-030380-okue1kso 89 29 further further RB cord-030380-okue1kso 89 30 . . . cord-030380-okue1kso 90 1 Measure measure NN cord-030380-okue1kso 90 2 - - HYPH cord-030380-okue1kso 90 3 driven drive VBN cord-030380-okue1kso 90 4 improvement improvement NN cord-030380-okue1kso 90 5 initiatives initiative NNS cord-030380-okue1kso 90 6 often often RB cord-030380-okue1kso 90 7 implicitly implicitly RB cord-030380-okue1kso 90 8 assume assume VBP cord-030380-okue1kso 90 9 that that IN cord-030380-okue1kso 90 10 clinicians clinician NNS cord-030380-okue1kso 90 11 ' ' POS cord-030380-okue1kso 90 12 limits limit NNS cord-030380-okue1kso 90 13 have have VBP cord-030380-okue1kso 90 14 been be VBN cord-030380-okue1kso 90 15 reached reach VBN cord-030380-okue1kso 90 16 and and CC cord-030380-okue1kso 90 17 accordingly accordingly RB cord-030380-okue1kso 90 18 intervene intervene VB cord-030380-okue1kso 90 19 with with IN cord-030380-okue1kso 90 20 corrective corrective JJ cord-030380-okue1kso 90 21 steps step NNS cord-030380-okue1kso 90 22 to to TO cord-030380-okue1kso 90 23 close close VB cord-030380-okue1kso 90 24 specific specific JJ cord-030380-okue1kso 90 25 gaps gap NNS cord-030380-okue1kso 90 26 in in IN cord-030380-okue1kso 90 27 care care NN cord-030380-okue1kso 90 28 . . . cord-030380-okue1kso 91 1 Yet yet RB cord-030380-okue1kso 91 2 , , , cord-030380-okue1kso 91 3 as as IN cord-030380-okue1kso 91 4 the the DT cord-030380-okue1kso 91 5 response response NN cord-030380-okue1kso 91 6 to to IN cord-030380-okue1kso 91 7 the the DT cord-030380-okue1kso 91 8 Covid-19 covid-19 JJ cord-030380-okue1kso 91 9 pandemic pandemic NN cord-030380-okue1kso 91 10 has have VBZ cord-030380-okue1kso 91 11 reminded remind VBN cord-030380-okue1kso 91 12 us -PRON- PRP cord-030380-okue1kso 91 13 , , , cord-030380-okue1kso 91 14 professionalism professionalism NN cord-030380-okue1kso 91 15 in in IN cord-030380-okue1kso 91 16 health health NN cord-030380-okue1kso 91 17 care care NN cord-030380-okue1kso 91 18 has have VBZ cord-030380-okue1kso 91 19 much much RB cord-030380-okue1kso 91 20 more more JJR cord-030380-okue1kso 91 21 to to TO cord-030380-okue1kso 91 22 offer offer VB cord-030380-okue1kso 91 23 . . . cord-030380-okue1kso 92 1 To to TO cord-030380-okue1kso 92 2 explore explore VB cord-030380-okue1kso 92 3 how how WRB cord-030380-okue1kso 92 4 this this DT cord-030380-okue1kso 92 5 vital vital JJ cord-030380-okue1kso 92 6 resource resource NN cord-030380-okue1kso 92 7 might may MD cord-030380-okue1kso 92 8 be be VB cord-030380-okue1kso 92 9 better well RBR cord-030380-okue1kso 92 10 used use VBN cord-030380-okue1kso 92 11 to to TO cord-030380-okue1kso 92 12 foster foster VB cord-030380-okue1kso 92 13 broader broad JJR cord-030380-okue1kso 92 14 improvement improvement NN cord-030380-okue1kso 92 15 , , , cord-030380-okue1kso 92 16 it -PRON- PRP cord-030380-okue1kso 92 17 is be VBZ cord-030380-okue1kso 92 18 instructive instructive JJ cord-030380-okue1kso 92 19 to to TO cord-030380-okue1kso 92 20 consider consider VB cord-030380-okue1kso 92 21 how how WRB cord-030380-okue1kso 92 22 quality quality NN cord-030380-okue1kso 92 23 might may MD cord-030380-okue1kso 92 24 be be VB cord-030380-okue1kso 92 25 improved improve VBN cord-030380-okue1kso 92 26 without without IN cord-030380-okue1kso 92 27 relying rely VBG cord-030380-okue1kso 92 28 so so RB cord-030380-okue1kso 92 29 heavily heavily RB cord-030380-okue1kso 92 30 on on IN cord-030380-okue1kso 92 31 measures measure NNS cord-030380-okue1kso 93 1 ( ( -LRB- cord-030380-okue1kso 93 2 Figure figure NN cord-030380-okue1kso 93 3 1 1 CD cord-030380-okue1kso 93 4 ) ) -RRB- cord-030380-okue1kso 93 5 . . . cord-030380-okue1kso 94 1 This this DT cord-030380-okue1kso 94 2 should should MD cord-030380-okue1kso 94 3 not not RB cord-030380-okue1kso 94 4 seem seem VB cord-030380-okue1kso 94 5 so so RB cord-030380-okue1kso 94 6 out out RB cord-030380-okue1kso 94 7 - - HYPH cord-030380-okue1kso 94 8 of of IN cord-030380-okue1kso 94 9 - - HYPH cord-030380-okue1kso 94 10 the the DT cord-030380-okue1kso 94 11 - - HYPH cord-030380-okue1kso 94 12 box box NN cord-030380-okue1kso 94 13 . . . cord-030380-okue1kso 95 1 Although although IN cord-030380-okue1kso 95 2 often often RB cord-030380-okue1kso 95 3 misquoted misquote VBN cord-030380-okue1kso 95 4 to to IN cord-030380-okue1kso 95 5 the the DT cord-030380-okue1kso 95 6 contrary contrary NN cord-030380-okue1kso 95 7 , , , cord-030380-okue1kso 95 8 W. W. NNP cord-030380-okue1kso 95 9 Edwards Edwards NNP cord-030380-okue1kso 95 10 Deming Deming NNP cord-030380-okue1kso 95 11 -a -a HYPH cord-030380-okue1kso 95 12 leader leader NN cord-030380-okue1kso 95 13 in in IN cord-030380-okue1kso 95 14 the the DT cord-030380-okue1kso 95 15 field field NN cord-030380-okue1kso 95 16 of of IN cord-030380-okue1kso 95 17 quality quality NN cord-030380-okue1kso 95 18 improvement improvement NN cord-030380-okue1kso 95 19 -incisively -incisively RB cord-030380-okue1kso 95 20 noted note VBD cord-030380-okue1kso 95 21 : : : cord-030380-okue1kso 95 22 " " `` cord-030380-okue1kso 95 23 It -PRON- PRP cord-030380-okue1kso 95 24 is be VBZ cord-030380-okue1kso 95 25 wrong wrong JJ cord-030380-okue1kso 95 26 to to TO cord-030380-okue1kso 95 27 suppose suppose VB cord-030380-okue1kso 95 28 that that IN cord-030380-okue1kso 95 29 if if IN cord-030380-okue1kso 95 30 you -PRON- PRP cord-030380-okue1kso 95 31 ca can MD cord-030380-okue1kso 95 32 n't not RB cord-030380-okue1kso 95 33 measure measure VB cord-030380-okue1kso 95 34 it -PRON- PRP cord-030380-okue1kso 95 35 , , , cord-030380-okue1kso 95 36 you -PRON- PRP cord-030380-okue1kso 95 37 ca can MD cord-030380-okue1kso 95 38 n't not RB cord-030380-okue1kso 95 39 manage manage VB cord-030380-okue1kso 95 40 it -PRON- PRP cord-030380-okue1kso 95 41 - - : cord-030380-okue1kso 95 42 a a DT cord-030380-okue1kso 95 43 costly costly JJ cord-030380-okue1kso 95 44 myth myth NN cord-030380-okue1kso 95 45 . . . cord-030380-okue1kso 96 1 " " `` cord-030380-okue1kso 96 2 24 24 CD cord-030380-okue1kso 96 3 , , , cord-030380-okue1kso 96 4 25 25 CD cord-030380-okue1kso 96 5 Moreover moreover RB cord-030380-okue1kso 96 6 , , , cord-030380-okue1kso 96 7 reliance reliance NN cord-030380-okue1kso 96 8 on on IN cord-030380-okue1kso 96 9 scorecards scorecard NNS cord-030380-okue1kso 96 10 and and CC cord-030380-okue1kso 96 11 pay pay VB cord-030380-okue1kso 96 12 for for IN cord-030380-okue1kso 96 13 performance performance NN cord-030380-okue1kso 96 14 is be VBZ cord-030380-okue1kso 96 15 at at IN cord-030380-okue1kso 96 16 odds odd NNS cord-030380-okue1kso 96 17 with with IN cord-030380-okue1kso 96 18 the the DT cord-030380-okue1kso 96 19 basic basic JJ cord-030380-okue1kso 96 20 economics economic NNS cord-030380-okue1kso 96 21 of of IN cord-030380-okue1kso 96 22 market market NN cord-030380-okue1kso 96 23 functioning functioning NN cord-030380-okue1kso 96 24 . . . cord-030380-okue1kso 97 1 Economic economic JJ cord-030380-okue1kso 97 2 theory theory NN cord-030380-okue1kso 97 3 points point VBZ cord-030380-okue1kso 97 4 out out RP cord-030380-okue1kso 97 5 that that IN cord-030380-okue1kso 97 6 quality quality NN cord-030380-okue1kso 97 7 improvement improvement NN cord-030380-okue1kso 97 8 does do VBZ cord-030380-okue1kso 97 9 not not RB cord-030380-okue1kso 97 10 require require VB cord-030380-okue1kso 97 11 quality quality NN cord-030380-okue1kso 97 12 to to TO cord-030380-okue1kso 97 13 be be VB cord-030380-okue1kso 97 14 converted convert VBN cord-030380-okue1kso 97 15 into into IN cord-030380-okue1kso 97 16 a a DT cord-030380-okue1kso 97 17 contractible contractible JJ cord-030380-okue1kso 97 18 or or CC cord-030380-okue1kso 97 19 manageable manageable JJ cord-030380-okue1kso 97 20 quantity quantity NN cord-030380-okue1kso 97 21 . . . cord-030380-okue1kso 98 1 Quality quality NN cord-030380-okue1kso 98 2 just just RB cord-030380-okue1kso 98 3 has have VBZ cord-030380-okue1kso 98 4 to to TO cord-030380-okue1kso 98 5 be be VB cord-030380-okue1kso 98 6 observable observable JJ cord-030380-okue1kso 98 7 to to IN cord-030380-okue1kso 98 8 whoever whoever WP cord-030380-okue1kso 98 9 is be VBZ cord-030380-okue1kso 98 10 motivated motivate VBN cord-030380-okue1kso 98 11 to to TO cord-030380-okue1kso 98 12 benefit benefit VB cord-030380-okue1kso 98 13 from from IN cord-030380-okue1kso 98 14 it -PRON- PRP cord-030380-okue1kso 98 15 . . . cord-030380-okue1kso 99 1 The the DT cord-030380-okue1kso 99 2 pandemic pandemic NN cord-030380-okue1kso 99 3 has have VBZ cord-030380-okue1kso 99 4 also also RB cord-030380-okue1kso 99 5 reminded remind VBN cord-030380-okue1kso 99 6 us -PRON- PRP cord-030380-okue1kso 99 7 that that IN cord-030380-okue1kso 99 8 individual individual JJ cord-030380-okue1kso 99 9 clinicians clinician NNS cord-030380-okue1kso 99 10 , , , cord-030380-okue1kso 99 11 no no RB cord-030380-okue1kso 99 12 matter matter RB cord-030380-okue1kso 99 13 how how WRB cord-030380-okue1kso 99 14 well well RB cord-030380-okue1kso 99 15 trained trained JJ cord-030380-okue1kso 99 16 and and CC cord-030380-okue1kso 99 17 well well RB cord-030380-okue1kso 99 18 intended intended JJ cord-030380-okue1kso 99 19 , , , cord-030380-okue1kso 99 20 can can MD cord-030380-okue1kso 99 21 accomplish accomplish VB cord-030380-okue1kso 99 22 only only RB cord-030380-okue1kso 99 23 so so RB cord-030380-okue1kso 99 24 much much RB cord-030380-okue1kso 99 25 when when WRB cord-030380-okue1kso 99 26 not not RB cord-030380-okue1kso 99 27 optimally optimally RB cord-030380-okue1kso 99 28 equipped equip VBN cord-030380-okue1kso 99 29 and and CC cord-030380-okue1kso 99 30 positioned position VBN cord-030380-okue1kso 99 31 . . . cord-030380-okue1kso 100 1 Progress progress NN cord-030380-okue1kso 100 2 will will MD cord-030380-okue1kso 100 3 not not RB cord-030380-okue1kso 100 4 be be VB cord-030380-okue1kso 100 5 served serve VBN cord-030380-okue1kso 100 6 by by IN cord-030380-okue1kso 100 7 returning return VBG cord-030380-okue1kso 100 8 to to IN cord-030380-okue1kso 100 9 an an DT cord-030380-okue1kso 100 10 era era NN cord-030380-okue1kso 100 11 in in IN cord-030380-okue1kso 100 12 which which WDT cord-030380-okue1kso 100 13 physicians physician NNS cord-030380-okue1kso 100 14 practiced practice VBD cord-030380-okue1kso 100 15 as as IN cord-030380-okue1kso 100 16 autonomous autonomous JJ cord-030380-okue1kso 100 17 , , , cord-030380-okue1kso 100 18 self self NN cord-030380-okue1kso 100 19 - - HYPH cord-030380-okue1kso 100 20 regulated regulate VBN cord-030380-okue1kso 100 21 , , , cord-030380-okue1kso 100 22 and and CC cord-030380-okue1kso 100 23 unmanaged unmanaged JJ cord-030380-okue1kso 100 24 stewards steward NNS cord-030380-okue1kso 100 25 . . . cord-030380-okue1kso 101 1 19 19 CD cord-030380-okue1kso 101 2 Organizations organization NNS cord-030380-okue1kso 101 3 , , , cord-030380-okue1kso 101 4 technology technology NN cord-030380-okue1kso 101 5 , , , cord-030380-okue1kso 101 6 and and CC cord-030380-okue1kso 101 7 regulatory regulatory JJ cord-030380-okue1kso 101 8 policy policy NN cord-030380-okue1kso 101 9 should should MD cord-030380-okue1kso 101 10 feature feature VB cord-030380-okue1kso 101 11 prominently prominently RB cord-030380-okue1kso 101 12 in in IN cord-030380-okue1kso 101 13 attempts attempt NNS cord-030380-okue1kso 101 14 to to TO cord-030380-okue1kso 101 15 better well JJR cord-030380-okue1kso 101 16 leverage leverage NN cord-030380-okue1kso 101 17 professionalism professionalism NN cord-030380-okue1kso 101 18 in in IN cord-030380-okue1kso 101 19 health health NN cord-030380-okue1kso 101 20 care care NN cord-030380-okue1kso 101 21 . . . cord-030380-okue1kso 102 1 Strategies strategy NNS cord-030380-okue1kso 102 2 to to TO cord-030380-okue1kso 102 3 do do VB cord-030380-okue1kso 102 4 so so RB cord-030380-okue1kso 102 5 can can MD cord-030380-okue1kso 102 6 be be VB cord-030380-okue1kso 102 7 conceived conceive VBN cord-030380-okue1kso 102 8 as as IN cord-030380-okue1kso 102 9 targeting target VBG cord-030380-okue1kso 102 10 problems problem NNS cord-030380-okue1kso 102 11 ofinformation ofinformation NN cord-030380-okue1kso 102 12 ormotivation ormotivation NN cord-030380-okue1kso 102 13 when when WRB cord-030380-okue1kso 102 14 providers provider NNS cord-030380-okue1kso 102 15 act act VBP cord-030380-okue1kso 102 16 as as IN cord-030380-okue1kso 102 17 agents agent NNS cord-030380-okue1kso 102 18 . . . cord-030380-okue1kso 103 1 To to TO cord-030380-okue1kso 103 2 be be VB cord-030380-okue1kso 103 3 clear clear JJ cord-030380-okue1kso 103 4 , , , cord-030380-okue1kso 103 5 the the DT cord-030380-okue1kso 103 6 directions direction NNS cord-030380-okue1kso 103 7 explored explore VBN cord-030380-okue1kso 103 8 below below RB cord-030380-okue1kso 103 9 are be VBP cord-030380-okue1kso 103 10 largely largely RB cord-030380-okue1kso 103 11 unstudied unstudied JJ cord-030380-okue1kso 103 12 and and CC cord-030380-okue1kso 103 13 need nee MD cord-030380-okue1kso 103 14 not not RB cord-030380-okue1kso 103 15 replace replace VB cord-030380-okue1kso 103 16 proven prove VBN cord-030380-okue1kso 103 17 strategies strategy NNS cord-030380-okue1kso 103 18 or or CC cord-030380-okue1kso 103 19 halt halt VB cord-030380-okue1kso 103 20 the the DT cord-030380-okue1kso 103 21 refinement refinement NN cord-030380-okue1kso 103 22 of of IN cord-030380-okue1kso 103 23 unsuccessful unsuccessful JJ cord-030380-okue1kso 103 24 ones one NNS cord-030380-okue1kso 103 25 . . . cord-030380-okue1kso 104 1 Rather rather RB cord-030380-okue1kso 104 2 , , , cord-030380-okue1kso 104 3 they -PRON- PRP cord-030380-okue1kso 104 4 are be VBP cord-030380-okue1kso 104 5 intended intend VBN cord-030380-okue1kso 104 6 to to TO cord-030380-okue1kso 104 7 encourage encourage VB cord-030380-okue1kso 104 8 thinking thinking NN cord-030380-okue1kso 104 9 , , , cord-030380-okue1kso 104 10 conversations conversation NNS cord-030380-okue1kso 104 11 , , , cord-030380-okue1kso 104 12 and and CC cord-030380-okue1kso 104 13 research research NN cord-030380-okue1kso 104 14 that that WDT cord-030380-okue1kso 104 15 may may MD cord-030380-okue1kso 104 16 be be VB cord-030380-okue1kso 104 17 more more RBR cord-030380-okue1kso 104 18 productive productive JJ cord-030380-okue1kso 104 19 than than IN cord-030380-okue1kso 104 20 an an DT cord-030380-okue1kso 104 21 agenda agenda NN cord-030380-okue1kso 104 22 singularly singularly RB cord-030380-okue1kso 104 23 focused focus VBD cord-030380-okue1kso 104 24 on on IN cord-030380-okue1kso 104 25 making make VBG cord-030380-okue1kso 104 26 quality quality NN cord-030380-okue1kso 104 27 measures measure NNS cord-030380-okue1kso 104 28 work work NN cord-030380-okue1kso 104 29 . . . cord-030380-okue1kso 105 1 Because because IN cord-030380-okue1kso 105 2 of of IN cord-030380-okue1kso 105 3 their -PRON- PRP$ cord-030380-okue1kso 105 4 training training NN cord-030380-okue1kso 105 5 , , , cord-030380-okue1kso 105 6 experience experience NN cord-030380-okue1kso 105 7 , , , cord-030380-okue1kso 105 8 and and CC cord-030380-okue1kso 105 9 exposure exposure NN cord-030380-okue1kso 105 10 , , , cord-030380-okue1kso 105 11 physicians physician NNS cord-030380-okue1kso 105 12 are be VBP cord-030380-okue1kso 105 13 uniquely uniquely RB cord-030380-okue1kso 105 14 positioned position VBN cord-030380-okue1kso 105 15 to to TO cord-030380-okue1kso 105 16 understand understand VB cord-030380-okue1kso 105 17 what what WP cord-030380-okue1kso 105 18 constitutes constitute VBZ cord-030380-okue1kso 105 19 high high JJ cord-030380-okue1kso 105 20 - - HYPH cord-030380-okue1kso 105 21 quality quality NN cord-030380-okue1kso 105 22 care care NN cord-030380-okue1kso 105 23 , , , cord-030380-okue1kso 105 24 identify identify VB cord-030380-okue1kso 105 25 it -PRON- PRP cord-030380-okue1kso 105 26 , , , cord-030380-okue1kso 105 27 and and CC cord-030380-okue1kso 105 28 learn learn VB cord-030380-okue1kso 105 29 how how WRB cord-030380-okue1kso 105 30 to to TO cord-030380-okue1kso 105 31 deliver deliver VB cord-030380-okue1kso 105 32 it -PRON- PRP cord-030380-okue1kso 105 33 . . . cord-030380-okue1kso 106 1 For for IN cord-030380-okue1kso 106 2 example example NN cord-030380-okue1kso 106 3 , , , cord-030380-okue1kso 106 4 PCPs pcp NNS cord-030380-okue1kso 106 5 routinely routinely RB cord-030380-okue1kso 106 6 observe observe VBP cord-030380-okue1kso 106 7 the the DT cord-030380-okue1kso 106 8 expertise expertise NN cord-030380-okue1kso 106 9 and and CC cord-030380-okue1kso 106 10 decision decision NN cord-030380-okue1kso 106 11 - - HYPH cord-030380-okue1kso 106 12 making making NN cord-030380-okue1kso 106 13 of of IN cord-030380-okue1kso 106 14 peers peer NNS cord-030380-okue1kso 106 15 and and CC cord-030380-okue1kso 106 16 judge judge VB cord-030380-okue1kso 106 17 the the DT cord-030380-okue1kso 106 18 quality quality NN cord-030380-okue1kso 106 19 of of IN cord-030380-okue1kso 106 20 specialists specialist NNS cord-030380-okue1kso 106 21 from from IN cord-030380-okue1kso 106 22 consultation consultation NN cord-030380-okue1kso 106 23 notes note NNS cord-030380-okue1kso 106 24 , , , cord-030380-okue1kso 106 25 communications communication NNS cord-030380-okue1kso 106 26 , , , cord-030380-okue1kso 106 27 inside inside IN cord-030380-okue1kso 106 28 observers observer NNS cord-030380-okue1kso 106 29 ( ( -LRB- cord-030380-okue1kso 106 30 e.g. e.g. RB cord-030380-okue1kso 106 31 , , , cord-030380-okue1kso 106 32 operating operate VBG cord-030380-okue1kso 106 33 room room NN cord-030380-okue1kso 106 34 nurses nurse NNS cord-030380-okue1kso 106 35 ) ) -RRB- cord-030380-okue1kso 106 36 , , , cord-030380-okue1kso 106 37 and and CC cord-030380-okue1kso 106 38 patient patient JJ cord-030380-okue1kso 106 39 feedback feedback NN cord-030380-okue1kso 106 40 . . . cord-030380-okue1kso 107 1 When when WRB cord-030380-okue1kso 107 2 asked ask VBN cord-030380-okue1kso 107 3 for for IN cord-030380-okue1kso 107 4 recommendations recommendation NNS cord-030380-okue1kso 107 5 by by IN cord-030380-okue1kso 107 6 patients patient NNS cord-030380-okue1kso 107 7 or or CC cord-030380-okue1kso 107 8 family family NN cord-030380-okue1kso 107 9 members member NNS cord-030380-okue1kso 107 10 , , , cord-030380-okue1kso 107 11 physicians physician NNS cord-030380-okue1kso 107 12 often often RB cord-030380-okue1kso 107 13 express express VBP cord-030380-okue1kso 107 14 strong strong JJ cord-030380-okue1kso 107 15 opinions opinion NNS cord-030380-okue1kso 107 16 about about IN cord-030380-okue1kso 107 17 the the DT cord-030380-okue1kso 107 18 quality quality NN cord-030380-okue1kso 107 19 of of IN cord-030380-okue1kso 107 20 care care NN cord-030380-okue1kso 107 21 provided provide VBN cord-030380-okue1kso 107 22 by by IN cord-030380-okue1kso 107 23 other other JJ cord-030380-okue1kso 107 24 physiciansprima physiciansprima NNS cord-030380-okue1kso 107 25 facie facie JJ cord-030380-okue1kso 107 26 evidence evidence NN cord-030380-okue1kso 107 27 that that IN cord-030380-okue1kso 107 28 they -PRON- PRP cord-030380-okue1kso 107 29 observe observe VBP cord-030380-okue1kso 107 30 something something NN cord-030380-okue1kso 107 31 they -PRON- PRP cord-030380-okue1kso 107 32 find find VBP cord-030380-okue1kso 107 33 compelling compelling JJ cord-030380-okue1kso 107 34 . . . cord-030380-okue1kso 108 1 Despite despite IN cord-030380-okue1kso 108 2 its -PRON- PRP$ cord-030380-okue1kso 108 3 potential potential NN cord-030380-okue1kso 108 4 , , , cord-030380-okue1kso 108 5 the the DT cord-030380-okue1kso 108 6 physician physician NN cord-030380-okue1kso 108 7 hive hive NN cord-030380-okue1kso 108 8 mind mind NN cord-030380-okue1kso 108 9 is be VBZ cord-030380-okue1kso 108 10 not not RB cord-030380-okue1kso 108 11 routinely routinely RB cord-030380-okue1kso 108 12 queried query VBN cord-030380-okue1kso 108 13 or or CC cord-030380-okue1kso 108 14 applied apply VBN cord-030380-okue1kso 108 15 in in IN cord-030380-okue1kso 108 16 health health NN cord-030380-okue1kso 108 17 care care NN cord-030380-okue1kso 108 18 organizations organization NNS cord-030380-okue1kso 108 19 or or CC cord-030380-okue1kso 108 20 markets market NNS cord-030380-okue1kso 108 21 to to TO cord-030380-okue1kso 108 22 drive drive VB cord-030380-okue1kso 108 23 quality quality NN cord-030380-okue1kso 108 24 improvement improvement NN cord-030380-okue1kso 108 25 and and CC cord-030380-okue1kso 108 26 foster foster JJ cord-030380-okue1kso 108 27 learning learning NN cord-030380-okue1kso 108 28 . . . cord-030380-okue1kso 109 1 There there EX cord-030380-okue1kso 109 2 are be VBP cord-030380-okue1kso 109 3 many many JJ cord-030380-okue1kso 109 4 opportunities opportunity NNS cord-030380-okue1kso 109 5 to to TO cord-030380-okue1kso 109 6 harness harness VB cord-030380-okue1kso 109 7 this this DT cord-030380-okue1kso 109 8 resource resource NN cord-030380-okue1kso 109 9 more more RBR cord-030380-okue1kso 109 10 effectively effectively RB cord-030380-okue1kso 109 11 . . . cord-030380-okue1kso 110 1 " " `` cord-030380-okue1kso 110 2 Physicians physician NNS cord-030380-okue1kso 110 3 do do VBP cord-030380-okue1kso 110 4 err err VB cord-030380-okue1kso 110 5 in in IN cord-030380-okue1kso 110 6 their -PRON- PRP$ cord-030380-okue1kso 110 7 judgment judgment NN cord-030380-okue1kso 110 8 . . . cord-030380-okue1kso 111 1 Their -PRON- PRP$ cord-030380-okue1kso 111 2 beliefs belief NNS cord-030380-okue1kso 111 3 vary vary VBP cord-030380-okue1kso 111 4 and and CC cord-030380-okue1kso 111 5 may may MD cord-030380-okue1kso 111 6 deviate deviate VB cord-030380-okue1kso 111 7 from from IN cord-030380-okue1kso 111 8 evidence evidence NN cord-030380-okue1kso 111 9 . . . cord-030380-okue1kso 112 1 26 26 CD cord-030380-okue1kso 113 1 Surprisingly surprisingly RB cord-030380-okue1kso 113 2 little little JJ cord-030380-okue1kso 113 3 is be VBZ cord-030380-okue1kso 113 4 known know VBN cord-030380-okue1kso 113 5 about about IN cord-030380-okue1kso 113 6 the the DT cord-030380-okue1kso 113 7 accuracy accuracy NN cord-030380-okue1kso 113 8 of of IN cord-030380-okue1kso 113 9 the the DT cord-030380-okue1kso 113 10 private private JJ cord-030380-okue1kso 113 11 information information NN cord-030380-okue1kso 113 12 possessed possess VBN cord-030380-okue1kso 113 13 by by IN cord-030380-okue1kso 113 14 physicians physician NNS cord-030380-okue1kso 113 15 or or CC cord-030380-okue1kso 113 16 how how WRB cord-030380-okue1kso 113 17 it -PRON- PRP cord-030380-okue1kso 113 18 relates relate VBZ cord-030380-okue1kso 113 19 to to IN cord-030380-okue1kso 113 20 measurable measurable JJ cord-030380-okue1kso 113 21 aspects aspect NNS cord-030380-okue1kso 113 22 of of IN cord-030380-okue1kso 113 23 quality quality NN cord-030380-okue1kso 113 24 of of IN cord-030380-okue1kso 113 25 care care NN cord-030380-okue1kso 113 26 -a -a HYPH cord-030380-okue1kso 113 27 long long RB cord-030380-okue1kso 113 28 - - HYPH cord-030380-okue1kso 113 29 standing stand VBG cord-030380-okue1kso 113 30 question question NN cord-030380-okue1kso 113 31 in in IN cord-030380-okue1kso 113 32 urgent urgent JJ cord-030380-okue1kso 113 33 need need NN cord-030380-okue1kso 113 34 of of IN cord-030380-okue1kso 113 35 more more JJR cord-030380-okue1kso 113 36 research research NN cord-030380-okue1kso 113 37 . . . cord-030380-okue1kso 114 1 But but CC cord-030380-okue1kso 114 2 it -PRON- PRP cord-030380-okue1kso 114 3 is be VBZ cord-030380-okue1kso 114 4 abundantly abundantly RB cord-030380-okue1kso 114 5 clear clear JJ cord-030380-okue1kso 114 6 that that IN cord-030380-okue1kso 114 7 they -PRON- PRP cord-030380-okue1kso 114 8 learn learn VBP cord-030380-okue1kso 114 9 rapidly rapidly RB cord-030380-okue1kso 114 10 , , , cord-030380-okue1kso 114 11 refine refine VB cord-030380-okue1kso 114 12 their -PRON- PRP$ cord-030380-okue1kso 114 13 skills skill NNS cord-030380-okue1kso 114 14 , , , cord-030380-okue1kso 114 15 and and CC cord-030380-okue1kso 114 16 revise revise VB cord-030380-okue1kso 114 17 their -PRON- PRP$ cord-030380-okue1kso 114 18 practices practice NNS cord-030380-okue1kso 114 19 . . . cord-030380-okue1kso 115 1 Witness witness VB cord-030380-okue1kso 115 2 the the DT cord-030380-okue1kso 115 3 outcome outcome NN cord-030380-okue1kso 115 4 of of IN cord-030380-okue1kso 115 5 residency residency NN cord-030380-okue1kso 115 6 training training NN cord-030380-okue1kso 115 7 : : : cord-030380-okue1kso 115 8 Senior senior JJ cord-030380-okue1kso 115 9 residents resident NNS cord-030380-okue1kso 115 10 are be VBP cord-030380-okue1kso 115 11 better well JJR cord-030380-okue1kso 115 12 doctors doctor NNS cord-030380-okue1kso 115 13 than than IN cord-030380-okue1kso 115 14 they -PRON- PRP cord-030380-okue1kso 115 15 were be VBD cord-030380-okue1kso 115 16 as as RB cord-030380-okue1kso 115 17 4th 4th JJ cord-030380-okue1kso 115 18 - - HYPH cord-030380-okue1kso 115 19 year year NN cord-030380-okue1kso 115 20 medical medical JJ cord-030380-okue1kso 115 21 students student NNS cord-030380-okue1kso 115 22 . . . cord-030380-okue1kso 116 1 Within within IN cord-030380-okue1kso 116 2 days day NNS cord-030380-okue1kso 116 3 of of IN cord-030380-okue1kso 116 4 the the DT cord-030380-okue1kso 116 5 Covid-19 covid-19 JJ cord-030380-okue1kso 116 6 outbreak outbreak NN cord-030380-okue1kso 116 7 confining confine VBG cord-030380-okue1kso 116 8 patients patient NNS cord-030380-okue1kso 116 9 to to IN cord-030380-okue1kso 116 10 their -PRON- PRP$ cord-030380-okue1kso 116 11 homes home NNS cord-030380-okue1kso 116 12 , , , cord-030380-okue1kso 116 13 PCPs pcp NNS cord-030380-okue1kso 116 14 learned learn VBD cord-030380-okue1kso 116 15 how how WRB cord-030380-okue1kso 116 16 to to TO cord-030380-okue1kso 116 17 practice practice VB cord-030380-okue1kso 116 18 telemedicine telemedicine NN cord-030380-okue1kso 116 19 . . . cord-030380-okue1kso 117 1 Thus thus RB cord-030380-okue1kso 117 2 , , , cord-030380-okue1kso 117 3 while while IN cord-030380-okue1kso 117 4 physicians physician NNS cord-030380-okue1kso 117 5 ' ' POS cord-030380-okue1kso 117 6 knowledge knowledge NN cord-030380-okue1kso 117 7 may may MD cord-030380-okue1kso 117 8 not not RB cord-030380-okue1kso 117 9 be be VB cord-030380-okue1kso 117 10 perfect perfect JJ cord-030380-okue1kso 117 11 , , , cord-030380-okue1kso 117 12 it -PRON- PRP cord-030380-okue1kso 117 13 is be VBZ cord-030380-okue1kso 117 14 extensive extensive JJ cord-030380-okue1kso 117 15 and and CC cord-030380-okue1kso 117 16 elastic elastic JJ cord-030380-okue1kso 117 17 . . . cord-030380-okue1kso 118 1 Moreover moreover RB cord-030380-okue1kso 118 2 , , , cord-030380-okue1kso 118 3 the the DT cord-030380-okue1kso 118 4 collective collective JJ cord-030380-okue1kso 118 5 wisdom wisdom NN cord-030380-okue1kso 118 6 possessed possess VBN cord-030380-okue1kso 118 7 by by IN cord-030380-okue1kso 118 8 physicians physician NNS cord-030380-okue1kso 118 9 may may MD cord-030380-okue1kso 118 10 be be VB cord-030380-okue1kso 118 11 more more RBR cord-030380-okue1kso 118 12 discerning discerning JJ cord-030380-okue1kso 118 13 than than IN cord-030380-okue1kso 118 14 individual individual JJ cord-030380-okue1kso 118 15 opinions opinion NNS cord-030380-okue1kso 118 16 . . . cord-030380-okue1kso 119 1 Indeed indeed RB cord-030380-okue1kso 119 2 , , , cord-030380-okue1kso 119 3 physicians physician NNS cord-030380-okue1kso 119 4 often often RB cord-030380-okue1kso 119 5 solicit solicit VBP cord-030380-okue1kso 119 6 input input NN cord-030380-okue1kso 119 7 from from IN cord-030380-okue1kso 119 8 colleagues colleague NNS cord-030380-okue1kso 119 9 when when WRB cord-030380-okue1kso 119 10 unsure unsure JJ cord-030380-okue1kso 119 11 about about IN cord-030380-okue1kso 119 12 referral referral JJ cord-030380-okue1kso 119 13 or or CC cord-030380-okue1kso 119 14 management management NN cord-030380-okue1kso 119 15 decisions decision NNS cord-030380-okue1kso 119 16 . . . cord-030380-okue1kso 120 1 Good good JJ cord-030380-okue1kso 120 2 physicians physician NNS cord-030380-okue1kso 120 3 know know VBP cord-030380-okue1kso 120 4 when when WRB cord-030380-okue1kso 120 5 they -PRON- PRP cord-030380-okue1kso 120 6 do do VBP cord-030380-okue1kso 120 7 n't not RB cord-030380-okue1kso 120 8 know know VB cord-030380-okue1kso 120 9 , , , cord-030380-okue1kso 120 10 but but CC cord-030380-okue1kso 120 11 closing close VBG cord-030380-okue1kso 120 12 knowledge knowledge NN cord-030380-okue1kso 120 13 gaps gap NNS cord-030380-okue1kso 120 14 on on IN cord-030380-okue1kso 120 15 their -PRON- PRP$ cord-030380-okue1kso 120 16 own own JJ cord-030380-okue1kso 120 17 is be VBZ cord-030380-okue1kso 120 18 taxing tax VBG cord-030380-okue1kso 120 19 . . . cord-030380-okue1kso 121 1 Codified codify VBN cord-030380-okue1kso 121 2 in in IN cord-030380-okue1kso 121 3 the the DT cord-030380-okue1kso 121 4 Hippocratic hippocratic JJ cord-030380-okue1kso 121 5 oath oath NN cord-030380-okue1kso 121 6 is be VBZ cord-030380-okue1kso 121 7 the the DT cord-030380-okue1kso 121 8 professional professional JJ cord-030380-okue1kso 121 9 ethic ethic NN cord-030380-okue1kso 121 10 of of IN cord-030380-okue1kso 121 11 teaching teach VBG cord-030380-okue1kso 121 12 one one CD cord-030380-okue1kso 121 13 another another DT cord-030380-okue1kso 121 14 . . . cord-030380-okue1kso 122 1 Despite despite IN cord-030380-okue1kso 122 2 its -PRON- PRP$ cord-030380-okue1kso 122 3 potential potential NN cord-030380-okue1kso 122 4 , , , cord-030380-okue1kso 122 5 the the DT cord-030380-okue1kso 122 6 physician physician NN cord-030380-okue1kso 122 7 hive hive NN cord-030380-okue1kso 122 8 mind mind NN cord-030380-okue1kso 122 9 is be VBZ cord-030380-okue1kso 122 10 not not RB cord-030380-okue1kso 122 11 routinely routinely RB cord-030380-okue1kso 122 12 queried query VBN cord-030380-okue1kso 122 13 or or CC cord-030380-okue1kso 122 14 applied apply VBN cord-030380-okue1kso 122 15 in in IN cord-030380-okue1kso 122 16 health health NN cord-030380-okue1kso 122 17 care care NN cord-030380-okue1kso 122 18 organizations organization NNS cord-030380-okue1kso 122 19 or or CC cord-030380-okue1kso 122 20 markets market NNS cord-030380-okue1kso 122 21 to to TO cord-030380-okue1kso 122 22 drive drive VB cord-030380-okue1kso 122 23 quality quality NN cord-030380-okue1kso 122 24 improvement improvement NN cord-030380-okue1kso 122 25 and and CC cord-030380-okue1kso 122 26 foster foster JJ cord-030380-okue1kso 122 27 learning learning NN cord-030380-okue1kso 122 28 . . . cord-030380-okue1kso 123 1 There there EX cord-030380-okue1kso 123 2 are be VBP cord-030380-okue1kso 123 3 many many JJ cord-030380-okue1kso 123 4 opportunities opportunity NNS cord-030380-okue1kso 123 5 to to TO cord-030380-okue1kso 123 6 harness harness VB cord-030380-okue1kso 123 7 this this DT cord-030380-okue1kso 123 8 resource resource NN cord-030380-okue1kso 123 9 more more RBR cord-030380-okue1kso 123 10 effectively effectively RB cord-030380-okue1kso 123 11 . . . cord-030380-okue1kso 124 1 First first RB cord-030380-okue1kso 124 2 , , , cord-030380-okue1kso 124 3 physicians physician NNS cord-030380-okue1kso 124 4 ' ' POS cord-030380-okue1kso 124 5 perceptions perception NNS cord-030380-okue1kso 124 6 of of IN cord-030380-okue1kso 124 7 one one NN cord-030380-okue1kso 124 8 another another DT cord-030380-okue1kso 124 9 could could MD cord-030380-okue1kso 124 10 be be VB cord-030380-okue1kso 124 11 used use VBN cord-030380-okue1kso 124 12 to to TO cord-030380-okue1kso 124 13 identify identify VB cord-030380-okue1kso 124 14 sources source NNS cord-030380-okue1kso 124 15 of of IN cord-030380-okue1kso 124 16 best good JJS cord-030380-okue1kso 124 17 practices practice NNS cord-030380-okue1kso 124 18 . . . cord-030380-okue1kso 125 1 Peer Peer NNP cord-030380-okue1kso 125 2 - - HYPH cord-030380-okue1kso 125 3 elected elect VBN cord-030380-okue1kso 125 4 master master NN cord-030380-okue1kso 125 5 clinicians clinician NNS cord-030380-okue1kso 125 6 could could MD cord-030380-okue1kso 125 7 be be VB cord-030380-okue1kso 125 8 redirected redirect VBN cord-030380-okue1kso 125 9 to to TO cord-030380-okue1kso 125 10 disseminate disseminate VB cord-030380-okue1kso 125 11 their -PRON- PRP$ cord-030380-okue1kso 125 12 expertise expertise NN cord-030380-okue1kso 125 13 via via IN cord-030380-okue1kso 125 14 coaching coaching NN cord-030380-okue1kso 125 15 , , , cord-030380-okue1kso 125 16 availability availability NN cord-030380-okue1kso 125 17 for for IN cord-030380-okue1kso 125 18 informal informal JJ cord-030380-okue1kso 125 19 consultations consultation NNS cord-030380-okue1kso 125 20 , , , cord-030380-okue1kso 125 21 and and CC cord-030380-okue1kso 125 22 case case NN cord-030380-okue1kso 125 23 discussions discussion NNS cord-030380-okue1kso 125 24 . . . cord-030380-okue1kso 126 1 Second second RB cord-030380-okue1kso 126 2 , , , cord-030380-okue1kso 126 3 PCP PCP NNP cord-030380-okue1kso 126 4 judgments judgment NNS cord-030380-okue1kso 126 5 of of IN cord-030380-okue1kso 126 6 specialist specialist NN cord-030380-okue1kso 126 7 quality quality NN cord-030380-okue1kso 126 8 could could MD cord-030380-okue1kso 126 9 be be VB cord-030380-okue1kso 126 10 used use VBN cord-030380-okue1kso 126 11 more more RBR cord-030380-okue1kso 126 12 effectively effectively RB cord-030380-okue1kso 126 13 to to TO cord-030380-okue1kso 126 14 steer steer VB cord-030380-okue1kso 126 15 referrals referral NNS cord-030380-okue1kso 126 16 . . . cord-030380-okue1kso 127 1 Practices practice NNS cord-030380-okue1kso 127 2 could could MD cord-030380-okue1kso 127 3 elicit elicit VB cord-030380-okue1kso 127 4 consensus consensus NN cord-030380-okue1kso 127 5 preferences preference NNS cord-030380-okue1kso 127 6 and and CC cord-030380-okue1kso 127 7 set set VBD cord-030380-okue1kso 127 8 these these DT cord-030380-okue1kso 127 9 as as IN cord-030380-okue1kso 127 10 defaults default NNS cord-030380-okue1kso 127 11 in in IN cord-030380-okue1kso 127 12 order order NN cord-030380-okue1kso 127 13 - - HYPH cord-030380-okue1kso 127 14 entry entry NN cord-030380-okue1kso 127 15 systems system NNS cord-030380-okue1kso 127 16 or or CC cord-030380-okue1kso 127 17 allow allow VB cord-030380-okue1kso 127 18 clinicians clinician NNS cord-030380-okue1kso 127 19 to to TO cord-030380-okue1kso 127 20 search search VB cord-030380-okue1kso 127 21 at at IN cord-030380-okue1kso 127 22 the the DT cord-030380-okue1kso 127 23 point point NN cord-030380-okue1kso 127 24 of of IN cord-030380-okue1kso 127 25 referral referral NN cord-030380-okue1kso 127 26 for for IN cord-030380-okue1kso 127 27 specialists specialist NNS cord-030380-okue1kso 127 28 selected select VBN cord-030380-okue1kso 127 29 by by IN cord-030380-okue1kso 127 30 their -PRON- PRP$ cord-030380-okue1kso 127 31 peers peer NNS cord-030380-okue1kso 127 32 . . . cord-030380-okue1kso 128 1 Preferred preferred JJ cord-030380-okue1kso 128 2 status status NN cord-030380-okue1kso 128 3 also also RB cord-030380-okue1kso 128 4 could could MD cord-030380-okue1kso 128 5 be be VB cord-030380-okue1kso 128 6 shared share VBN cord-030380-okue1kso 128 7 with with IN cord-030380-okue1kso 128 8 specialty specialty NN cord-030380-okue1kso 128 9 group group NN cord-030380-okue1kso 128 10 leaders leader NNS cord-030380-okue1kso 128 11 to to TO cord-030380-okue1kso 128 12 identify identify VB cord-030380-okue1kso 128 13 exemplars exemplar NNS cord-030380-okue1kso 128 14 . . . cord-030380-okue1kso 129 1 Selective selective JJ cord-030380-okue1kso 129 2 referral referral NN cord-030380-okue1kso 129 3 could could MD cord-030380-okue1kso 129 4 , , , cord-030380-okue1kso 129 5 in in IN cord-030380-okue1kso 129 6 turn turn NN cord-030380-okue1kso 129 7 , , , cord-030380-okue1kso 129 8 stimulate stimulate VBP cord-030380-okue1kso 129 9 quality quality NN cord-030380-okue1kso 129 10 - - HYPH cord-030380-okue1kso 129 11 improving improve VBG cord-030380-okue1kso 129 12 competition competition NN cord-030380-okue1kso 129 13 among among IN cord-030380-okue1kso 129 14 specialists specialist NNS cord-030380-okue1kso 129 15 . . . cord-030380-okue1kso 130 1 These these DT cord-030380-okue1kso 130 2 strategies strategy NNS cord-030380-okue1kso 130 3 can can MD cord-030380-okue1kso 130 4 be be VB cord-030380-okue1kso 130 5 refined refine VBN cord-030380-okue1kso 130 6 to to TO cord-030380-okue1kso 130 7 support support VB cord-030380-okue1kso 130 8 specific specific JJ cord-030380-okue1kso 130 9 normative normative JJ cord-030380-okue1kso 130 10 goals goal NNS cord-030380-okue1kso 130 11 ; ; : cord-030380-okue1kso 130 12 for for IN cord-030380-okue1kso 130 13 example example NN cord-030380-okue1kso 130 14 , , , cord-030380-okue1kso 130 15 a a DT cord-030380-okue1kso 130 16 focus focus NN cord-030380-okue1kso 130 17 on on IN cord-030380-okue1kso 130 18 clinically clinically RB cord-030380-okue1kso 130 19 and and CC cord-030380-okue1kso 130 20 socially socially RB cord-030380-okue1kso 130 21 high high JJ cord-030380-okue1kso 130 22 - - HYPH cord-030380-okue1kso 130 23 risk risk NN cord-030380-okue1kso 130 24 groups group NNS cord-030380-okue1kso 130 25 might may MD cord-030380-okue1kso 130 26 elevate elevate VB cord-030380-okue1kso 130 27 skills skill NNS cord-030380-okue1kso 130 28 such such JJ cord-030380-okue1kso 130 29 as as IN cord-030380-okue1kso 130 30 coordination coordination NN cord-030380-okue1kso 130 31 , , , cord-030380-okue1kso 130 32 shared share VBN cord-030380-okue1kso 130 33 decision decision NN cord-030380-okue1kso 130 34 - - HYPH cord-030380-okue1kso 130 35 making making NN cord-030380-okue1kso 130 36 , , , cord-030380-okue1kso 130 37 and and CC cord-030380-okue1kso 130 38 cultural cultural JJ cord-030380-okue1kso 130 39 competency competency NN cord-030380-okue1kso 130 40 . . . cord-030380-okue1kso 131 1 Third third RB cord-030380-okue1kso 131 2 , , , cord-030380-okue1kso 131 3 we -PRON- PRP cord-030380-okue1kso 131 4 should should MD cord-030380-okue1kso 131 5 make make VB cord-030380-okue1kso 131 6 it -PRON- PRP cord-030380-okue1kso 131 7 as as RB cord-030380-okue1kso 131 8 easy easy JJ cord-030380-okue1kso 131 9 as as IN cord-030380-okue1kso 131 10 possible possible JJ cord-030380-okue1kso 131 11 for for IN cord-030380-okue1kso 131 12 clinicians clinician NNS cord-030380-okue1kso 131 13 to to TO cord-030380-okue1kso 131 14 teach teach VB cord-030380-okue1kso 131 15 themselves -PRON- PRP cord-030380-okue1kso 131 16 and and CC cord-030380-okue1kso 131 17 learn learn VB cord-030380-okue1kso 131 18 from from IN cord-030380-okue1kso 131 19 others other NNS cord-030380-okue1kso 131 20 . . . cord-030380-okue1kso 132 1 Clinical clinical JJ cord-030380-okue1kso 132 2 decision decision NN cord-030380-okue1kso 132 3 support support NN cord-030380-okue1kso 132 4 is be VBZ cord-030380-okue1kso 132 5 a a DT cord-030380-okue1kso 132 6 promising promising JJ cord-030380-okue1kso 132 7 strategy strategy NN cord-030380-okue1kso 132 8 but but CC cord-030380-okue1kso 132 9 has have VBZ cord-030380-okue1kso 132 10 generally generally RB cord-030380-okue1kso 132 11 been be VBN cord-030380-okue1kso 132 12 limited limit VBN cord-030380-okue1kso 132 13 to to TO cord-030380-okue1kso 132 14 narrow narrow JJ cord-030380-okue1kso 132 15 , , , cord-030380-okue1kso 132 16 measure measure NN cord-030380-okue1kso 132 17 - - HYPH cord-030380-okue1kso 132 18 centric centric NN cord-030380-okue1kso 132 19 interventions intervention NNS cord-030380-okue1kso 132 20 that that WDT cord-030380-okue1kso 132 21 attempt attempt VBP cord-030380-okue1kso 132 22 to to TO cord-030380-okue1kso 132 23 intercept intercept VB cord-030380-okue1kso 132 24 errors error NNS cord-030380-okue1kso 132 25 by by IN cord-030380-okue1kso 132 26 alerting alert VBG cord-030380-okue1kso 132 27 clinicians clinician NNS cord-030380-okue1kso 132 28 to to IN cord-030380-okue1kso 132 29 potential potential JJ cord-030380-okue1kso 132 30 departures departure NNS cord-030380-okue1kso 132 31 from from IN cord-030380-okue1kso 132 32 the the DT cord-030380-okue1kso 132 33 evidence evidence NN cord-030380-okue1kso 132 34 as as IN cord-030380-okue1kso 132 35 they -PRON- PRP cord-030380-okue1kso 132 36 interact interact VBP cord-030380-okue1kso 132 37 with with IN cord-030380-okue1kso 132 38 electronic electronic JJ cord-030380-okue1kso 132 39 health health NN cord-030380-okue1kso 132 40 records record NNS cord-030380-okue1kso 132 41 ( ( -LRB- cord-030380-okue1kso 132 42 EHRs EHRs NNP cord-030380-okue1kso 132 43 ) ) -RRB- cord-030380-okue1kso 132 44 . . . cord-030380-okue1kso 133 1 Although although IN cord-030380-okue1kso 133 2 a a DT cord-030380-okue1kso 133 3 positive positive JJ cord-030380-okue1kso 133 4 development development NN cord-030380-okue1kso 133 5 that that WDT cord-030380-okue1kso 133 6 can can MD cord-030380-okue1kso 133 7 be be VB cord-030380-okue1kso 133 8 refined refine VBN cord-030380-okue1kso 133 9 , , , cord-030380-okue1kso 133 10 decision decision NN cord-030380-okue1kso 133 11 alerts alert NNS cord-030380-okue1kso 133 12 have have VBP cord-030380-okue1kso 133 13 provoked provoke VBN cord-030380-okue1kso 133 14 resentment resentment NN cord-030380-okue1kso 133 15 and and CC cord-030380-okue1kso 133 16 fatigue fatigue NN cord-030380-okue1kso 133 17 and and CC cord-030380-okue1kso 133 18 miss miss VB cord-030380-okue1kso 133 19 great great JJ cord-030380-okue1kso 133 20 expanses expanse NNS cord-030380-okue1kso 133 21 of of IN cord-030380-okue1kso 133 22 clinical clinical JJ cord-030380-okue1kso 133 23 reasoning reasoning NN cord-030380-okue1kso 133 24 . . . cord-030380-okue1kso 134 1 Moreover moreover RB cord-030380-okue1kso 134 2 , , , cord-030380-okue1kso 134 3 algorithmic algorithmic JJ cord-030380-okue1kso 134 4 predictions prediction NNS cord-030380-okue1kso 134 5 leverage leverage VBP cord-030380-okue1kso 134 6 only only RB cord-030380-okue1kso 134 7 a a DT cord-030380-okue1kso 134 8 small small JJ cord-030380-okue1kso 134 9 amount amount NN cord-030380-okue1kso 134 10 of of IN cord-030380-okue1kso 134 11 EHR EHR NNP cord-030380-okue1kso 134 12 data datum NNS cord-030380-okue1kso 134 13 that that WDT cord-030380-okue1kso 134 14 can can MD cord-030380-okue1kso 134 15 be be VB cord-030380-okue1kso 134 16 accessed access VBN cord-030380-okue1kso 134 17 to to TO cord-030380-okue1kso 134 18 inform inform VB cord-030380-okue1kso 134 19 clinicians clinician NNS cord-030380-okue1kso 134 20 in in IN cord-030380-okue1kso 134 21 real real JJ cord-030380-okue1kso 134 22 time time NN cord-030380-okue1kso 134 23 . . . cord-030380-okue1kso 135 1 In in IN cord-030380-okue1kso 135 2 addition addition NN cord-030380-okue1kso 135 3 to to IN cord-030380-okue1kso 135 4 guiding guide VBG cord-030380-okue1kso 135 5 clinicians clinician NNS cord-030380-okue1kso 135 6 with with IN cord-030380-okue1kso 135 7 unsolicited unsolicited JJ cord-030380-okue1kso 135 8 prompts prompt NNS cord-030380-okue1kso 135 9 , , , cord-030380-okue1kso 135 10 decision decision NN cord-030380-okue1kso 135 11 support support NN cord-030380-okue1kso 135 12 could could MD cord-030380-okue1kso 135 13 be be VB cord-030380-okue1kso 135 14 expanded expand VBN cord-030380-okue1kso 135 15 to to TO cord-030380-okue1kso 135 16 allow allow VB cord-030380-okue1kso 135 17 them -PRON- PRP cord-030380-okue1kso 135 18 to to TO cord-030380-okue1kso 135 19 " " `` cord-030380-okue1kso 135 20 flexibly flexibly RB cord-030380-okue1kso 135 21 tap tap VB cord-030380-okue1kso 135 22 the the DT cord-030380-okue1kso 135 23 expertise expertise NN cord-030380-okue1kso 135 24 of of IN cord-030380-okue1kso 135 25 others other NNS cord-030380-okue1kso 135 26 and and CC cord-030380-okue1kso 135 27 guide guide VB cord-030380-okue1kso 135 28 themselves -PRON- PRP cord-030380-okue1kso 135 29 . . . cord-030380-okue1kso 136 1 That that DT cord-030380-okue1kso 136 2 is is RB cord-030380-okue1kso 136 3 , , , cord-030380-okue1kso 136 4 put put VB cord-030380-okue1kso 136 5 physicians physician NNS cord-030380-okue1kso 136 6 in in IN cord-030380-okue1kso 136 7 command command NN cord-030380-okue1kso 136 8 of of IN cord-030380-okue1kso 136 9 gathering gathering NN cord-030380-okue1kso 136 10 and and CC cord-030380-okue1kso 136 11 processing processing NN cord-030380-okue1kso 136 12 data datum NNS cord-030380-okue1kso 136 13 ; ; : cord-030380-okue1kso 136 14 they -PRON- PRP cord-030380-okue1kso 136 15 are be VBP cord-030380-okue1kso 136 16 accustomed accustomed JJ cord-030380-okue1kso 136 17 to to IN cord-030380-okue1kso 136 18 this this DT cord-030380-okue1kso 136 19 role role NN cord-030380-okue1kso 136 20 . . . cord-030380-okue1kso 137 1 For for IN cord-030380-okue1kso 137 2 example example NN cord-030380-okue1kso 137 3 , , , cord-030380-okue1kso 137 4 clinicians clinician NNS cord-030380-okue1kso 137 5 presented present VBN cord-030380-okue1kso 137 6 with with IN cord-030380-okue1kso 137 7 a a DT cord-030380-okue1kso 137 8 clinical clinical JJ cord-030380-okue1kso 137 9 scenario scenario NN cord-030380-okue1kso 137 10 should should MD cord-030380-okue1kso 137 11 be be VB cord-030380-okue1kso 137 12 able able JJ cord-030380-okue1kso 137 13 to to TO cord-030380-okue1kso 137 14 query query VB cord-030380-okue1kso 137 15 the the DT cord-030380-okue1kso 137 16 ordering order VBG cord-030380-okue1kso 137 17 decisions decision NNS cord-030380-okue1kso 137 18 and and CC cord-030380-okue1kso 137 19 case case NN cord-030380-okue1kso 137 20 notes note NNS cord-030380-okue1kso 137 21 of of IN cord-030380-okue1kso 137 22 respected respect VBN cord-030380-okue1kso 137 23 peers peer NNS cord-030380-okue1kso 137 24 and and CC cord-030380-okue1kso 137 25 specialists specialist NNS cord-030380-okue1kso 137 26 under under IN cord-030380-okue1kso 137 27 the the DT cord-030380-okue1kso 137 28 same same JJ cord-030380-okue1kso 137 29 scenario scenario NN cord-030380-okue1kso 137 30 . . . cord-030380-okue1kso 138 1 High high JJ cord-030380-okue1kso 138 2 - - HYPH cord-030380-okue1kso 138 3 yield yield NN cord-030380-okue1kso 138 4 notes note NNS cord-030380-okue1kso 138 5 and and CC cord-030380-okue1kso 138 6 evidence evidence NN cord-030380-okue1kso 138 7 - - HYPH cord-030380-okue1kso 138 8 based base VBN cord-030380-okue1kso 138 9 resources resource NNS cord-030380-okue1kso 138 10 could could MD cord-030380-okue1kso 138 11 be be VB cord-030380-okue1kso 138 12 curated curate VBN cord-030380-okue1kso 138 13 based base VBN cord-030380-okue1kso 138 14 on on IN cord-030380-okue1kso 138 15 clinicians clinician NNS cord-030380-okue1kso 138 16 ' ' POS cord-030380-okue1kso 138 17 favorites favorite NNS cord-030380-okue1kso 138 18 using use VBG cord-030380-okue1kso 138 19 learning learn VBG cord-030380-okue1kso 138 20 algorithms algorithm NNS cord-030380-okue1kso 138 21 . . . cord-030380-okue1kso 139 1 Links link NNS cord-030380-okue1kso 139 2 to to IN cord-030380-okue1kso 139 3 these these DT cord-030380-okue1kso 139 4 resources resource NNS cord-030380-okue1kso 139 5 could could MD cord-030380-okue1kso 139 6 be be VB cord-030380-okue1kso 139 7 auto auto NN cord-030380-okue1kso 139 8 - - HYPH cord-030380-okue1kso 139 9 populated populate VBN cord-030380-okue1kso 139 10 in in IN cord-030380-okue1kso 139 11 a a DT cord-030380-okue1kso 139 12 check check NN cord-030380-okue1kso 139 13 - - HYPH cord-030380-okue1kso 139 14 your -PRON- PRP$ cord-030380-okue1kso 139 15 - - HYPH cord-030380-okue1kso 139 16 thinking think VBG cord-030380-okue1kso 139 17 space space NN cord-030380-okue1kso 139 18 in in IN cord-030380-okue1kso 139 19 EHRs ehr NNS cord-030380-okue1kso 139 20 ( ( -LRB- cord-030380-okue1kso 139 21 e.g. e.g. RB cord-030380-okue1kso 139 22 , , , cord-030380-okue1kso 139 23 " " '' cord-030380-okue1kso 139 24 colleagues colleague NNS cord-030380-okue1kso 139 25 working work VBG cord-030380-okue1kso 139 26 up up RP cord-030380-okue1kso 139 27 this this DT cord-030380-okue1kso 139 28 problem problem NN cord-030380-okue1kso 139 29 liked like VBD cord-030380-okue1kso 139 30 these these DT cord-030380-okue1kso 139 31 resources resource NNS cord-030380-okue1kso 139 32 " " '' cord-030380-okue1kso 139 33 or or CC cord-030380-okue1kso 139 34 " " `` cord-030380-okue1kso 139 35 links link NNS cord-030380-okue1kso 139 36 to to IN cord-030380-okue1kso 139 37 similar similar JJ cord-030380-okue1kso 139 38 cases case NNS cord-030380-okue1kso 139 39 from from IN cord-030380-okue1kso 139 40 your -PRON- PRP$ cord-030380-okue1kso 139 41 favorite favorite JJ cord-030380-okue1kso 139 42 clinicians clinician NNS cord-030380-okue1kso 139 43 ' ' POS cord-030380-okue1kso 139 44 records record NNS cord-030380-okue1kso 139 45 " " '' cord-030380-okue1kso 139 46 ) ) -RRB- cord-030380-okue1kso 139 47 . . . cord-030380-okue1kso 140 1 Clinicians clinician NNS cord-030380-okue1kso 140 2 should should MD cord-030380-okue1kso 140 3 be be VB cord-030380-okue1kso 140 4 able able JJ cord-030380-okue1kso 140 5 to to TO cord-030380-okue1kso 140 6 crowdsource crowdsource VB cord-030380-okue1kso 140 7 specific specific JJ cord-030380-okue1kso 140 8 questions question NNS cord-030380-okue1kso 140 9 to to IN cord-030380-okue1kso 140 10 peer peer VB cord-030380-okue1kso 140 11 groups group NNS cord-030380-okue1kso 140 12 or or CC cord-030380-okue1kso 140 13 master master NN cord-030380-okue1kso 140 14 clinicians clinician NNS cord-030380-okue1kso 140 15 and and CC cord-030380-okue1kso 140 16 receive receive VB cord-030380-okue1kso 140 17 prompt prompt JJ cord-030380-okue1kso 140 18 answers answer NNS cord-030380-okue1kso 140 19 using use VBG cord-030380-okue1kso 140 20 social social JJ cord-030380-okue1kso 140 21 media medium NNS cord-030380-okue1kso 140 22 - - HYPH cord-030380-okue1kso 140 23 like like JJ cord-030380-okue1kso 140 24 platforms platform NNS cord-030380-okue1kso 140 25 ; ; : cord-030380-okue1kso 140 26 questions question NNS cord-030380-okue1kso 140 27 could could MD cord-030380-okue1kso 140 28 be be VB cord-030380-okue1kso 140 29 anonymized anonymize VBN cord-030380-okue1kso 140 30 to to TO cord-030380-okue1kso 140 31 eliminate eliminate VB cord-030380-okue1kso 140 32 professional professional JJ cord-030380-okue1kso 140 33 embarrassment embarrassment NN cord-030380-okue1kso 140 34 as as IN cord-030380-okue1kso 140 35 a a DT cord-030380-okue1kso 140 36 barrier barrier NN cord-030380-okue1kso 140 37 to to IN cord-030380-okue1kso 140 38 information information NN cord-030380-okue1kso 140 39 flow flow NN cord-030380-okue1kso 140 40 . . . cord-030380-okue1kso 141 1 Traditional traditional JJ cord-030380-okue1kso 141 2 mechanisms mechanism NNS cord-030380-okue1kso 141 3 for for IN cord-030380-okue1kso 141 4 inpatient inpatient JJ cord-030380-okue1kso 141 5 and and CC cord-030380-okue1kso 141 6 outpatient outpatient NN cord-030380-okue1kso 141 7 consultations consultation NNS cord-030380-okue1kso 141 8 have have VBP cord-030380-okue1kso 141 9 served serve VBN cord-030380-okue1kso 141 10 as as IN cord-030380-okue1kso 141 11 unnecessary unnecessary JJ cord-030380-okue1kso 141 12 bottlenecks bottleneck NNS cord-030380-okue1kso 141 13 . . . cord-030380-okue1kso 142 1 " " `` cord-030380-okue1kso 142 2 E e NN cord-030380-okue1kso 142 3 - - NN cord-030380-okue1kso 142 4 consults consult NNS cord-030380-okue1kso 142 5 " " '' cord-030380-okue1kso 142 6 should should MD cord-030380-okue1kso 142 7 be be VB cord-030380-okue1kso 142 8 the the DT cord-030380-okue1kso 142 9 new new JJ cord-030380-okue1kso 142 10 norm norm NN cord-030380-okue1kso 142 11 . . . cord-030380-okue1kso 143 1 The the DT cord-030380-okue1kso 143 2 primary primary JJ cord-030380-okue1kso 143 3 goal goal NN cord-030380-okue1kso 143 4 of of IN cord-030380-okue1kso 143 5 these these DT cord-030380-okue1kso 143 6 enhancements enhancement NNS cord-030380-okue1kso 143 7 should should MD cord-030380-okue1kso 143 8 not not RB cord-030380-okue1kso 143 9 be be VB cord-030380-okue1kso 143 10 to to TO cord-030380-okue1kso 143 11 tell tell VB cord-030380-okue1kso 143 12 physicians physician NNS cord-030380-okue1kso 143 13 what what WP cord-030380-okue1kso 143 14 to to TO cord-030380-okue1kso 143 15 do do VB cord-030380-okue1kso 143 16 , , , cord-030380-okue1kso 143 17 but but CC cord-030380-okue1kso 143 18 to to TO cord-030380-okue1kso 143 19 make make VB cord-030380-okue1kso 143 20 the the DT cord-030380-okue1kso 143 21 most most JJS cord-030380-okue1kso 143 22 of of IN cord-030380-okue1kso 143 23 their -PRON- PRP$ cord-030380-okue1kso 143 24 ability ability NN cord-030380-okue1kso 143 25 to to TO cord-030380-okue1kso 143 26 find find VB cord-030380-okue1kso 143 27 and and CC cord-030380-okue1kso 143 28 synthesize synthesize VB cord-030380-okue1kso 143 29 information information NN cord-030380-okue1kso 143 30 . . . cord-030380-okue1kso 144 1 While while IN cord-030380-okue1kso 144 2 there there EX cord-030380-okue1kso 144 3 is be VBZ cord-030380-okue1kso 144 4 enormous enormous JJ cord-030380-okue1kso 144 5 interest interest NN cord-030380-okue1kso 144 6 in in IN cord-030380-okue1kso 144 7 using use VBG cord-030380-okue1kso 144 8 data data NN cord-030380-okue1kso 144 9 - - HYPH cord-030380-okue1kso 144 10 driven drive VBN cord-030380-okue1kso 144 11 prediction prediction NN cord-030380-okue1kso 144 12 algorithms algorithm NNS cord-030380-okue1kso 144 13 and and CC cord-030380-okue1kso 144 14 artificial artificial JJ cord-030380-okue1kso 144 15 intelligence intelligence NN cord-030380-okue1kso 144 16 to to TO cord-030380-okue1kso 144 17 inform inform VB cord-030380-okue1kso 144 18 physicians physician NNS cord-030380-okue1kso 144 19 , , , cord-030380-okue1kso 144 20 there there EX cord-030380-okue1kso 144 21 is be VBZ cord-030380-okue1kso 144 22 also also RB cord-030380-okue1kso 144 23 enormous enormous JJ cord-030380-okue1kso 144 24 potential potential NN cord-030380-okue1kso 144 25 for for IN cord-030380-okue1kso 144 26 physicians physician NNS cord-030380-okue1kso 144 27 to to TO cord-030380-okue1kso 144 28 inform inform VB cord-030380-okue1kso 144 29 themselves -PRON- PRP cord-030380-okue1kso 144 30 and and CC cord-030380-okue1kso 144 31 each each DT cord-030380-okue1kso 144 32 other other JJ cord-030380-okue1kso 144 33 . . . cord-030380-okue1kso 145 1 Finally finally RB cord-030380-okue1kso 145 2 , , , cord-030380-okue1kso 145 3 clinician clinician NN cord-030380-okue1kso 145 4 exposure exposure NN cord-030380-okue1kso 145 5 to to IN cord-030380-okue1kso 145 6 other other JJ cord-030380-okue1kso 145 7 professionals professional NNS cord-030380-okue1kso 145 8 and and CC cord-030380-okue1kso 145 9 practices practice NNS cord-030380-okue1kso 145 10 could could MD cord-030380-okue1kso 145 11 be be VB cord-030380-okue1kso 145 12 broadened broaden VBN cord-030380-okue1kso 145 13 . . . cord-030380-okue1kso 146 1 After after IN cord-030380-okue1kso 146 2 studying study VBG cord-030380-okue1kso 146 3 in in IN cord-030380-okue1kso 146 4 groups group NNS cord-030380-okue1kso 146 5 and and CC cord-030380-okue1kso 146 6 training training NN cord-030380-okue1kso 146 7 in in IN cord-030380-okue1kso 146 8 teams team NNS cord-030380-okue1kso 146 9 , , , cord-030380-okue1kso 146 10 physicians physician NNS cord-030380-okue1kso 146 11 typically typically RB cord-030380-okue1kso 146 12 practice practice VBP cord-030380-okue1kso 146 13 alone alone RB cord-030380-okue1kso 146 14 -many -many . cord-030380-okue1kso 147 1 in in IN cord-030380-okue1kso 147 2 the the DT cord-030380-okue1kso 147 3 same same JJ cord-030380-okue1kso 147 4 organization organization NN cord-030380-okue1kso 147 5 for for IN cord-030380-okue1kso 147 6 their -PRON- PRP$ cord-030380-okue1kso 147 7 entire entire JJ cord-030380-okue1kso 147 8 careers career NNS cord-030380-okue1kso 147 9 . . . cord-030380-okue1kso 148 1 Greater great JJR cord-030380-okue1kso 148 2 interaction interaction NN cord-030380-okue1kso 148 3 within within IN cord-030380-okue1kso 148 4 and and CC cord-030380-okue1kso 148 5 between between IN cord-030380-okue1kso 148 6 organizations organization NNS cord-030380-okue1kso 148 7 breeds breed VBZ cord-030380-okue1kso 148 8 teaching teaching NN cord-030380-okue1kso 148 9 , , , cord-030380-okue1kso 148 10 learning learning NN cord-030380-okue1kso 148 11 , , , cord-030380-okue1kso 148 12 and and CC cord-030380-okue1kso 148 13 dissemination dissemination NN cord-030380-okue1kso 148 14 of of IN cord-030380-okue1kso 148 15 innovation innovation NN cord-030380-okue1kso 148 16 . . . cord-030380-okue1kso 149 1 To to TO cord-030380-okue1kso 149 2 broaden broaden VB cord-030380-okue1kso 149 3 exposure exposure NN cord-030380-okue1kso 149 4 , , , cord-030380-okue1kso 149 5 for for IN cord-030380-okue1kso 149 6 example example NN cord-030380-okue1kso 149 7 , , , cord-030380-okue1kso 149 8 professional professional JJ cord-030380-okue1kso 149 9 societies society NNS cord-030380-okue1kso 149 10 and and CC cord-030380-okue1kso 149 11 certification certification NN cord-030380-okue1kso 149 12 boards board NNS cord-030380-okue1kso 149 13 could could MD cord-030380-okue1kso 149 14 provide provide VB cord-030380-okue1kso 149 15 generous generous JJ cord-030380-okue1kso 149 16 continuing continue VBG cord-030380-okue1kso 149 17 medical medical JJ cord-030380-okue1kso 149 18 education education NN cord-030380-okue1kso 149 19 credits credit NNS cord-030380-okue1kso 149 20 for for IN cord-030380-okue1kso 149 21 practicing practice VBG cord-030380-okue1kso 149 22 in in IN cord-030380-okue1kso 149 23 team team NN cord-030380-okue1kso 149 24 - - HYPH cord-030380-okue1kso 149 25 based base VBN cord-030380-okue1kso 149 26 care care NN cord-030380-okue1kso 149 27 models model NNS cord-030380-okue1kso 149 28 and and CC cord-030380-okue1kso 149 29 conducting conduct VBG cord-030380-okue1kso 149 30 site site NN cord-030380-okue1kso 149 31 visits visit NNS cord-030380-okue1kso 149 32 to to IN cord-030380-okue1kso 149 33 other other JJ cord-030380-okue1kso 149 34 practices practice NNS cord-030380-okue1kso 149 35 , , , cord-030380-okue1kso 149 36 with with IN cord-030380-okue1kso 149 37 emphasis emphasis NN cord-030380-okue1kso 149 38 on on IN cord-030380-okue1kso 149 39 aspects aspect NNS cord-030380-okue1kso 149 40 of of IN cord-030380-okue1kso 149 41 care care NN cord-030380-okue1kso 149 42 deemed deem VBD cord-030380-okue1kso 149 43 important important JJ cord-030380-okue1kso 149 44 by by IN cord-030380-okue1kso 149 45 the the DT cord-030380-okue1kso 149 46 profession profession NN cord-030380-okue1kso 149 47 ( ( -LRB- cord-030380-okue1kso 149 48 e.g. e.g. RB cord-030380-okue1kso 149 49 , , , cord-030380-okue1kso 149 50 approaches approach NNS cord-030380-okue1kso 149 51 to to TO cord-030380-okue1kso 149 52 telehealth telehealth VB cord-030380-okue1kso 149 53 or or CC cord-030380-okue1kso 149 54 care care VB cord-030380-okue1kso 149 55 for for IN cord-030380-okue1kso 149 56 vulnerable vulnerable JJ cord-030380-okue1kso 149 57 groups group NNS cord-030380-okue1kso 149 58 ) ) -RRB- cord-030380-okue1kso 149 59 . . . cord-030380-okue1kso 150 1 " " `` cord-030380-okue1kso 150 2 A a DT cord-030380-okue1kso 150 3 foolish foolish JJ cord-030380-okue1kso 150 4 consistency consistency NN cord-030380-okue1kso 150 5 is be VBZ cord-030380-okue1kso 150 6 the the DT cord-030380-okue1kso 150 7 hobgoblin hobgoblin NN cord-030380-okue1kso 150 8 of of IN cord-030380-okue1kso 150 9 little little JJ cord-030380-okue1kso 150 10 minds mind NNS cord-030380-okue1kso 150 11 , , , cord-030380-okue1kso 150 12 " " '' cord-030380-okue1kso 150 13 as as IN cord-030380-okue1kso 150 14 Ralph Ralph NNP cord-030380-okue1kso 150 15 Waldo Waldo NNP cord-030380-okue1kso 150 16 Emerson Emerson NNP cord-030380-okue1kso 150 17 described describe VBD cord-030380-okue1kso 150 18 in in IN cord-030380-okue1kso 150 19 his -PRON- PRP$ cord-030380-okue1kso 150 20 1841 1841 CD cord-030380-okue1kso 150 21 essay essay NN cord-030380-okue1kso 150 22 " " `` cord-030380-okue1kso 150 23 Self self NN cord-030380-okue1kso 150 24 - - HYPH cord-030380-okue1kso 150 25 Reliance Reliance NNP cord-030380-okue1kso 150 26 , , , cord-030380-okue1kso 150 27 " " '' cord-030380-okue1kso 150 28 and and CC cord-030380-okue1kso 150 29 the the DT cord-030380-okue1kso 150 30 practice practice NN cord-030380-okue1kso 150 31 of of IN cord-030380-okue1kso 150 32 medicine medicine NN cord-030380-okue1kso 150 33 has have VBZ cord-030380-okue1kso 150 34 been be VBN cord-030380-okue1kso 150 35 slow slow JJ cord-030380-okue1kso 150 36 to to TO cord-030380-okue1kso 150 37 evolve evolve VB cord-030380-okue1kso 150 38 . . . cord-030380-okue1kso 151 1 But but CC cord-030380-okue1kso 151 2 we -PRON- PRP cord-030380-okue1kso 151 3 should should MD cord-030380-okue1kso 151 4 not not RB cord-030380-okue1kso 151 5 assume assume VB cord-030380-okue1kso 151 6 clinicians clinician NNS cord-030380-okue1kso 151 7 have have VBP cord-030380-okue1kso 151 8 little little JJ cord-030380-okue1kso 151 9 minds mind NNS cord-030380-okue1kso 151 10 ; ; : cord-030380-okue1kso 151 11 they -PRON- PRP cord-030380-okue1kso 151 12 may may MD cord-030380-okue1kso 151 13 be be VB cord-030380-okue1kso 151 14 more more RBR cord-030380-okue1kso 151 15 nimble nimble JJ cord-030380-okue1kso 151 16 than than IN cord-030380-okue1kso 151 17 sluggish sluggish JJ cord-030380-okue1kso 151 18 systems system NNS cord-030380-okue1kso 151 19 make make VBP cord-030380-okue1kso 151 20 them -PRON- PRP cord-030380-okue1kso 151 21 appear appear VB cord-030380-okue1kso 151 22 . . . cord-030380-okue1kso 152 1 Traditional traditional JJ cord-030380-okue1kso 152 2 norms norm NNS cord-030380-okue1kso 152 3 will will MD cord-030380-okue1kso 152 4 have have VB cord-030380-okue1kso 152 5 to to TO cord-030380-okue1kso 152 6 change change VB cord-030380-okue1kso 152 7 to to IN cord-030380-okue1kso 152 8 better well JJR cord-030380-okue1kso 152 9 position position NN cord-030380-okue1kso 152 10 clinicians clinician NNS cord-030380-okue1kso 152 11 as as IN cord-030380-okue1kso 152 12 collective collective JJ cord-030380-okue1kso 152 13 learners learner NNS cord-030380-okue1kso 152 14 , , , cord-030380-okue1kso 152 15 but but CC cord-030380-okue1kso 152 16 their -PRON- PRP$ cord-030380-okue1kso 152 17 rapid rapid JJ cord-030380-okue1kso 152 18 response response NN cord-030380-okue1kso 152 19 to to IN cord-030380-okue1kso 152 20 the the DT cord-030380-okue1kso 152 21 Covid-19 Covid-19 NNP cord-030380-okue1kso 152 22 pandemic pandemic NN cord-030380-okue1kso 152 23 suggests suggest VBZ cord-030380-okue1kso 152 24 they -PRON- PRP cord-030380-okue1kso 152 25 are be VBP cord-030380-okue1kso 152 26 up up IN cord-030380-okue1kso 152 27 to to IN cord-030380-okue1kso 152 28 the the DT cord-030380-okue1kso 152 29 task task NN cord-030380-okue1kso 152 30 . . . cord-030380-okue1kso 153 1 As as IN cord-030380-okue1kso 153 2 agents agent NNS cord-030380-okue1kso 153 3 , , , cord-030380-okue1kso 153 4 physicians physician NNS cord-030380-okue1kso 153 5 must must MD cord-030380-okue1kso 153 6 be be VB cord-030380-okue1kso 153 7 not not RB cord-030380-okue1kso 153 8 only only RB cord-030380-okue1kso 153 9 well well RB cord-030380-okue1kso 153 10 informed informed JJ cord-030380-okue1kso 153 11 , , , cord-030380-okue1kso 153 12 but but CC cord-030380-okue1kso 153 13 they -PRON- PRP cord-030380-okue1kso 153 14 must must MD cord-030380-okue1kso 153 15 also also RB cord-030380-okue1kso 153 16 motivated motivate VBN cord-030380-okue1kso 153 17 to to TO cord-030380-okue1kso 153 18 act act VB cord-030380-okue1kso 153 19 upon upon IN cord-030380-okue1kso 153 20 their -PRON- PRP$ cord-030380-okue1kso 153 21 knowledge knowledge NN cord-030380-okue1kso 153 22 in in IN cord-030380-okue1kso 153 23 their -PRON- PRP$ cord-030380-okue1kso 153 24 patients patient NNS cord-030380-okue1kso 153 25 ' ' POS cord-030380-okue1kso 153 26 interest interest NN cord-030380-okue1kso 153 27 . . . cord-030380-okue1kso 154 1 Organizations organization NNS cord-030380-okue1kso 154 2 play play VBP cord-030380-okue1kso 154 3 key key JJ cord-030380-okue1kso 154 4 roles role NNS cord-030380-okue1kso 154 5 in in IN cord-030380-okue1kso 154 6 the the DT cord-030380-okue1kso 154 7 expression expression NN cord-030380-okue1kso 154 8 of of IN cord-030380-okue1kso 154 9 " " `` cord-030380-okue1kso 154 10 physician physician NN cord-030380-okue1kso 154 11 motivation motivation NN cord-030380-okue1kso 154 12 . . . cord-030380-okue1kso 155 1 Group group NN cord-030380-okue1kso 155 2 practice practice NN cord-030380-okue1kso 155 3 can can MD cord-030380-okue1kso 155 4 facilitate facilitate VB cord-030380-okue1kso 155 5 physician physician NN cord-030380-okue1kso 155 6 action action NN cord-030380-okue1kso 155 7 through through IN cord-030380-okue1kso 155 8 economies economy NNS cord-030380-okue1kso 155 9 of of IN cord-030380-okue1kso 155 10 scale scale NN cord-030380-okue1kso 155 11 that that WDT cord-030380-okue1kso 155 12 lower lower VBP cord-030380-okue1kso 155 13 the the DT cord-030380-okue1kso 155 14 costs cost NNS cord-030380-okue1kso 155 15 for for IN cord-030380-okue1kso 155 16 physicians physician NNS cord-030380-okue1kso 155 17 to to TO cord-030380-okue1kso 155 18 follow follow VB cord-030380-okue1kso 155 19 their -PRON- PRP$ cord-030380-okue1kso 155 20 motivation motivation NN cord-030380-okue1kso 155 21 to to TO cord-030380-okue1kso 155 22 meet meet VB cord-030380-okue1kso 155 23 patient patient JJ cord-030380-okue1kso 155 24 needs need NNS cord-030380-okue1kso 155 25 . . . cord-030380-okue1kso 156 1 The the DT cord-030380-okue1kso 156 2 fixed fixed JJ cord-030380-okue1kso 156 3 costs cost NNS cord-030380-okue1kso 156 4 of of IN cord-030380-okue1kso 156 5 organizing organize VBG cord-030380-okue1kso 156 6 care care NN cord-030380-okue1kso 156 7 processes process NNS cord-030380-okue1kso 156 8 or or CC cord-030380-okue1kso 156 9 adopting adopt VBG cord-030380-okue1kso 156 10 information information NN cord-030380-okue1kso 156 11 technology technology NN cord-030380-okue1kso 156 12 , , , cord-030380-okue1kso 156 13 for for IN cord-030380-okue1kso 156 14 example example NN cord-030380-okue1kso 156 15 , , , cord-030380-okue1kso 156 16 may may MD cord-030380-okue1kso 156 17 be be VB cord-030380-okue1kso 156 18 prohibitive prohibitive JJ cord-030380-okue1kso 156 19 for for IN cord-030380-okue1kso 156 20 individual individual JJ cord-030380-okue1kso 156 21 physicians physician NNS cord-030380-okue1kso 156 22 . . . cord-030380-okue1kso 157 1 In in IN cord-030380-okue1kso 157 2 addition addition NN cord-030380-okue1kso 157 3 , , , cord-030380-okue1kso 157 4 organized organize VBN cord-030380-okue1kso 157 5 management management NN cord-030380-okue1kso 157 6 of of IN cord-030380-okue1kso 157 7 physicians physician NNS cord-030380-okue1kso 157 8 may may MD cord-030380-okue1kso 157 9 be be VB cord-030380-okue1kso 157 10 necessary necessary JJ cord-030380-okue1kso 157 11 to to TO cord-030380-okue1kso 157 12 fan fan NN cord-030380-okue1kso 157 13 motivation motivation NN cord-030380-okue1kso 157 14 . . . cord-030380-okue1kso 158 1 Moreover moreover RB cord-030380-okue1kso 158 2 , , , cord-030380-okue1kso 158 3 no no RB cord-030380-okue1kso 158 4 matter matter RB cord-030380-okue1kso 158 5 how how WRB cord-030380-okue1kso 158 6 well well RB cord-030380-okue1kso 158 7 clinicians clinician NNS cord-030380-okue1kso 158 8 are be VBP cord-030380-okue1kso 158 9 motivated motivate VBN cord-030380-okue1kso 158 10 and and CC cord-030380-okue1kso 158 11 positioned position VBN cord-030380-okue1kso 158 12 to to TO cord-030380-okue1kso 158 13 act act VB cord-030380-okue1kso 158 14 , , , cord-030380-okue1kso 158 15 their -PRON- PRP$ cord-030380-okue1kso 158 16 collective collective JJ cord-030380-okue1kso 158 17 actions action NNS cord-030380-okue1kso 158 18 are be VBP cord-030380-okue1kso 158 19 likely likely JJ cord-030380-okue1kso 158 20 to to TO cord-030380-okue1kso 158 21 fall fall VB cord-030380-okue1kso 158 22 short short RB cord-030380-okue1kso 158 23 without without IN cord-030380-okue1kso 158 24 complementary complementary JJ cord-030380-okue1kso 158 25 systems system NNS cord-030380-okue1kso 158 26 for for IN cord-030380-okue1kso 158 27 population population NN cord-030380-okue1kso 158 28 - - HYPH cord-030380-okue1kso 158 29 based base VBN cord-030380-okue1kso 158 30 care care NN cord-030380-okue1kso 158 31 that that WDT cord-030380-okue1kso 158 32 require require VBP cord-030380-okue1kso 158 33 the the DT cord-030380-okue1kso 158 34 operational operational JJ cord-030380-okue1kso 158 35 support support NN cord-030380-okue1kso 158 36 of of IN cord-030380-okue1kso 158 37 an an DT cord-030380-okue1kso 158 38 organization organization NN cord-030380-okue1kso 158 39 ( ( -LRB- cord-030380-okue1kso 158 40 e.g. e.g. RB cord-030380-okue1kso 158 41 , , , cord-030380-okue1kso 158 42 care care NN cord-030380-okue1kso 158 43 management management NN cord-030380-okue1kso 158 44 programs program NNS cord-030380-okue1kso 158 45 for for IN cord-030380-okue1kso 158 46 high high RB cord-030380-okue1kso 158 47 - - HYPH cord-030380-okue1kso 158 48 needs need NNS cord-030380-okue1kso 158 49 patients patient NNS cord-030380-okue1kso 158 50 ) ) -RRB- cord-030380-okue1kso 158 51 . . . cord-030380-okue1kso 159 1 That that RB cord-030380-okue1kso 159 2 is is RB cord-030380-okue1kso 159 3 , , , cord-030380-okue1kso 159 4 even even RB cord-030380-okue1kso 159 5 if if IN cord-030380-okue1kso 159 6 optimal optimal JJ cord-030380-okue1kso 159 7 care care NN cord-030380-okue1kso 159 8 delivery delivery NN cord-030380-okue1kso 159 9 is be VBZ cord-030380-okue1kso 159 10 an an DT cord-030380-okue1kso 159 11 aspiration aspiration NN cord-030380-okue1kso 159 12 of of IN cord-030380-okue1kso 159 13 unbridled unbridled JJ cord-030380-okue1kso 159 14 professionalism professionalism NN cord-030380-okue1kso 159 15 , , , cord-030380-okue1kso 159 16 it -PRON- PRP cord-030380-okue1kso 159 17 may may MD cord-030380-okue1kso 159 18 be be VB cord-030380-okue1kso 159 19 beyond beyond IN cord-030380-okue1kso 159 20 clinicians clinician NNS cord-030380-okue1kso 159 21 ' ' POS cord-030380-okue1kso 159 22 reach reach NN cord-030380-okue1kso 159 23 -individually -individually RB cord-030380-okue1kso 159 24 and and CC cord-030380-okue1kso 159 25 collectively collectively RB cord-030380-okue1kso 159 26 -unless -unless JJ cord-030380-okue1kso 160 1 it -PRON- PRP cord-030380-okue1kso 160 2 is be VBZ cord-030380-okue1kso 160 3 also also RB cord-030380-okue1kso 160 4 a a DT cord-030380-okue1kso 160 5 priority priority NN cord-030380-okue1kso 160 6 of of IN cord-030380-okue1kso 160 7 the the DT cord-030380-okue1kso 160 8 organizations organization NNS cord-030380-okue1kso 160 9 in in IN cord-030380-okue1kso 160 10 which which WDT cord-030380-okue1kso 160 11 they -PRON- PRP cord-030380-okue1kso 160 12 work work VBP cord-030380-okue1kso 160 13 . . . cord-030380-okue1kso 161 1 For for IN cord-030380-okue1kso 161 2 these these DT cord-030380-okue1kso 161 3 reasons reason NNS cord-030380-okue1kso 161 4 , , , cord-030380-okue1kso 161 5 the the DT cord-030380-okue1kso 161 6 outcome outcome NN cord-030380-okue1kso 161 7 of of IN cord-030380-okue1kso 161 8 physicians physician NNS cord-030380-okue1kso 161 9 acting act VBG cord-030380-okue1kso 161 10 as as IN cord-030380-okue1kso 161 11 agents agent NNS cord-030380-okue1kso 161 12 depends depend VBZ cord-030380-okue1kso 161 13 in in IN cord-030380-okue1kso 161 14 no no DT cord-030380-okue1kso 161 15 small small JJ cord-030380-okue1kso 161 16 part part NN cord-030380-okue1kso 161 17 on on IN cord-030380-okue1kso 161 18 the the DT cord-030380-okue1kso 161 19 actions action NNS cord-030380-okue1kso 161 20 of of IN cord-030380-okue1kso 161 21 organizational organizational JJ cord-030380-okue1kso 161 22 leaders leader NNS cord-030380-okue1kso 161 23 . . . cord-030380-okue1kso 162 1 Thus thus RB cord-030380-okue1kso 162 2 , , , cord-030380-okue1kso 162 3 incentives incentive NNS cord-030380-okue1kso 162 4 at at IN cord-030380-okue1kso 162 5 an an DT cord-030380-okue1kso 162 6 organizational organizational JJ cord-030380-okue1kso 162 7 level level NN cord-030380-okue1kso 162 8 that that WDT cord-030380-okue1kso 162 9 promote promote VBP cord-030380-okue1kso 162 10 -or -or NN cord-030380-okue1kso 162 11 at at RB cord-030380-okue1kso 162 12 least least JJS cord-030380-okue1kso 162 13 do do VBP cord-030380-okue1kso 162 14 not not RB cord-030380-okue1kso 162 15 interfere interfere VB cord-030380-okue1kso 162 16 withphysicians withphysician NNS cord-030380-okue1kso 162 17 ' ' POS cord-030380-okue1kso 162 18 intrinsic intrinsic JJ cord-030380-okue1kso 162 19 motivation motivation NN cord-030380-okue1kso 162 20 are be VBP cord-030380-okue1kso 162 21 important important JJ cord-030380-okue1kso 162 22 . . . cord-030380-okue1kso 163 1 27 27 CD cord-030380-okue1kso 164 1 The the DT cord-030380-okue1kso 164 2 goodwill goodwill NN cord-030380-okue1kso 164 3 and and CC cord-030380-okue1kso 164 4 professionalism professionalism NN cord-030380-okue1kso 164 5 of of IN cord-030380-okue1kso 164 6 physicians physician NNS cord-030380-okue1kso 164 7 need need VBP cord-030380-okue1kso 164 8 not not RB cord-030380-okue1kso 164 9 be be VB cord-030380-okue1kso 164 10 " " `` cord-030380-okue1kso 164 11 bought buy VBN cord-030380-okue1kso 164 12 with with IN cord-030380-okue1kso 164 13 tips tip NNS cord-030380-okue1kso 164 14 , , , cord-030380-okue1kso 164 15 " " '' cord-030380-okue1kso 164 16 as as IN cord-030380-okue1kso 164 17 health health NN cord-030380-okue1kso 164 18 economist economist NN cord-030380-okue1kso 164 19 Uwe Uwe NNP cord-030380-okue1kso 164 20 Reinhardt Reinhardt NNP cord-030380-okue1kso 164 21 once once RB cord-030380-okue1kso 164 22 noted,28 noted,28 XX cord-030380-okue1kso 165 1 but but CC cord-030380-okue1kso 165 2 it -PRON- PRP cord-030380-okue1kso 165 3 can can MD cord-030380-okue1kso 165 4 be be VB cord-030380-okue1kso 165 5 exploited exploit VBN cord-030380-okue1kso 165 6 by by IN cord-030380-okue1kso 165 7 organizations organization NNS cord-030380-okue1kso 165 8 to to TO cord-030380-okue1kso 165 9 serve serve VB cord-030380-okue1kso 165 10 financial financial JJ cord-030380-okue1kso 165 11 interests interest NNS cord-030380-okue1kso 165 12 not not RB cord-030380-okue1kso 165 13 shared share VBN cord-030380-okue1kso 165 14 by by IN cord-030380-okue1kso 165 15 physicians physician NNS cord-030380-okue1kso 165 16 or or CC cord-030380-okue1kso 165 17 patients patient NNS cord-030380-okue1kso 165 18 . . . cord-030380-okue1kso 166 1 29 29 CD cord-030380-okue1kso 167 1 Beyond beyond IN cord-030380-okue1kso 167 2 changes change NNS cord-030380-okue1kso 167 3 in in IN cord-030380-okue1kso 167 4 payment payment NN cord-030380-okue1kso 167 5 systems system NNS cord-030380-okue1kso 167 6 , , , cord-030380-okue1kso 167 7 there there EX cord-030380-okue1kso 167 8 are be VBP cord-030380-okue1kso 167 9 mechanisms mechanism NNS cord-030380-okue1kso 167 10 by by IN cord-030380-okue1kso 167 11 which which WDT cord-030380-okue1kso 167 12 informed inform VBD cord-030380-okue1kso 167 13 and and CC cord-030380-okue1kso 167 14 motivated motivated JJ cord-030380-okue1kso 167 15 physicians physician NNS cord-030380-okue1kso 167 16 might may MD cord-030380-okue1kso 167 17 influence influence VB cord-030380-okue1kso 167 18 organizational organizational JJ cord-030380-okue1kso 167 19 agendas agenda NNS cord-030380-okue1kso 167 20 ( ( -LRB- cord-030380-okue1kso 167 21 as as IN cord-030380-okue1kso 167 22 discussed discuss VBN cord-030380-okue1kso 167 23 below below RB cord-030380-okue1kso 167 24 ) ) -RRB- cord-030380-okue1kso 167 25 . . . cord-030380-okue1kso 168 1 If if IN cord-030380-okue1kso 168 2 professionalism professionalism NN cord-030380-okue1kso 168 3 can can MD cord-030380-okue1kso 168 4 be be VB cord-030380-okue1kso 168 5 directed direct VBN cord-030380-okue1kso 168 6 to to TO cord-030380-okue1kso 168 7 shape shape VB cord-030380-okue1kso 168 8 organizational organizational JJ cord-030380-okue1kso 168 9 objectives objective NNS cord-030380-okue1kso 168 10 and and CC cord-030380-okue1kso 168 11 capabilities capability NNS cord-030380-okue1kso 168 12 , , , cord-030380-okue1kso 168 13 the the DT cord-030380-okue1kso 168 14 benefits benefit NNS cord-030380-okue1kso 168 15 may may MD cord-030380-okue1kso 168 16 not not RB cord-030380-okue1kso 168 17 be be VB cord-030380-okue1kso 168 18 as as RB cord-030380-okue1kso 168 19 limited limit VBN cord-030380-okue1kso 168 20 as as IN cord-030380-okue1kso 168 21 they -PRON- PRP cord-030380-okue1kso 168 22 may may MD cord-030380-okue1kso 168 23 seem seem VB cord-030380-okue1kso 168 24 . . . cord-030380-okue1kso 169 1 The the DT cord-030380-okue1kso 169 2 goals goal NNS cord-030380-okue1kso 169 3 of of IN cord-030380-okue1kso 169 4 organizations organization NNS cord-030380-okue1kso 169 5 and and CC cord-030380-okue1kso 169 6 clinicians clinician NNS cord-030380-okue1kso 169 7 became become VBD cord-030380-okue1kso 169 8 strongly strongly RB cord-030380-okue1kso 169 9 aligned align VBN cord-030380-okue1kso 169 10 in in IN cord-030380-okue1kso 169 11 the the DT cord-030380-okue1kso 169 12 response response NN cord-030380-okue1kso 169 13 to to TO cord-030380-okue1kso 169 14 Covid-19 covid-19 VB cord-030380-okue1kso 169 15 at at IN cord-030380-okue1kso 169 16 a a DT cord-030380-okue1kso 169 17 time time NN cord-030380-okue1kso 169 18 of of IN cord-030380-okue1kso 169 19 unusual unusual JJ cord-030380-okue1kso 169 20 pressure pressure NN cord-030380-okue1kso 169 21 and and CC cord-030380-okue1kso 169 22 common common JJ cord-030380-okue1kso 169 23 purpose purpose NN cord-030380-okue1kso 169 24 . . . cord-030380-okue1kso 170 1 The the DT cord-030380-okue1kso 170 2 chance chance NN cord-030380-okue1kso 170 3 to to TO cord-030380-okue1kso 170 4 focus focus VB cord-030380-okue1kso 170 5 almost almost RB cord-030380-okue1kso 170 6 exclusively exclusively RB cord-030380-okue1kso 170 7 on on IN cord-030380-okue1kso 170 8 patient patient JJ cord-030380-okue1kso 170 9 care care NN cord-030380-okue1kso 170 10 likely likely RB cord-030380-okue1kso 170 11 fueled fuel VBD cord-030380-okue1kso 170 12 the the DT cord-030380-okue1kso 170 13 professional professional JJ cord-030380-okue1kso 170 14 response response NN cord-030380-okue1kso 170 15 , , , cord-030380-okue1kso 170 16 as as IN cord-030380-okue1kso 170 17 organizations organization NNS cord-030380-okue1kso 170 18 became become VBD cord-030380-okue1kso 170 19 more more RBR cord-030380-okue1kso 170 20 responsive responsive JJ cord-030380-okue1kso 170 21 to to IN cord-030380-okue1kso 170 22 the the DT cord-030380-okue1kso 170 23 needs need NNS cord-030380-okue1kso 170 24 of of IN cord-030380-okue1kso 170 25 their -PRON- PRP$ cord-030380-okue1kso 170 26 professionals professional NNS cord-030380-okue1kso 170 27 and and CC cord-030380-okue1kso 170 28 patients patient NNS cord-030380-okue1kso 170 29 ( ( -LRB- cord-030380-okue1kso 170 30 though though IN cord-030380-okue1kso 170 31 often often RB cord-030380-okue1kso 170 32 without without IN cord-030380-okue1kso 170 33 success success NN cord-030380-okue1kso 170 34 because because IN cord-030380-okue1kso 170 35 of of IN cord-030380-okue1kso 170 36 broader broad JJR cord-030380-okue1kso 170 37 system system NN cord-030380-okue1kso 170 38 failures failure NNS cord-030380-okue1kso 170 39 ) ) -RRB- cord-030380-okue1kso 170 40 . . . cord-030380-okue1kso 171 1 Several several JJ cord-030380-okue1kso 171 2 policy policy NN cord-030380-okue1kso 171 3 directions direction NNS cord-030380-okue1kso 171 4 could could MD cord-030380-okue1kso 171 5 help help VB cord-030380-okue1kso 171 6 sustain sustain VB cord-030380-okue1kso 171 7 such such JJ cord-030380-okue1kso 171 8 alignment alignment NN cord-030380-okue1kso 171 9 of of IN cord-030380-okue1kso 171 10 goals goal NNS cord-030380-okue1kso 171 11 without without IN cord-030380-okue1kso 171 12 heavy heavy JJ cord-030380-okue1kso 171 13 reliance reliance NN cord-030380-okue1kso 171 14 on on IN cord-030380-okue1kso 171 15 measures measure NNS cord-030380-okue1kso 171 16 ( ( -LRB- cord-030380-okue1kso 171 17 Figure figure NN cord-030380-okue1kso 171 18 1 1 CD cord-030380-okue1kso 171 19 ) ) -RRB- cord-030380-okue1kso 171 20 . . . cord-030380-okue1kso 172 1 In in IN cord-030380-okue1kso 172 2 a a DT cord-030380-okue1kso 172 3 competitive competitive JJ cord-030380-okue1kso 172 4 market market NN cord-030380-okue1kso 172 5 with with IN cord-030380-okue1kso 172 6 reasonably reasonably RB cord-030380-okue1kso 172 7 informed informed JJ cord-030380-okue1kso 172 8 consumers consumer NNS cord-030380-okue1kso 172 9 , , , cord-030380-okue1kso 172 10 scorecards scorecard NNS cord-030380-okue1kso 172 11 and and CC cord-030380-okue1kso 172 12 performance performance NN cord-030380-okue1kso 172 13 - - HYPH cord-030380-okue1kso 172 14 based base VBN cord-030380-okue1kso 172 15 pay pay NN cord-030380-okue1kso 172 16 are be VBP cord-030380-okue1kso 172 17 unnecessary unnecessary JJ cord-030380-okue1kso 172 18 to to TO cord-030380-okue1kso 172 19 drive drive VB cord-030380-okue1kso 172 20 improvement improvement NN cord-030380-okue1kso 172 21 if if IN cord-030380-okue1kso 172 22 actors actor NNS cord-030380-okue1kso 172 23 who who WP cord-030380-okue1kso 172 24 can can MD cord-030380-okue1kso 172 25 discern discern VB cord-030380-okue1kso 172 26 high high JJ cord-030380-okue1kso 172 27 - - HYPH cord-030380-okue1kso 172 28 quality quality NN cord-030380-okue1kso 172 29 care care NN cord-030380-okue1kso 172 30 are be VBP cord-030380-okue1kso 172 31 in in IN cord-030380-okue1kso 172 32 a a DT cord-030380-okue1kso 172 33 position position NN cord-030380-okue1kso 172 34 to to TO cord-030380-okue1kso 172 35 reward reward VB cord-030380-okue1kso 172 36 it -PRON- PRP cord-030380-okue1kso 172 37 with with IN cord-030380-okue1kso 172 38 their -PRON- PRP$ cord-030380-okue1kso 172 39 choices choice NNS cord-030380-okue1kso 172 40 . . . cord-030380-okue1kso 173 1 " " '' cord-030380-okue1kso 174 1 First first RB cord-030380-okue1kso 174 2 , , , cord-030380-okue1kso 174 3 population population NN cord-030380-okue1kso 174 4 - - HYPH cord-030380-okue1kso 174 5 based base VBN cord-030380-okue1kso 174 6 payments payment NNS cord-030380-okue1kso 174 7 give give VBP cord-030380-okue1kso 174 8 organizations organization NNS cord-030380-okue1kso 174 9 flexibility flexibility NN cord-030380-okue1kso 174 10 in in IN cord-030380-okue1kso 174 11 selecting select VBG cord-030380-okue1kso 174 12 the the DT cord-030380-okue1kso 174 13 inputs input NNS cord-030380-okue1kso 174 14 used use VBN cord-030380-okue1kso 174 15 to to TO cord-030380-okue1kso 174 16 produce produce VB cord-030380-okue1kso 174 17 health health NN cord-030380-okue1kso 174 18 by by IN cord-030380-okue1kso 174 19 decoupling decouple VBG cord-030380-okue1kso 174 20 revenue revenue NN cord-030380-okue1kso 174 21 from from IN cord-030380-okue1kso 174 22 the the DT cord-030380-okue1kso 174 23 services service NNS cord-030380-okue1kso 174 24 provided provide VBN cord-030380-okue1kso 174 25 . . . cord-030380-okue1kso 175 1 Removing remove VBG cord-030380-okue1kso 175 2 counterproductive counterproductive JJ cord-030380-okue1kso 175 3 fee fee NN cord-030380-okue1kso 175 4 - - HYPH cord-030380-okue1kso 175 5 for for IN cord-030380-okue1kso 175 6 - - HYPH cord-030380-okue1kso 175 7 service service NN cord-030380-okue1kso 175 8 ( ( -LRB- cord-030380-okue1kso 175 9 and and CC cord-030380-okue1kso 175 10 pay pay VB cord-030380-okue1kso 175 11 - - HYPH cord-030380-okue1kso 175 12 for for IN cord-030380-okue1kso 175 13 - - HYPH cord-030380-okue1kso 175 14 performance performance NN cord-030380-okue1kso 175 15 ) ) -RRB- cord-030380-okue1kso 175 16 incentives incentive NNS cord-030380-okue1kso 175 17 may may MD cord-030380-okue1kso 175 18 be be VB cord-030380-okue1kso 175 19 important important JJ cord-030380-okue1kso 175 20 for for IN cord-030380-okue1kso 175 21 disinhibiting disinhibite VBG cord-030380-okue1kso 175 22 the the DT cord-030380-okue1kso 175 23 motivation motivation NN cord-030380-okue1kso 175 24 of of IN cord-030380-okue1kso 175 25 organizational organizational JJ cord-030380-okue1kso 175 26 leaders leader NNS cord-030380-okue1kso 175 27 and and CC cord-030380-okue1kso 175 28 physicians physician NNS cord-030380-okue1kso 175 29 . . . cord-030380-okue1kso 176 1 For for IN cord-030380-okue1kso 176 2 example example NN cord-030380-okue1kso 176 3 , , , cord-030380-okue1kso 176 4 if if IN cord-030380-okue1kso 176 5 physicians physician NNS cord-030380-okue1kso 176 6 do do VBP cord-030380-okue1kso 176 7 not not RB cord-030380-okue1kso 176 8 have have VB cord-030380-okue1kso 176 9 to to TO cord-030380-okue1kso 176 10 complete complete VB cord-030380-okue1kso 176 11 as as IN cord-030380-okue1kso 176 12 many many JJ cord-030380-okue1kso 176 13 office office NN cord-030380-okue1kso 176 14 visits visit NNS cord-030380-okue1kso 176 15 and and CC cord-030380-okue1kso 176 16 as as IN cord-030380-okue1kso 176 17 much much JJ cord-030380-okue1kso 176 18 documentation documentation NN cord-030380-okue1kso 176 19 to to TO cord-030380-okue1kso 176 20 generate generate VB cord-030380-okue1kso 176 21 revenue revenue NN cord-030380-okue1kso 176 22 , , , cord-030380-okue1kso 176 23 they -PRON- PRP cord-030380-okue1kso 176 24 can can MD cord-030380-okue1kso 176 25 devote devote VB cord-030380-okue1kso 176 26 more more JJR cord-030380-okue1kso 176 27 effort effort NN cord-030380-okue1kso 176 28 to to IN cord-030380-okue1kso 176 29 high high JJ cord-030380-okue1kso 176 30 - - HYPH cord-030380-okue1kso 176 31 needs need NNS cord-030380-okue1kso 176 32 patients patient NNS cord-030380-okue1kso 176 33 and and CC cord-030380-okue1kso 176 34 to to IN cord-030380-okue1kso 176 35 activities activity NNS cord-030380-okue1kso 176 36 that that WDT cord-030380-okue1kso 176 37 benefit benefit VBP cord-030380-okue1kso 176 38 patients patient NNS cord-030380-okue1kso 176 39 most most RBS cord-030380-okue1kso 176 40 ( ( -LRB- cord-030380-okue1kso 176 41 including include VBG cord-030380-okue1kso 176 42 teaching teaching NN cord-030380-okue1kso 176 43 and and CC cord-030380-okue1kso 176 44 learning learning NN cord-030380-okue1kso 176 45 ) ) -RRB- cord-030380-okue1kso 176 46 . . . cord-030380-okue1kso 177 1 Indeed indeed RB cord-030380-okue1kso 177 2 , , , cord-030380-okue1kso 177 3 specialists specialist NNS cord-030380-okue1kso 177 4 are be VBP cord-030380-okue1kso 177 5 often often RB cord-030380-okue1kso 177 6 eager eager JJ cord-030380-okue1kso 177 7 to to TO cord-030380-okue1kso 177 8 provide provide VB cord-030380-okue1kso 177 9 free free JJ cord-030380-okue1kso 177 10 " " `` cord-030380-okue1kso 177 11 curbside curbside JJ cord-030380-okue1kso 177 12 " " '' cord-030380-okue1kso 177 13 consultative consultative JJ cord-030380-okue1kso 177 14 advice advice NN cord-030380-okue1kso 177 15 when when WRB cord-030380-okue1kso 177 16 freed free VBN cord-030380-okue1kso 177 17 of of IN cord-030380-okue1kso 177 18 the the DT cord-030380-okue1kso 177 19 requirements requirement NNS cord-030380-okue1kso 177 20 of of IN cord-030380-okue1kso 177 21 rendering render VBG cord-030380-okue1kso 177 22 reimbursable reimbursable JJ cord-030380-okue1kso 177 23 care care NN cord-030380-okue1kso 177 24 . . . cord-030380-okue1kso 178 1 " " '' cord-030380-okue1kso 179 1 Second second JJ cord-030380-okue1kso 179 2 , , , cord-030380-okue1kso 179 3 competition competition NN cord-030380-okue1kso 179 4 shapes shape VBZ cord-030380-okue1kso 179 5 organizational organizational JJ cord-030380-okue1kso 179 6 incentives incentive NNS cord-030380-okue1kso 179 7 by by IN cord-030380-okue1kso 179 8 giving give VBG cord-030380-okue1kso 179 9 patients patient NNS cord-030380-okue1kso 179 10 and and CC cord-030380-okue1kso 179 11 physicians physician NNS cord-030380-okue1kso 179 12 more more JJR cord-030380-okue1kso 179 13 of of IN cord-030380-okue1kso 179 14 a a DT cord-030380-okue1kso 179 15 say say NN cord-030380-okue1kso 179 16 . . . cord-030380-okue1kso 180 1 In in IN cord-030380-okue1kso 180 2 a a DT cord-030380-okue1kso 180 3 competitive competitive JJ cord-030380-okue1kso 180 4 market market NN cord-030380-okue1kso 180 5 with with IN cord-030380-okue1kso 180 6 reasonably reasonably RB cord-030380-okue1kso 180 7 informed informed JJ cord-030380-okue1kso 180 8 consumers consumer NNS cord-030380-okue1kso 180 9 , , , cord-030380-okue1kso 180 10 scorecards scorecard NNS cord-030380-okue1kso 180 11 and and CC cord-030380-okue1kso 180 12 performancebased performancebased JJ cord-030380-okue1kso 180 13 pay pay NN cord-030380-okue1kso 180 14 are be VBP cord-030380-okue1kso 180 15 unnecessary unnecessary JJ cord-030380-okue1kso 180 16 to to TO cord-030380-okue1kso 180 17 drive drive VB cord-030380-okue1kso 180 18 improvement improvement NN cord-030380-okue1kso 180 19 if if IN cord-030380-okue1kso 180 20 actors actor NNS cord-030380-okue1kso 180 21 who who WP cord-030380-okue1kso 180 22 can can MD cord-030380-okue1kso 180 23 discern discern VB cord-030380-okue1kso 180 24 high high JJ cord-030380-okue1kso 180 25 - - HYPH cord-030380-okue1kso 180 26 quality quality NN cord-030380-okue1kso 180 27 care care NN cord-030380-okue1kso 180 28 are be VBP cord-030380-okue1kso 180 29 in in IN cord-030380-okue1kso 180 30 a a DT cord-030380-okue1kso 180 31 position position NN cord-030380-okue1kso 180 32 to to TO cord-030380-okue1kso 180 33 reward reward VB cord-030380-okue1kso 180 34 it -PRON- PRP cord-030380-okue1kso 180 35 with with IN cord-030380-okue1kso 180 36 their -PRON- PRP$ cord-030380-okue1kso 180 37 choices choice NNS cord-030380-okue1kso 180 38 . . . cord-030380-okue1kso 181 1 Consumers consumer NNS cord-030380-okue1kso 181 2 should should MD cord-030380-okue1kso 181 3 not not RB cord-030380-okue1kso 181 4 be be VB cord-030380-okue1kso 181 5 thought think VBN cord-030380-okue1kso 181 6 of of IN cord-030380-okue1kso 181 7 as as IN cord-030380-okue1kso 181 8 patients patient NNS cord-030380-okue1kso 181 9 expected expect VBN cord-030380-okue1kso 181 10 to to TO cord-030380-okue1kso 181 11 choose choose VB cord-030380-okue1kso 181 12 intelligently intelligently RB cord-030380-okue1kso 181 13 alone alone RB cord-030380-okue1kso 181 14 , , , cord-030380-okue1kso 181 15 but but CC cord-030380-okue1kso 181 16 rather rather RB cord-030380-okue1kso 181 17 as as IN cord-030380-okue1kso 181 18 patients patient NNS cord-030380-okue1kso 181 19 informed inform VBN cord-030380-okue1kso 181 20 by by IN cord-030380-okue1kso 181 21 medical medical JJ cord-030380-okue1kso 181 22 guidance guidance NN cord-030380-okue1kso 181 23 . . . cord-030380-okue1kso 182 1 Ideal ideal JJ cord-030380-okue1kso 182 2 conditions condition NNS cord-030380-okue1kso 182 3 for for IN cord-030380-okue1kso 182 4 healthy healthy JJ cord-030380-okue1kso 182 5 competition competition NN cord-030380-okue1kso 182 6 in in IN cord-030380-okue1kso 182 7 provider provider NN cord-030380-okue1kso 182 8 markets market NNS cord-030380-okue1kso 182 9 have have VBP cord-030380-okue1kso 182 10 been be VBN cord-030380-okue1kso 182 11 elusive elusive JJ cord-030380-okue1kso 182 12 , , , cord-030380-okue1kso 182 13 but but CC cord-030380-okue1kso 182 14 steps step NNS cord-030380-okue1kso 182 15 can can MD cord-030380-okue1kso 182 16 be be VB cord-030380-okue1kso 182 17 taken take VBN cord-030380-okue1kso 182 18 to to TO cord-030380-okue1kso 182 19 strengthen strengthen VB cord-030380-okue1kso 182 20 quality quality NN cord-030380-okue1kso 182 21 - - HYPH cord-030380-okue1kso 182 22 based base VBN cord-030380-okue1kso 182 23 competition competition NN cord-030380-okue1kso 182 24 and and CC cord-030380-okue1kso 182 25 thus thus RB cord-030380-okue1kso 182 26 align align VB cord-030380-okue1kso 182 27 organizational organizational JJ cord-030380-okue1kso 182 28 incentives incentive NNS cord-030380-okue1kso 182 29 with with IN cord-030380-okue1kso 182 30 the the DT cord-030380-okue1kso 182 31 professional professional JJ cord-030380-okue1kso 182 32 goals goal NNS cord-030380-okue1kso 182 33 of of IN cord-030380-okue1kso 182 34 clinicians clinician NNS cord-030380-okue1kso 182 35 . . . cord-030380-okue1kso 183 1 Foremost foremost RB cord-030380-okue1kso 183 2 are be VBP cord-030380-okue1kso 183 3 measures measure NNS cord-030380-okue1kso 183 4 to to TO cord-030380-okue1kso 183 5 expand expand VB cord-030380-okue1kso 183 6 choice choice NN cord-030380-okue1kso 183 7 by by IN cord-030380-okue1kso 183 8 limiting limit VBG cord-030380-okue1kso 183 9 large large JJ cord-030380-okue1kso 183 10 - - HYPH cord-030380-okue1kso 183 11 scale scale NN cord-030380-okue1kso 183 12 provider provider NN cord-030380-okue1kso 183 13 consolidation consolidation NN cord-030380-okue1kso 183 14 that that WDT cord-030380-okue1kso 183 15 has have VBZ cord-030380-okue1kso 183 16 increased increase VBN cord-030380-okue1kso 183 17 prices price NNS cord-030380-okue1kso 183 18 without without IN cord-030380-okue1kso 183 19 measurable measurable JJ cord-030380-okue1kso 183 20 gains gain NNS cord-030380-okue1kso 183 21 for for IN cord-030380-okue1kso 183 22 patients.30 patients.30 NNP cord-030380-okue1kso 183 23 -34 -34 NNP cord-030380-okue1kso 184 1 These these DT cord-030380-okue1kso 184 2 include include VBP cord-030380-okue1kso 184 3 leveling level VBG cord-030380-okue1kso 184 4 payments payment NNS cord-030380-okue1kso 184 5 between between IN cord-030380-okue1kso 184 6 hospital hospital NN cord-030380-okue1kso 184 7 outpatient outpatient NN cord-030380-okue1kso 184 8 and and CC cord-030380-okue1kso 184 9 independent independent JJ cord-030380-okue1kso 184 10 practice practice NN cord-030380-okue1kso 184 11 settings setting NNS cord-030380-okue1kso 184 12 and and CC cord-030380-okue1kso 184 13 prohibiting prohibit VBG cord-030380-okue1kso 184 14 contracts contract NNS cord-030380-okue1kso 184 15 that that WDT cord-030380-okue1kso 184 16 require require VBP cord-030380-okue1kso 184 17 insurers insurer NNS cord-030380-okue1kso 184 18 to to TO cord-030380-okue1kso 184 19 include include VB cord-030380-okue1kso 184 20 " " `` cord-030380-okue1kso 184 21 all all DT cord-030380-okue1kso 184 22 or or CC cord-030380-okue1kso 184 23 none none NN cord-030380-okue1kso 184 24 " " '' cord-030380-okue1kso 184 25 of of IN cord-030380-okue1kso 184 26 a a DT cord-030380-okue1kso 184 27 health health NN cord-030380-okue1kso 184 28 system system NN cord-030380-okue1kso 184 29 's 's POS cord-030380-okue1kso 184 30 providers provider NNS cord-030380-okue1kso 184 31 in in IN cord-030380-okue1kso 184 32 their -PRON- PRP$ cord-030380-okue1kso 184 33 networks network NNS cord-030380-okue1kso 184 34 . . . cord-030380-okue1kso 185 1 The the DT cord-030380-okue1kso 185 2 evidence evidence NN cord-030380-okue1kso 185 3 that that IN cord-030380-okue1kso 185 4 competition competition NN cord-030380-okue1kso 185 5 is be VBZ cord-030380-okue1kso 185 6 good good JJ cord-030380-okue1kso 185 7 for for IN cord-030380-okue1kso 185 8 patients patient NNS cord-030380-okue1kso 185 9 is be VBZ cord-030380-okue1kso 185 10 stronger strong JJR cord-030380-okue1kso 185 11 than than IN cord-030380-okue1kso 185 12 the the DT cord-030380-okue1kso 185 13 analogous analogous JJ cord-030380-okue1kso 185 14 evidence evidence NN cord-030380-okue1kso 185 15 for for IN cord-030380-okue1kso 185 16 pay pay NN cord-030380-okue1kso 185 17 for for IN cord-030380-okue1kso 185 18 performance,31 performance,31 NNP cord-030380-okue1kso 185 19 -34 -34 NNP cord-030380-okue1kso 185 20 and and CC cord-030380-okue1kso 185 21 competition competition NN cord-030380-okue1kso 185 22 for for IN cord-030380-okue1kso 185 23 patients patient NNS cord-030380-okue1kso 185 24 can can MD cord-030380-okue1kso 185 25 be be VB cord-030380-okue1kso 185 26 strengthened strengthen VBN cord-030380-okue1kso 185 27 , , , cord-030380-okue1kso 185 28 but but CC cord-030380-okue1kso 185 29 it -PRON- PRP cord-030380-okue1kso 185 30 may may MD cord-030380-okue1kso 185 31 never never RB cord-030380-okue1kso 185 32 be be VB cord-030380-okue1kso 185 33 strong strong JJ cord-030380-okue1kso 185 34 enough enough RB cord-030380-okue1kso 185 35 . . . cord-030380-okue1kso 186 1 Often often RB cord-030380-okue1kso 186 2 , , , cord-030380-okue1kso 186 3 patients patient NNS cord-030380-okue1kso 186 4 must must MD cord-030380-okue1kso 186 5 choose choose VB cord-030380-okue1kso 186 6 without without IN cord-030380-okue1kso 186 7 professional professional JJ cord-030380-okue1kso 186 8 guidance guidance NN cord-030380-okue1kso 186 9 ( ( -LRB- cord-030380-okue1kso 186 10 e.g. e.g. RB cord-030380-okue1kso 186 11 , , , cord-030380-okue1kso 186 12 selecting select VBG cord-030380-okue1kso 186 13 a a DT cord-030380-okue1kso 186 14 PCP PCP NNP cord-030380-okue1kso 186 15 ) ) -RRB- cord-030380-okue1kso 186 16 or or CC cord-030380-okue1kso 186 17 have have VBP cord-030380-okue1kso 186 18 no no DT cord-030380-okue1kso 186 19 choice choice NN cord-030380-okue1kso 186 20 ( ( -LRB- cord-030380-okue1kso 186 21 e.g. e.g. RB cord-030380-okue1kso 186 22 , , , cord-030380-okue1kso 186 23 for for IN cord-030380-okue1kso 186 24 emergent emergent JJ cord-030380-okue1kso 186 25 care care NN cord-030380-okue1kso 186 26 ) ) -RRB- cord-030380-okue1kso 186 27 . . . cord-030380-okue1kso 187 1 However however RB cord-030380-okue1kso 187 2 , , , cord-030380-okue1kso 187 3 organizations organization NNS cord-030380-okue1kso 187 4 compete compete VBP cord-030380-okue1kso 187 5 not not RB cord-030380-okue1kso 187 6 just just RB cord-030380-okue1kso 187 7 for for IN cord-030380-okue1kso 187 8 patients patient NNS cord-030380-okue1kso 187 9 , , , cord-030380-okue1kso 187 10 but but CC cord-030380-okue1kso 187 11 for for IN cord-030380-okue1kso 187 12 clinicians clinician NNS cord-030380-okue1kso 187 13 , , , cord-030380-okue1kso 187 14 too too RB cord-030380-okue1kso 187 15 . . . cord-030380-okue1kso 188 1 Indeed indeed RB cord-030380-okue1kso 188 2 , , , cord-030380-okue1kso 188 3 the the DT cord-030380-okue1kso 188 4 physician physician NN cord-030380-okue1kso 188 5 labor labor NN cord-030380-okue1kso 188 6 market market NN cord-030380-okue1kso 188 7 could could MD cord-030380-okue1kso 188 8 become become VB cord-030380-okue1kso 188 9 an an DT cord-030380-okue1kso 188 10 engine engine NN cord-030380-okue1kso 188 11 of of IN cord-030380-okue1kso 188 12 long long RB cord-030380-okue1kso 188 13 - - HYPH cord-030380-okue1kso 188 14 awaited await VBN cord-030380-okue1kso 188 15 gains gain NNS cord-030380-okue1kso 188 16 . . . cord-030380-okue1kso 189 1 Financial financial JJ cord-030380-okue1kso 189 2 and and CC cord-030380-okue1kso 189 3 lifestyle lifestyle NN cord-030380-okue1kso 189 4 considerations consideration NNS cord-030380-okue1kso 189 5 aside aside RB cord-030380-okue1kso 189 6 , , , cord-030380-okue1kso 189 7 physicians physician NNS cord-030380-okue1kso 189 8 should should MD cord-030380-okue1kso 189 9 prefer prefer VB cord-030380-okue1kso 189 10 employment employment NN cord-030380-okue1kso 189 11 where where WRB cord-030380-okue1kso 189 12 they -PRON- PRP cord-030380-okue1kso 189 13 can can MD cord-030380-okue1kso 189 14 best best RB cord-030380-okue1kso 189 15 serve serve VB cord-030380-okue1kso 189 16 patients patient NNS cord-030380-okue1kso 189 17 . . . cord-030380-okue1kso 190 1 There there EX cord-030380-okue1kso 190 2 is be VBZ cord-030380-okue1kso 190 3 reason reason NN cord-030380-okue1kso 190 4 to to TO cord-030380-okue1kso 190 5 believe believe VB cord-030380-okue1kso 190 6 that that IN cord-030380-okue1kso 190 7 physicians physician NNS cord-030380-okue1kso 190 8 recognize recognize VBP cord-030380-okue1kso 190 9 organizational organizational JJ cord-030380-okue1kso 190 10 quality quality NN cord-030380-okue1kso 190 11 and and CC cord-030380-okue1kso 190 12 exhibit exhibit VB cord-030380-okue1kso 190 13 quality quality NN cord-030380-okue1kso 190 14 - - HYPH cord-030380-okue1kso 190 15 related relate VBN cord-030380-okue1kso 190 16 preferences preference NNS cord-030380-okue1kso 190 17 in in IN cord-030380-okue1kso 190 18 choosing choose VBG cord-030380-okue1kso 190 19 a a DT cord-030380-okue1kso 190 20 workplace workplace NN cord-030380-okue1kso 190 21 . . . cord-030380-okue1kso 191 1 For for IN cord-030380-okue1kso 191 2 example example NN cord-030380-okue1kso 191 3 , , , cord-030380-okue1kso 191 4 physician physician NN cord-030380-okue1kso 191 5 perceptions perception NNS cord-030380-okue1kso 191 6 of of IN cord-030380-okue1kso 191 7 greater great JJR cord-030380-okue1kso 191 8 clinic clinic NN cord-030380-okue1kso 191 9 capacity capacity NN cord-030380-okue1kso 191 10 to to TO cord-030380-okue1kso 191 11 address address VB cord-030380-okue1kso 191 12 patient patient NN cord-030380-okue1kso 191 13 needs need NNS cord-030380-okue1kso 191 14 have have VBP cord-030380-okue1kso 191 15 been be VBN cord-030380-okue1kso 191 16 associated associate VBN cord-030380-okue1kso 191 17 with with IN cord-030380-okue1kso 191 18 lower low JJR cord-030380-okue1kso 191 19 rates rate NNS cord-030380-okue1kso 191 20 of of IN cord-030380-okue1kso 191 21 burnout burnout NN cord-030380-okue1kso 191 22 . . . cord-030380-okue1kso 192 1 35 35 CD cord-030380-okue1kso 193 1 Likewise likewise RB cord-030380-okue1kso 193 2 , , , cord-030380-okue1kso 193 3 opportunities opportunity NNS cord-030380-okue1kso 193 4 to to TO cord-030380-okue1kso 193 5 spend spend VB cord-030380-okue1kso 193 6 more more JJR cord-030380-okue1kso 193 7 time time NN cord-030380-okue1kso 193 8 with with IN cord-030380-okue1kso 193 9 patients patient NNS cord-030380-okue1kso 193 10 and and CC cord-030380-okue1kso 193 11 shed shed VB cord-030380-okue1kso 193 12 reporting reporting NN cord-030380-okue1kso 193 13 and and CC cord-030380-okue1kso 193 14 documentation documentation NN cord-030380-okue1kso 193 15 requirements requirement NNS cord-030380-okue1kso 193 16 have have VBP cord-030380-okue1kso 193 17 been be VBN cord-030380-okue1kso 193 18 cited cite VBN cord-030380-okue1kso 193 19 as as IN cord-030380-okue1kso 193 20 primary primary JJ cord-030380-okue1kso 193 21 motivations motivation NNS cord-030380-okue1kso 193 22 for for IN cord-030380-okue1kso 193 23 PCPs pcp NNS cord-030380-okue1kso 193 24 leaving leave VBG cord-030380-okue1kso 193 25 practices practice NNS cord-030380-okue1kso 193 26 in in IN cord-030380-okue1kso 193 27 favor favor NN cord-030380-okue1kso 193 28 of of IN cord-030380-okue1kso 193 29 direct direct JJ cord-030380-okue1kso 193 30 primary primary JJ cord-030380-okue1kso 193 31 care care NN cord-030380-okue1kso 193 32 models.36 models.36 NN cord-030380-okue1kso 194 1 Yet yet CC cord-030380-okue1kso 194 2 physicians physician NNS cord-030380-okue1kso 194 3 have have VBP cord-030380-okue1kso 194 4 limited limit VBN cord-030380-okue1kso 194 5 options option NNS cord-030380-okue1kso 194 6 in in IN cord-030380-okue1kso 194 7 consolidated consolidated JJ cord-030380-okue1kso 194 8 markets market NNS cord-030380-okue1kso 194 9 and and CC cord-030380-okue1kso 194 10 are be VBP cord-030380-okue1kso 194 11 constrained constrain VBN cord-030380-okue1kso 194 12 by by IN cord-030380-okue1kso 194 13 high high JJ cord-030380-okue1kso 194 14 switching switching NN cord-030380-okue1kso 194 15 costs cost NNS cord-030380-okue1kso 194 16 . . . cord-030380-okue1kso 195 1 Steps step NNS cord-030380-okue1kso 195 2 to to TO cord-030380-okue1kso 195 3 improve improve VB cord-030380-okue1kso 195 4 physician physician NN cord-030380-okue1kso 195 5 mobility mobility NN cord-030380-okue1kso 195 6 might may MD cord-030380-okue1kso 195 7 include include VB cord-030380-okue1kso 195 8 : : : cord-030380-okue1kso 195 9 limiting limit VBG cord-030380-okue1kso 195 10 noncompete noncompete JJ cord-030380-okue1kso 195 11 clauses clause NNS cord-030380-okue1kso 195 12 that that WDT cord-030380-okue1kso 195 13 restrict restrict VBP cord-030380-okue1kso 195 14 where where WRB cord-030380-okue1kso 195 15 physicians physician NNS cord-030380-okue1kso 195 16 can can MD cord-030380-okue1kso 195 17 work work VB cord-030380-okue1kso 195 18 and and CC cord-030380-okue1kso 195 19 limit limit VB cord-030380-okue1kso 195 20 their -PRON- PRP$ cord-030380-okue1kso 195 21 ability ability NN cord-030380-okue1kso 195 22 to to TO cord-030380-okue1kso 195 23 take take VB cord-030380-okue1kso 195 24 patients patient NNS cord-030380-okue1kso 195 25 with with IN cord-030380-okue1kso 195 26 them -PRON- PRP cord-030380-okue1kso 195 27 after after IN cord-030380-okue1kso 195 28 leaving leave VBG cord-030380-okue1kso 195 29 an an DT cord-030380-okue1kso 195 30 organization organization NN cord-030380-okue1kso 195 31 ; ; : cord-030380-okue1kso 195 32 greater great JJR cord-030380-okue1kso 195 33 EHR EHR NNP cord-030380-okue1kso 195 34 interoperability interoperability NN cord-030380-okue1kso 195 35 so so IN cord-030380-okue1kso 195 36 patients patient NNS cord-030380-okue1kso 195 37 can can MD cord-030380-okue1kso 195 38 follow follow VB cord-030380-okue1kso 195 39 their -PRON- PRP$ cord-030380-okue1kso 195 40 physicians physician NNS cord-030380-okue1kso 195 41 ; ; : cord-030380-okue1kso 195 42 team team NN cord-030380-okue1kso 195 43 - - HYPH cord-030380-okue1kso 195 44 based base VBN cord-030380-okue1kso 195 45 models model NNS cord-030380-okue1kso 195 46 that that WDT cord-030380-okue1kso 195 47 minimize minimize VBP cord-030380-okue1kso 195 48 the the DT cord-030380-okue1kso 195 49 costs cost NNS cord-030380-okue1kso 195 50 of of IN cord-030380-okue1kso 195 51 rebuilding rebuild VBG cord-030380-okue1kso 195 52 patient patient JJ cord-030380-okue1kso 195 53 panels panel NNS cord-030380-okue1kso 195 54 and and CC cord-030380-okue1kso 195 55 learning learn VBG cord-030380-okue1kso 195 56 new new JJ cord-030380-okue1kso 195 57 systems system NNS cord-030380-okue1kso 195 58 ; ; : cord-030380-okue1kso 195 59 and and CC cord-030380-okue1kso 195 60 simplified simplified JJ cord-030380-okue1kso 195 61 licensing licensing NN cord-030380-okue1kso 195 62 and and CC cord-030380-okue1kso 195 63 credentialing credentialing NN cord-030380-okue1kso 195 64 processes process NNS cord-030380-okue1kso 195 65 . . . cord-030380-okue1kso 196 1 There there EX cord-030380-okue1kso 196 2 are be VBP cord-030380-okue1kso 196 3 also also RB cord-030380-okue1kso 196 4 opportunities opportunity NNS cord-030380-okue1kso 196 5 for for IN cord-030380-okue1kso 196 6 better well RBR cord-030380-okue1kso 196 7 informing inform VBG cord-030380-okue1kso 196 8 choices choice NNS cord-030380-okue1kso 196 9 . . . cord-030380-okue1kso 197 1 Physicians physician NNS cord-030380-okue1kso 197 2 can can MD cord-030380-okue1kso 197 3 not not RB cord-030380-okue1kso 197 4 readily readily RB cord-030380-okue1kso 197 5 access access VB cord-030380-okue1kso 197 6 anonymous anonymous JJ cord-030380-okue1kso 197 7 testimonies testimony NNS cord-030380-okue1kso 197 8 about about IN cord-030380-okue1kso 197 9 their -PRON- PRP$ cord-030380-okue1kso 197 10 job job NN cord-030380-okue1kso 197 11 options option NNS cord-030380-okue1kso 197 12 from from IN cord-030380-okue1kso 197 13 current current JJ cord-030380-okue1kso 197 14 or or CC cord-030380-okue1kso 197 15 former former JJ cord-030380-okue1kso 197 16 practice practice NN cord-030380-okue1kso 197 17 members member NNS cord-030380-okue1kso 197 18 ; ; : cord-030380-okue1kso 197 19 the the DT cord-030380-okue1kso 197 20 market market NN cord-030380-okue1kso 197 21 for for IN cord-030380-okue1kso 197 22 physician physician NN cord-030380-okue1kso 197 23 recruitment recruitment NN cord-030380-okue1kso 197 24 services service NNS cord-030380-okue1kso 197 25 seems seem VBZ cord-030380-okue1kso 197 26 ripe ripe JJ cord-030380-okue1kso 197 27 for for IN cord-030380-okue1kso 197 28 disruption disruption NN cord-030380-okue1kso 197 29 . . . cord-030380-okue1kso 198 1 With with IN cord-030380-okue1kso 198 2 such such JJ cord-030380-okue1kso 198 3 pieces piece NNS cord-030380-okue1kso 198 4 in in IN cord-030380-okue1kso 198 5 place place NN cord-030380-okue1kso 198 6 , , , cord-030380-okue1kso 198 7 physicians physician NNS cord-030380-okue1kso 198 8 might may MD cord-030380-okue1kso 198 9 be be VB cord-030380-okue1kso 198 10 more more RBR cord-030380-okue1kso 198 11 likely likely JJ cord-030380-okue1kso 198 12 to to TO cord-030380-okue1kso 198 13 leave leave VB cord-030380-okue1kso 198 14 organizations organization NNS cord-030380-okue1kso 198 15 if if IN cord-030380-okue1kso 198 16 they -PRON- PRP cord-030380-okue1kso 198 17 detect detect VBP cord-030380-okue1kso 198 18 poor poor JJ cord-030380-okue1kso 198 19 quality quality NN cord-030380-okue1kso 198 20 , , , cord-030380-okue1kso 198 21 and and CC cord-030380-okue1kso 198 22 organizations organization NNS cord-030380-okue1kso 198 23 might may MD cord-030380-okue1kso 198 24 be be VB cord-030380-okue1kso 198 25 more more RBR cord-030380-okue1kso 198 26 likely likely JJ cord-030380-okue1kso 198 27 to to TO cord-030380-okue1kso 198 28 recruit recruit VB cord-030380-okue1kso 198 29 and and CC cord-030380-okue1kso 198 30 retain retain VB cord-030380-okue1kso 198 31 physicians physician NNS cord-030380-okue1kso 198 32 by by IN cord-030380-okue1kso 198 33 demonstrating demonstrate VBG cord-030380-okue1kso 198 34 capacity capacity NN cord-030380-okue1kso 198 35 to to TO cord-030380-okue1kso 198 36 deliver deliver VB cord-030380-okue1kso 198 37 high high JJ cord-030380-okue1kso 198 38 - - HYPH cord-030380-okue1kso 198 39 quality quality NN cord-030380-okue1kso 198 40 care care NN cord-030380-okue1kso 198 41 . . . cord-030380-okue1kso 199 1 As as IN cord-030380-okue1kso 199 2 flexibility flexibility NN cord-030380-okue1kso 199 3 from from IN cord-030380-okue1kso 199 4 population population NN cord-030380-okue1kso 199 5 - - HYPH cord-030380-okue1kso 199 6 based base VBN cord-030380-okue1kso 199 7 payments payment NNS cord-030380-okue1kso 199 8 and and CC cord-030380-okue1kso 199 9 invigorated invigorated JJ cord-030380-okue1kso 199 10 competition competition NN cord-030380-okue1kso 199 11 may may MD cord-030380-okue1kso 199 12 be be VB cord-030380-okue1kso 199 13 insufficient insufficient JJ cord-030380-okue1kso 199 14 to to TO cord-030380-okue1kso 199 15 align align VB cord-030380-okue1kso 199 16 the the DT cord-030380-okue1kso 199 17 extrinsic extrinsic JJ cord-030380-okue1kso 199 18 incentives incentive NNS cord-030380-okue1kso 199 19 of of IN cord-030380-okue1kso 199 20 organizations organization NNS cord-030380-okue1kso 199 21 with with IN cord-030380-okue1kso 199 22 the the DT cord-030380-okue1kso 199 23 intrinsic intrinsic JJ cord-030380-okue1kso 199 24 motivation motivation NN cord-030380-okue1kso 199 25 of of IN cord-030380-okue1kso 199 26 clinicians,37 clinicians,37 JJ cord-030380-okue1kso 199 27 additional additional JJ cord-030380-okue1kso 199 28 mechanisms mechanism NNS cord-030380-okue1kso 199 29 for for IN cord-030380-okue1kso 199 30 making make VBG cord-030380-okue1kso 199 31 organizations organization NNS cord-030380-okue1kso 199 32 accountable accountable JJ cord-030380-okue1kso 199 33 to to IN cord-030380-okue1kso 199 34 professionals professional NNS cord-030380-okue1kso 199 35 may may MD cord-030380-okue1kso 199 36 be be VB cord-030380-okue1kso 199 37 necessary necessary JJ cord-030380-okue1kso 199 38 to to TO cord-030380-okue1kso 199 39 make make VB cord-030380-okue1kso 199 40 the the DT cord-030380-okue1kso 199 41 most most JJS cord-030380-okue1kso 199 42 of of IN cord-030380-okue1kso 199 43 professionalism professionalism NN cord-030380-okue1kso 199 44 . . . cord-030380-okue1kso 200 1 Ideally ideally RB cord-030380-okue1kso 200 2 , , , cord-030380-okue1kso 200 3 professionals professional NNS cord-030380-okue1kso 200 4 ' ' POS cord-030380-okue1kso 200 5 concern concern NN cord-030380-okue1kso 200 6 for for IN cord-030380-okue1kso 200 7 patients patient NNS cord-030380-okue1kso 200 8 could could MD cord-030380-okue1kso 200 9 be be VB cord-030380-okue1kso 200 10 directed direct VBN cord-030380-okue1kso 200 11 to to TO cord-030380-okue1kso 200 12 influence influence VB cord-030380-okue1kso 200 13 how how WRB cord-030380-okue1kso 200 14 organizational organizational JJ cord-030380-okue1kso 200 15 resources resource NNS cord-030380-okue1kso 200 16 are be VBP cord-030380-okue1kso 200 17 used use VBN cord-030380-okue1kso 200 18 , , , cord-030380-okue1kso 200 19 though though IN cord-030380-okue1kso 200 20 this this DT cord-030380-okue1kso 200 21 is be VBZ cord-030380-okue1kso 200 22 challenging challenging JJ cord-030380-okue1kso 200 23 . . . cord-030380-okue1kso 201 1 Some some DT cord-030380-okue1kso 201 2 countries country NNS cord-030380-okue1kso 201 3 cede cede VBP cord-030380-okue1kso 201 4 greater great JJR cord-030380-okue1kso 201 5 authority authority NN cord-030380-okue1kso 201 6 over over IN cord-030380-okue1kso 201 7 quality quality NN cord-030380-okue1kso 201 8 standards standard NNS cord-030380-okue1kso 201 9 and and CC cord-030380-okue1kso 201 10 monitoring monitoring NN cord-030380-okue1kso 201 11 to to IN cord-030380-okue1kso 201 12 professional professional JJ cord-030380-okue1kso 201 13 associations association NNS cord-030380-okue1kso 201 14 , , , cord-030380-okue1kso 201 15 for for IN cord-030380-okue1kso 201 16 example example NN cord-030380-okue1kso 201 17 in in IN cord-030380-okue1kso 201 18 long long JJ cord-030380-okue1kso 201 19 - - HYPH cord-030380-okue1kso 201 20 term term NN cord-030380-okue1kso 201 21 care.37 care.37 NNP cord-030380-okue1kso 201 22 Self self NN cord-030380-okue1kso 201 23 - - HYPH cord-030380-okue1kso 201 24 regulation regulation NN cord-030380-okue1kso 201 25 and and CC cord-030380-okue1kso 201 26 lobbying lobbying NN cord-030380-okue1kso 201 27 by by IN cord-030380-okue1kso 201 28 professional professional JJ cord-030380-okue1kso 201 29 organizations organization NNS cord-030380-okue1kso 201 30 in in IN cord-030380-okue1kso 201 31 the the DT cord-030380-okue1kso 201 32 United United NNP cord-030380-okue1kso 201 33 States States NNP cord-030380-okue1kso 201 34 , , , cord-030380-okue1kso 201 35 however however RB cord-030380-okue1kso 201 36 , , , cord-030380-okue1kso 201 37 has have VBZ cord-030380-okue1kso 201 38 historically historically RB cord-030380-okue1kso 201 39 not not RB cord-030380-okue1kso 201 40 served serve VBN cord-030380-okue1kso 201 41 patients patient NNS cord-030380-okue1kso 201 42 ' ' POS cord-030380-okue1kso 201 43 interest interest NN cord-030380-okue1kso 201 44 ; ; : cord-030380-okue1kso 201 45 professional professional JJ cord-030380-okue1kso 201 46 control control NN cord-030380-okue1kso 201 47 over over IN cord-030380-okue1kso 201 48 financing financing NN cord-030380-okue1kso 201 49 , , , cord-030380-okue1kso 201 50 licensure licensure NN cord-030380-okue1kso 201 51 , , , cord-030380-okue1kso 201 52 and and CC cord-030380-okue1kso 201 53 entry entry NN cord-030380-okue1kso 201 54 has have VBZ cord-030380-okue1kso 201 55 generally generally RB cord-030380-okue1kso 201 56 resulted result VBN cord-030380-okue1kso 201 57 in in IN cord-030380-okue1kso 201 58 anticompetitive anticompetitive JJ cord-030380-okue1kso 201 59 behavior.38 behavior.38 NNS cord-030380-okue1kso 202 1 As as IN cord-030380-okue1kso 202 2 physicians physician NNS cord-030380-okue1kso 202 3 are be VBP cord-030380-okue1kso 202 4 increasingly increasingly RB cord-030380-okue1kso 202 5 employed employ VBN cord-030380-okue1kso 202 6 by by IN cord-030380-okue1kso 202 7 large large JJ cord-030380-okue1kso 202 8 organizations organization NNS cord-030380-okue1kso 202 9 accountable accountable JJ cord-030380-okue1kso 202 10 principally principally RB cord-030380-okue1kso 202 11 to to IN cord-030380-okue1kso 202 12 shareholders shareholder NNS cord-030380-okue1kso 202 13 or or CC cord-030380-okue1kso 202 14 boards board NNS cord-030380-okue1kso 202 15 , , , cord-030380-okue1kso 202 16 patients patient NNS cord-030380-okue1kso 202 17 may may MD cord-030380-okue1kso 202 18 nevertheless nevertheless RB cord-030380-okue1kso 202 19 benefit benefit VB cord-030380-okue1kso 202 20 from from IN cord-030380-okue1kso 202 21 physicians physician NNS cord-030380-okue1kso 202 22 having have VBG cord-030380-okue1kso 202 23 a a DT cord-030380-okue1kso 202 24 say say NN cord-030380-okue1kso 202 25 . . . cord-030380-okue1kso 203 1 For for IN cord-030380-okue1kso 203 2 example example NN cord-030380-okue1kso 203 3 , , , cord-030380-okue1kso 203 4 clinician clinician NN cord-030380-okue1kso 203 5 interviews interview NNS cord-030380-okue1kso 203 6 conducted conduct VBN cord-030380-okue1kso 203 7 by by IN cord-030380-okue1kso 203 8 the the DT cord-030380-okue1kso 203 9 Joint Joint NNP cord-030380-okue1kso 203 10 Commission Commission NNP cord-030380-okue1kso 203 11 could could MD cord-030380-okue1kso 203 12 focus focus VB cord-030380-okue1kso 203 13 specifically specifically RB cord-030380-okue1kso 203 14 on on IN cord-030380-okue1kso 203 15 under under RB cord-030380-okue1kso 203 16 - - HYPH cord-030380-okue1kso 203 17 supported support VBN cord-030380-okue1kso 203 18 areas area NNS cord-030380-okue1kso 203 19 of of IN cord-030380-okue1kso 203 20 patient patient JJ cord-030380-okue1kso 203 21 care care NN cord-030380-okue1kso 203 22 and and CC cord-030380-okue1kso 203 23 professional professional JJ cord-030380-okue1kso 203 24 development development NN cord-030380-okue1kso 203 25 and and CC cord-030380-okue1kso 203 26 could could MD cord-030380-okue1kso 203 27 require require VB cord-030380-okue1kso 203 28 corrective corrective JJ cord-030380-okue1kso 203 29 action action NN cord-030380-okue1kso 203 30 by by IN cord-030380-okue1kso 203 31 organizations organization NNS cord-030380-okue1kso 203 32 for for IN cord-030380-okue1kso 203 33 accreditation accreditation NN cord-030380-okue1kso 203 34 . . . cord-030380-okue1kso 204 1 Within within IN cord-030380-okue1kso 204 2 organizations organization NNS cord-030380-okue1kso 204 3 , , , cord-030380-okue1kso 204 4 administrators administrator NNS cord-030380-okue1kso 204 5 and and CC cord-030380-okue1kso 204 6 managers manager NNS cord-030380-okue1kso 204 7 can can MD cord-030380-okue1kso 204 8 implement implement VB cord-030380-okue1kso 204 9 many many JJ cord-030380-okue1kso 204 10 strategies strategy NNS cord-030380-okue1kso 204 11 to to TO cord-030380-okue1kso 204 12 fan fan VB cord-030380-okue1kso 204 13 the the DT cord-030380-okue1kso 204 14 intrinsic intrinsic JJ cord-030380-okue1kso 204 15 motivation motivation NN cord-030380-okue1kso 204 16 of of IN cord-030380-okue1kso 204 17 physicians physician NNS cord-030380-okue1kso 204 18 . . . cord-030380-okue1kso 205 1 Beyond beyond IN cord-030380-okue1kso 205 2 replacing replace VBG cord-030380-okue1kso 205 3 fee fee NN cord-030380-okue1kso 205 4 - - HYPH cord-030380-okue1kso 205 5 for for IN cord-030380-okue1kso 205 6 - - HYPH cord-030380-okue1kso 205 7 service service NN cord-030380-okue1kso 205 8 incentives incentive NNS cord-030380-okue1kso 205 9 with with IN cord-030380-okue1kso 205 10 fixed fixed JJ cord-030380-okue1kso 205 11 or or CC cord-030380-okue1kso 205 12 panelbased panelbased JJ cord-030380-okue1kso 205 13 salaries salary NNS cord-030380-okue1kso 205 14 , , , cord-030380-okue1kso 205 15 the the DT cord-030380-okue1kso 205 16 role role NN cord-030380-okue1kso 205 17 of of IN cord-030380-okue1kso 205 18 physician physician JJ cord-030380-okue1kso 205 19 - - HYPH cord-030380-okue1kso 205 20 level level NN cord-030380-okue1kso 205 21 financial financial JJ cord-030380-okue1kso 205 22 incentives incentive NNS cord-030380-okue1kso 205 23 in in IN cord-030380-okue1kso 205 24 these these DT cord-030380-okue1kso 205 25 strategies strategy NNS cord-030380-okue1kso 205 26 is be VBZ cord-030380-okue1kso 205 27 inherently inherently RB cord-030380-okue1kso 205 28 limited limited JJ cord-030380-okue1kso 205 29 . . . cord-030380-okue1kso 206 1 Transmitting transmit VBG cord-030380-okue1kso 206 2 penalties penalty NNS cord-030380-okue1kso 206 3 and and CC cord-030380-okue1kso 206 4 rewards reward NNS cord-030380-okue1kso 206 5 to to IN cord-030380-okue1kso 206 6 clinicians clinician NNS cord-030380-okue1kso 206 7 based base VBN cord-030380-okue1kso 206 8 on on IN cord-030380-okue1kso 206 9 their -PRON- PRP$ cord-030380-okue1kso 206 10 individual individual JJ cord-030380-okue1kso 206 11 performance performance NN cord-030380-okue1kso 206 12 not not RB cord-030380-okue1kso 206 13 only only RB cord-030380-okue1kso 206 14 exacerbates exacerbate VBZ cord-030380-okue1kso 206 15 many many JJ cord-030380-okue1kso 206 16 of of IN cord-030380-okue1kso 206 17 the the DT cord-030380-okue1kso 206 18 problems problem NNS cord-030380-okue1kso 206 19 with with IN cord-030380-okue1kso 206 20 measure measure NN cord-030380-okue1kso 206 21 - - HYPH cord-030380-okue1kso 206 22 based base VBN cord-030380-okue1kso 206 23 performance performance NN cord-030380-okue1kso 206 24 assessments assessment NNS cord-030380-okue1kso 206 25 and and CC cord-030380-okue1kso 206 26 incentives incentive NNS cord-030380-okue1kso 206 27 ( ( -LRB- cord-030380-okue1kso 206 28 summarized summarize VBN cord-030380-okue1kso 206 29 earlier early RBR cord-030380-okue1kso 206 30 ) ) -RRB- cord-030380-okue1kso 206 31 , , , cord-030380-okue1kso 206 32 but but CC cord-030380-okue1kso 206 33 it -PRON- PRP cord-030380-okue1kso 206 34 also also RB cord-030380-okue1kso 206 35 defeats defeat VBZ cord-030380-okue1kso 206 36 the the DT cord-030380-okue1kso 206 37 purpose purpose NN cord-030380-okue1kso 206 38 of of IN cord-030380-okue1kso 206 39 group group NN cord-030380-okue1kso 206 40 - - HYPH cord-030380-okue1kso 206 41 level level NN cord-030380-okue1kso 206 42 incentives incentive NNS cord-030380-okue1kso 206 43 : : : cord-030380-okue1kso 206 44 to to TO cord-030380-okue1kso 206 45 pool pool VB cord-030380-okue1kso 206 46 risk risk NN cord-030380-okue1kso 206 47 and and CC cord-030380-okue1kso 206 48 elicit elicit VB cord-030380-okue1kso 206 49 changes change NNS cord-030380-okue1kso 206 50 in in IN cord-030380-okue1kso 206 51 care care NN cord-030380-okue1kso 206 52 delivery delivery NN cord-030380-okue1kso 206 53 that that WDT cord-030380-okue1kso 206 54 individual individual JJ cord-030380-okue1kso 206 55 clinicians clinician NNS cord-030380-okue1kso 206 56 can can MD cord-030380-okue1kso 206 57 not not RB cord-030380-okue1kso 206 58 achieve achieve VB cord-030380-okue1kso 206 59 alone alone JJ cord-030380-okue1kso 206 60 . . . cord-030380-okue1kso 207 1 Alternatively alternatively RB cord-030380-okue1kso 207 2 , , , cord-030380-okue1kso 207 3 divvying divvye VBG cord-030380-okue1kso 207 4 up up RP cord-030380-okue1kso 207 5 group group NN cord-030380-okue1kso 207 6 rewards reward NNS cord-030380-okue1kso 207 7 and and CC cord-030380-okue1kso 207 8 penalties penalty NNS cord-030380-okue1kso 207 9 among among IN cord-030380-okue1kso 207 10 physicians physician NNS cord-030380-okue1kso 207 11 independent independent JJ cord-030380-okue1kso 207 12 of of IN cord-030380-okue1kso 207 13 their -PRON- PRP$ cord-030380-okue1kso 207 14 own own JJ cord-030380-okue1kso 207 15 performance performance NN cord-030380-okue1kso 207 16 dilutes dilute VBZ cord-030380-okue1kso 207 17 the the DT cord-030380-okue1kso 207 18 incentives incentive NNS cord-030380-okue1kso 207 19 because because IN cord-030380-okue1kso 207 20 of of IN cord-030380-okue1kso 207 21 a a DT cord-030380-okue1kso 207 22 free free JJ cord-030380-okue1kso 207 23 - - HYPH cord-030380-okue1kso 207 24 rider rider NN cord-030380-okue1kso 207 25 problem.39 problem.39 NNP cord-030380-okue1kso 208 1 Thus thus RB cord-030380-okue1kso 208 2 , , , cord-030380-okue1kso 208 3 incentives incentive NNS cord-030380-okue1kso 208 4 at at IN cord-030380-okue1kso 208 5 the the DT cord-030380-okue1kso 208 6 physician physician NN cord-030380-okue1kso 208 7 level level NN cord-030380-okue1kso 208 8 must must MD cord-030380-okue1kso 208 9 be be VB cord-030380-okue1kso 208 10 largely largely RB cord-030380-okue1kso 208 11 nonfinancial nonfinancial JJ cord-030380-okue1kso 208 12 in in IN cord-030380-okue1kso 208 13 nature nature NN cord-030380-okue1kso 208 14 . . . cord-030380-okue1kso 209 1 The the DT cord-030380-okue1kso 209 2 application application NN cord-030380-okue1kso 209 3 of of IN cord-030380-okue1kso 209 4 these these DT cord-030380-okue1kso 209 5 principles principle NNS cord-030380-okue1kso 209 6 , , , cord-030380-okue1kso 209 7 however however RB cord-030380-okue1kso 209 8 , , , cord-030380-okue1kso 209 9 has have VBZ cord-030380-okue1kso 209 10 generally generally RB cord-030380-okue1kso 209 11 been be VBN cord-030380-okue1kso 209 12 limited limit VBN cord-030380-okue1kso 209 13 to to IN cord-030380-okue1kso 209 14 performance performance NN cord-030380-okue1kso 209 15 measures measure NNS cord-030380-okue1kso 209 16 targeting target VBG cord-030380-okue1kso 209 17 specific specific JJ cord-030380-okue1kso 209 18 actions action NNS cord-030380-okue1kso 209 19 , , , cord-030380-okue1kso 209 20 such such JJ cord-030380-okue1kso 209 21 as as IN cord-030380-okue1kso 209 22 appropriate appropriate JJ cord-030380-okue1kso 209 23 medication medication NN cord-030380-okue1kso 209 24 prescribing prescribing NN cord-030380-okue1kso 209 25 . . . cord-030380-okue1kso 210 1 Broader broad JJR cord-030380-okue1kso 210 2 nudges nudge NNS cord-030380-okue1kso 210 3 could could MD cord-030380-okue1kso 210 4 cultivate cultivate VB cord-030380-okue1kso 210 5 broader broad JJR cord-030380-okue1kso 210 6 improvement improvement NN cord-030380-okue1kso 210 7 . . . cord-030380-okue1kso 210 8 " " '' cord-030380-okue1kso 211 1 The the DT cord-030380-okue1kso 211 2 burgeoning burgeon VBG cord-030380-okue1kso 211 3 field field NN cord-030380-okue1kso 211 4 of of IN cord-030380-okue1kso 211 5 behavioral behavioral JJ cord-030380-okue1kso 211 6 economics economic NNS cord-030380-okue1kso 211 7 has have VBZ cord-030380-okue1kso 211 8 identified identify VBN cord-030380-okue1kso 211 9 many many JJ cord-030380-okue1kso 211 10 strategies strategy NNS cord-030380-okue1kso 211 11 for for IN cord-030380-okue1kso 211 12 nudging nudge VBG cord-030380-okue1kso 211 13 physician physician NN cord-030380-okue1kso 211 14 behavior behavior NN cord-030380-okue1kso 211 15 in in IN cord-030380-okue1kso 211 16 the the DT cord-030380-okue1kso 211 17 right right JJ cord-030380-okue1kso 211 18 direction.40 direction.40 NN cord-030380-okue1kso 211 19 Because because IN cord-030380-okue1kso 211 20 physicians physician NNS cord-030380-okue1kso 211 21 hold hold VBP cord-030380-okue1kso 211 22 themselves -PRON- PRP cord-030380-okue1kso 211 23 and and CC cord-030380-okue1kso 211 24 others other NNS cord-030380-okue1kso 211 25 to to IN cord-030380-okue1kso 211 26 high high JJ cord-030380-okue1kso 211 27 standards standard NNS cord-030380-okue1kso 211 28 and and CC cord-030380-okue1kso 211 29 value value VB cord-030380-okue1kso 211 30 their -PRON- PRP$ cord-030380-okue1kso 211 31 reputation reputation NN cord-030380-okue1kso 211 32 , , , cord-030380-okue1kso 211 33 peer peer NN cord-030380-okue1kso 211 34 comparisons comparison NNS cord-030380-okue1kso 211 35 and and CC cord-030380-okue1kso 211 36 peer peer NN cord-030380-okue1kso 211 37 accountability accountability NN cord-030380-okue1kso 211 38 have have VBP cord-030380-okue1kso 211 39 been be VBN cord-030380-okue1kso 211 40 advanced advance VBN cord-030380-okue1kso 211 41 as as IN cord-030380-okue1kso 211 42 particularly particularly RB cord-030380-okue1kso 211 43 effective effective JJ cord-030380-okue1kso 211 44 motivators motivator NNS cord-030380-okue1kso 211 45 . . . cord-030380-okue1kso 212 1 41 41 CD cord-030380-okue1kso 213 1 The the DT cord-030380-okue1kso 213 2 provision provision NN cord-030380-okue1kso 213 3 of of IN cord-030380-okue1kso 213 4 information information NN cord-030380-okue1kso 213 5 on on IN cord-030380-okue1kso 213 6 comparative comparative JJ cord-030380-okue1kso 213 7 performance performance NN cord-030380-okue1kso 213 8 alone alone RB cord-030380-okue1kso 213 9 may may MD cord-030380-okue1kso 213 10 strengthen strengthen VB cord-030380-okue1kso 213 11 intrinsic intrinsic JJ cord-030380-okue1kso 213 12 incentives incentive NNS cord-030380-okue1kso 213 13 to to TO cord-030380-okue1kso 213 14 improve improve VB cord-030380-okue1kso 213 15 and and CC cord-030380-okue1kso 213 16 might may MD cord-030380-okue1kso 213 17 explain explain VB cord-030380-okue1kso 213 18 any any DT cord-030380-okue1kso 213 19 gains gain NNS cord-030380-okue1kso 213 20 derived derive VBN cord-030380-okue1kso 213 21 from from IN cord-030380-okue1kso 213 22 public public JJ cord-030380-okue1kso 213 23 reporting.42 reporting.42 NNP cord-030380-okue1kso 213 24 , , , cord-030380-okue1kso 213 25 43 43 CD cord-030380-okue1kso 214 1 The the DT cord-030380-okue1kso 214 2 application application NN cord-030380-okue1kso 214 3 of of IN cord-030380-okue1kso 214 4 these these DT cord-030380-okue1kso 214 5 principles principle NNS cord-030380-okue1kso 214 6 , , , cord-030380-okue1kso 214 7 however however RB cord-030380-okue1kso 214 8 , , , cord-030380-okue1kso 214 9 has have VBZ cord-030380-okue1kso 214 10 generally generally RB cord-030380-okue1kso 214 11 been be VBN cord-030380-okue1kso 214 12 limited limit VBN cord-030380-okue1kso 214 13 to to IN cord-030380-okue1kso 214 14 performance performance NN cord-030380-okue1kso 214 15 measures measure NNS cord-030380-okue1kso 214 16 targeting target VBG cord-030380-okue1kso 214 17 specific specific JJ cord-030380-okue1kso 214 18 actions action NNS cord-030380-okue1kso 214 19 , , , cord-030380-okue1kso 214 20 such such JJ cord-030380-okue1kso 214 21 as as IN cord-030380-okue1kso 214 22 appropriate appropriate JJ cord-030380-okue1kso 214 23 medication medication NN cord-030380-okue1kso 214 24 prescribing.44 prescribing.44 NNP cord-030380-okue1kso 215 1 -48 -48 NNP cord-030380-okue1kso 216 1 Broader broad JJR cord-030380-okue1kso 216 2 nudges nudge NNS cord-030380-okue1kso 216 3 could could MD cord-030380-okue1kso 216 4 cultivate cultivate VB cord-030380-okue1kso 216 5 broader broad JJR cord-030380-okue1kso 216 6 improvement improvement NN cord-030380-okue1kso 216 7 . . . cord-030380-okue1kso 217 1 For for IN cord-030380-okue1kso 217 2 example example NN cord-030380-okue1kso 217 3 , , , cord-030380-okue1kso 217 4 clinicians clinician NNS cord-030380-okue1kso 217 5 ' ' POS cord-030380-okue1kso 217 6 case case NN cord-030380-okue1kso 217 7 notes note NNS cord-030380-okue1kso 217 8 could could MD cord-030380-okue1kso 217 9 be be VB cord-030380-okue1kso 217 10 randomly randomly RB cord-030380-okue1kso 217 11 sampled sample VBN cord-030380-okue1kso 217 12 for for IN cord-030380-okue1kso 217 13 weekly weekly JJ cord-030380-okue1kso 217 14 peer peer NN cord-030380-okue1kso 217 15 discussions discussion NNS cord-030380-okue1kso 217 16 moderated moderate VBN cord-030380-okue1kso 217 17 by by IN cord-030380-okue1kso 217 18 peer peer NN cord-030380-okue1kso 217 19 - - HYPH cord-030380-okue1kso 217 20 elected elect VBN cord-030380-okue1kso 217 21 master master NN cord-030380-okue1kso 217 22 clinicians clinician NNS cord-030380-okue1kso 217 23 , , , cord-030380-okue1kso 217 24 with with IN cord-030380-okue1kso 217 25 preference preference NN cord-030380-okue1kso 217 26 for for IN cord-030380-okue1kso 217 27 cases case NNS cord-030380-okue1kso 217 28 with with IN cord-030380-okue1kso 217 29 high high JJ cord-030380-okue1kso 217 30 - - HYPH cord-030380-okue1kso 217 31 risk risk NN cord-030380-okue1kso 217 32 patients patient NNS cord-030380-okue1kso 217 33 , , , cord-030380-okue1kso 217 34 adverse adverse JJ cord-030380-okue1kso 217 35 outcomes outcome NNS cord-030380-okue1kso 217 36 ( ( -LRB- cord-030380-okue1kso 217 37 e.g. e.g. RB cord-030380-okue1kso 217 38 , , , cord-030380-okue1kso 217 39 hospitalization hospitalization NN cord-030380-okue1kso 217 40 following follow VBG cord-030380-okue1kso 217 41 a a DT cord-030380-okue1kso 217 42 visit visit NN cord-030380-okue1kso 217 43 ) ) -RRB- cord-030380-okue1kso 217 44 , , , cord-030380-okue1kso 217 45 or or CC cord-030380-okue1kso 217 46 complex complex JJ cord-030380-okue1kso 217 47 decision decision NN cord-030380-okue1kso 217 48 - - HYPH cord-030380-okue1kso 217 49 making making NN cord-030380-okue1kso 217 50 ( ( -LRB- cord-030380-okue1kso 217 51 e.g. e.g. RB cord-030380-okue1kso 217 52 , , , cord-030380-okue1kso 217 53 a a DT cord-030380-okue1kso 217 54 high high JJ cord-030380-okue1kso 217 55 number number NN cord-030380-okue1kso 217 56 of of IN cord-030380-okue1kso 217 57 tests test NNS cord-030380-okue1kso 217 58 , , , cord-030380-okue1kso 217 59 studies study NNS cord-030380-okue1kso 217 60 , , , cord-030380-okue1kso 217 61 and and CC cord-030380-okue1kso 217 62 referrals referral NNS cord-030380-okue1kso 217 63 ) ) -RRB- cord-030380-okue1kso 217 64 . . . cord-030380-okue1kso 218 1 Similarly similarly RB cord-030380-okue1kso 218 2 , , , cord-030380-okue1kso 218 3 surgical surgical JJ cord-030380-okue1kso 218 4 procedures procedure NNS cord-030380-okue1kso 218 5 could could MD cord-030380-okue1kso 218 6 be be VB cord-030380-okue1kso 218 7 recorded record VBN cord-030380-okue1kso 218 8 and and CC cord-030380-okue1kso 218 9 sampled sample VBN cord-030380-okue1kso 218 10 for for IN cord-030380-okue1kso 218 11 review review NN cord-030380-okue1kso 218 12 among among IN cord-030380-okue1kso 218 13 colleagues colleague NNS cord-030380-okue1kso 218 14 . . . cord-030380-okue1kso 219 1 The the DT cord-030380-okue1kso 219 2 mere mere JJ cord-030380-okue1kso 219 3 prospect prospect NN cord-030380-okue1kso 219 4 of of IN cord-030380-okue1kso 219 5 being be VBG cord-030380-okue1kso 219 6 observed observe VBN cord-030380-okue1kso 219 7 can can MD cord-030380-okue1kso 219 8 have have VB cord-030380-okue1kso 219 9 a a DT cord-030380-okue1kso 219 10 powerful powerful JJ cord-030380-okue1kso 219 11 influence influence NN cord-030380-okue1kso 219 12 on on IN cord-030380-okue1kso 219 13 behavior behavior NN cord-030380-okue1kso 219 14 -the -the ADD cord-030380-okue1kso 219 15 Hawthorne Hawthorne NNP cord-030380-okue1kso 219 16 effect effect NN cord-030380-okue1kso 219 17 . . . cord-030380-okue1kso 220 1 When when WRB cord-030380-okue1kso 220 2 observed observe VBN cord-030380-okue1kso 220 3 by by IN cord-030380-okue1kso 220 4 well well RB cord-030380-okue1kso 220 5 - - HYPH cord-030380-okue1kso 220 6 trained train VBN cord-030380-okue1kso 220 7 eyes eye NNS cord-030380-okue1kso 220 8 , , , cord-030380-okue1kso 220 9 providers provider NNS cord-030380-okue1kso 220 10 may may MD cord-030380-okue1kso 220 11 be be VB cord-030380-okue1kso 220 12 particularly particularly RB cord-030380-okue1kso 220 13 inspired inspire VBN cord-030380-okue1kso 220 14 to to TO cord-030380-okue1kso 220 15 elevate elevate VB cord-030380-okue1kso 220 16 their -PRON- PRP$ cord-030380-okue1kso 220 17 game game NN cord-030380-okue1kso 220 18 . . . cord-030380-okue1kso 221 1 49 49 CD cord-030380-okue1kso 222 1 The the DT cord-030380-okue1kso 222 2 incorporation incorporation NN cord-030380-okue1kso 222 3 of of IN cord-030380-okue1kso 222 4 peer peer NN cord-030380-okue1kso 222 5 accountability accountability NN cord-030380-okue1kso 222 6 and and CC cord-030380-okue1kso 222 7 feedback feedback NN cord-030380-okue1kso 222 8 additionally additionally RB cord-030380-okue1kso 222 9 leverages leverage VBZ cord-030380-okue1kso 222 10 the the DT cord-030380-okue1kso 222 11 importance importance NN cord-030380-okue1kso 222 12 to to IN cord-030380-okue1kso 222 13 physicians physician NNS cord-030380-okue1kso 222 14 of of IN cord-030380-okue1kso 222 15 local local JJ cord-030380-okue1kso 222 16 reputation reputation NN cord-030380-okue1kso 222 17 and and CC cord-030380-okue1kso 222 18 should should MD cord-030380-okue1kso 222 19 encourage encourage VB cord-030380-okue1kso 222 20 critical critical JJ cord-030380-okue1kso 222 21 and and CC cord-030380-okue1kso 222 22 evidence evidence NN cord-030380-okue1kso 222 23 - - HYPH cord-030380-okue1kso 222 24 based base VBN cord-030380-okue1kso 222 25 thinking thinking NN cord-030380-okue1kso 222 26 that that WDT cord-030380-okue1kso 222 27 survives survive VBZ cord-030380-okue1kso 222 28 group group NN cord-030380-okue1kso 222 29 scrutiny scrutiny NN cord-030380-okue1kso 222 30 . . . cord-030380-okue1kso 223 1 Other other JJ cord-030380-okue1kso 223 2 strategies strategy NNS cord-030380-okue1kso 223 3 for for IN cord-030380-okue1kso 223 4 " " `` cord-030380-okue1kso 223 5 better well JJR cord-030380-okue1kso 223 6 positioning position VBG cord-030380-okue1kso 223 7 clinicians clinician NNS cord-030380-okue1kso 223 8 to to TO cord-030380-okue1kso 223 9 learn learn VB cord-030380-okue1kso 223 10 from from IN cord-030380-okue1kso 223 11 peers peer NNS cord-030380-okue1kso 223 12 , , , cord-030380-okue1kso 223 13 including include VBG cord-030380-okue1kso 223 14 team team NN cord-030380-okue1kso 223 15 - - HYPH cord-030380-okue1kso 223 16 based base VBN cord-030380-okue1kso 223 17 models model NNS cord-030380-okue1kso 223 18 and and CC cord-030380-okue1kso 223 19 searchable searchable JJ cord-030380-okue1kso 223 20 records record NNS cord-030380-okue1kso 223 21 , , , cord-030380-okue1kso 223 22 should should MD cord-030380-okue1kso 223 23 similarly similarly RB cord-030380-okue1kso 223 24 contribute contribute VB cord-030380-okue1kso 223 25 to to IN cord-030380-okue1kso 223 26 this this DT cord-030380-okue1kso 223 27 dynamic dynamic JJ cord-030380-okue1kso 223 28 . . . cord-030380-okue1kso 224 1 We -PRON- PRP cord-030380-okue1kso 224 2 can can MD cord-030380-okue1kso 224 3 do do VB cord-030380-okue1kso 224 4 much much RB cord-030380-okue1kso 224 5 more more JJR cord-030380-okue1kso 224 6 than than IN cord-030380-okue1kso 224 7 infrequent infrequent JJ cord-030380-okue1kso 224 8 morbidity morbidity NN cord-030380-okue1kso 224 9 and and CC cord-030380-okue1kso 224 10 mortality mortality NN cord-030380-okue1kso 224 11 conferences conference NNS cord-030380-okue1kso 224 12 or or CC cord-030380-okue1kso 224 13 costly costly JJ cord-030380-okue1kso 224 14 external external JJ cord-030380-okue1kso 224 15 coaching coaching NN cord-030380-okue1kso 224 16 sessions session NNS cord-030380-okue1kso 224 17 . . . cord-030380-okue1kso 225 1 Peer peer NN cord-030380-okue1kso 225 2 - - HYPH cord-030380-okue1kso 225 3 to to IN cord-030380-okue1kso 225 4 - - HYPH cord-030380-okue1kso 225 5 peer peer NN cord-030380-okue1kso 225 6 teaching teaching NN cord-030380-okue1kso 225 7 and and CC cord-030380-okue1kso 225 8 learning learning NN cord-030380-okue1kso 225 9 that that WDT cord-030380-okue1kso 225 10 is be VBZ cord-030380-okue1kso 225 11 constructive constructive JJ cord-030380-okue1kso 225 12 and and CC cord-030380-okue1kso 225 13 collegial collegial JJ cord-030380-okue1kso 225 14 can can MD cord-030380-okue1kso 225 15 be be VB cord-030380-okue1kso 225 16 integrated integrate VBN cord-030380-okue1kso 225 17 into into IN cord-030380-okue1kso 225 18 practice practice NN cord-030380-okue1kso 225 19 routines routine NNS cord-030380-okue1kso 225 20 . . . cord-030380-okue1kso 226 1 Such such JJ cord-030380-okue1kso 226 2 forums forum NNS cord-030380-okue1kso 226 3 are be VBP cord-030380-okue1kso 226 4 not not RB cord-030380-okue1kso 226 5 foreign foreign JJ cord-030380-okue1kso 226 6 to to IN cord-030380-okue1kso 226 7 physicians physician NNS cord-030380-okue1kso 226 8 ; ; : cord-030380-okue1kso 226 9 indeed indeed RB cord-030380-okue1kso 226 10 , , , cord-030380-okue1kso 226 11 a a DT cord-030380-okue1kso 226 12 supervisory supervisory JJ cord-030380-okue1kso 226 13 version version NN cord-030380-okue1kso 226 14 serves serve VBZ cord-030380-okue1kso 226 15 as as IN cord-030380-okue1kso 226 16 the the DT cord-030380-okue1kso 226 17 basis basis NN cord-030380-okue1kso 226 18 for for IN cord-030380-okue1kso 226 19 residency residency NN cord-030380-okue1kso 226 20 training training NN cord-030380-okue1kso 226 21 yet yet RB cord-030380-okue1kso 226 22 all all DT cord-030380-okue1kso 226 23 but but CC cord-030380-okue1kso 226 24 vanishes vanish VBZ cord-030380-okue1kso 226 25 thereafter thereafter RB cord-030380-okue1kso 226 26 . . . cord-030380-okue1kso 227 1 It -PRON- PRP cord-030380-okue1kso 227 2 may may MD cord-030380-okue1kso 227 3 seem seem VB cord-030380-okue1kso 227 4 self self NN cord-030380-okue1kso 227 5 - - HYPH cord-030380-okue1kso 227 6 evident evident JJ cord-030380-okue1kso 227 7 that that IN cord-030380-okue1kso 227 8 professionalism professionalism NN cord-030380-okue1kso 227 9 in in IN cord-030380-okue1kso 227 10 medicine medicine NN cord-030380-okue1kso 227 11 is be VBZ cord-030380-okue1kso 227 12 to to TO cord-030380-okue1kso 227 13 be be VB cord-030380-okue1kso 227 14 harnessed harness VBN cord-030380-okue1kso 227 15 and and CC cord-030380-okue1kso 227 16 not not RB cord-030380-okue1kso 227 17 squandered squander VBN cord-030380-okue1kso 227 18 . . . cord-030380-okue1kso 228 1 Yet yet CC cord-030380-okue1kso 228 2 as as IN cord-030380-okue1kso 228 3 we -PRON- PRP cord-030380-okue1kso 228 4 have have VBP cord-030380-okue1kso 228 5 swung swing VBN cord-030380-okue1kso 228 6 from from IN cord-030380-okue1kso 228 7 one one CD cord-030380-okue1kso 228 8 extreme extreme NN cord-030380-okue1kso 228 9 to to IN cord-030380-okue1kso 228 10 another another DT cord-030380-okue1kso 228 11 , , , cord-030380-okue1kso 228 12 from from IN cord-030380-okue1kso 228 13 deifying deify VBG cord-030380-okue1kso 228 14 physicians physician NNS cord-030380-okue1kso 228 15 to to IN cord-030380-okue1kso 228 16 distrusting distrust VBG cord-030380-okue1kso 228 17 them -PRON- PRP cord-030380-okue1kso 228 18 , , , cord-030380-okue1kso 228 19 we -PRON- PRP cord-030380-okue1kso 228 20 may may MD cord-030380-okue1kso 228 21 have have VB cord-030380-okue1kso 228 22 lost lose VBN cord-030380-okue1kso 228 23 sight sight NN cord-030380-okue1kso 228 24 of of IN cord-030380-okue1kso 228 25 the the DT cord-030380-okue1kso 228 26 potential potential NN cord-030380-okue1kso 228 27 to to TO cord-030380-okue1kso 228 28 refine refine VB cord-030380-okue1kso 228 29 a a DT cord-030380-okue1kso 228 30 vital vital JJ cord-030380-okue1kso 228 31 resource resource NN cord-030380-okue1kso 228 32 . . . cord-030380-okue1kso 229 1 The the DT cord-030380-okue1kso 229 2 strategies strategy NNS cord-030380-okue1kso 229 3 outlined outline VBN cord-030380-okue1kso 229 4 in in IN cord-030380-okue1kso 229 5 this this DT cord-030380-okue1kso 229 6 article article NN cord-030380-okue1kso 229 7 will will MD cord-030380-okue1kso 229 8 not not RB cord-030380-okue1kso 229 9 cure cure VB cord-030380-okue1kso 229 10 all all DT cord-030380-okue1kso 229 11 that that WDT cord-030380-okue1kso 229 12 ails ail VBZ cord-030380-okue1kso 229 13 our -PRON- PRP$ cord-030380-okue1kso 229 14 health health NN cord-030380-okue1kso 229 15 care care NN cord-030380-okue1kso 229 16 system system NN cord-030380-okue1kso 229 17 and and CC cord-030380-okue1kso 229 18 must must MD cord-030380-okue1kso 229 19 be be VB cord-030380-okue1kso 229 20 subjected subject VBN cord-030380-okue1kso 229 21 to to IN cord-030380-okue1kso 229 22 rigorous rigorous JJ cord-030380-okue1kso 229 23 study study NN cord-030380-okue1kso 229 24 . . . cord-030380-okue1kso 230 1 But but CC cord-030380-okue1kso 230 2 refocusing refocus VBG cord-030380-okue1kso 230 3 the the DT cord-030380-okue1kso 230 4 national national JJ cord-030380-okue1kso 230 5 conversation conversation NN cord-030380-okue1kso 230 6 about about IN cord-030380-okue1kso 230 7 quality quality NN cord-030380-okue1kso 230 8 on on IN cord-030380-okue1kso 230 9 the the DT cord-030380-okue1kso 230 10 linchpin linchpin NN cord-030380-okue1kso 230 11 of of IN cord-030380-okue1kso 230 12 care care NN cord-030380-okue1kso 230 13 delivery delivery NN cord-030380-okue1kso 230 14 -physician -physician JJ cord-030380-okue1kso 230 15 agency agency NN cord-030380-okue1kso 230 16 -could -could MD cord-030380-okue1kso 230 17 provide provide VB cord-030380-okue1kso 230 18 much much JJ cord-030380-okue1kso 230 19 needed need VBN cord-030380-okue1kso 230 20 direction direction NN cord-030380-okue1kso 230 21 . . . cord-030380-okue1kso 231 1 A a DT cord-030380-okue1kso 231 2 next next JJ cord-030380-okue1kso 231 3 generation generation NN cord-030380-okue1kso 231 4 of of IN cord-030380-okue1kso 231 5 initiatives initiative NNS cord-030380-okue1kso 231 6 could could MD cord-030380-okue1kso 231 7 be be VB cord-030380-okue1kso 231 8 conceived conceive VBN cord-030380-okue1kso 231 9 by by IN cord-030380-okue1kso 231 10 considering consider VBG cord-030380-okue1kso 231 11 how how WRB cord-030380-okue1kso 231 12 professionalism professionalism NN cord-030380-okue1kso 231 13 can can MD cord-030380-okue1kso 231 14 be be VB cord-030380-okue1kso 231 15 supported support VBN cord-030380-okue1kso 231 16 and and CC cord-030380-okue1kso 231 17 leveraged leverage VBN cord-030380-okue1kso 231 18 to to TO cord-030380-okue1kso 231 19 improve improve VB cord-030380-okue1kso 231 20 patient patient JJ cord-030380-okue1kso 231 21 welfare welfare NN cord-030380-okue1kso 231 22 . . . cord-030380-okue1kso 232 1 It -PRON- PRP cord-030380-okue1kso 232 2 may may MD cord-030380-okue1kso 232 3 seem seem VB cord-030380-okue1kso 232 4 self self NN cord-030380-okue1kso 232 5 - - HYPH cord-030380-okue1kso 232 6 evident evident JJ cord-030380-okue1kso 232 7 that that IN cord-030380-okue1kso 232 8 professionalism professionalism NN cord-030380-okue1kso 232 9 in in IN cord-030380-okue1kso 232 10 medicine medicine NN cord-030380-okue1kso 232 11 is be VBZ cord-030380-okue1kso 232 12 to to TO cord-030380-okue1kso 232 13 be be VB cord-030380-okue1kso 232 14 harnessed harness VBN cord-030380-okue1kso 232 15 and and CC cord-030380-okue1kso 232 16 not not RB cord-030380-okue1kso 232 17 squandered squander VBN cord-030380-okue1kso 232 18 . . . cord-030380-okue1kso 233 1 Yet yet CC cord-030380-okue1kso 233 2 as as IN cord-030380-okue1kso 233 3 we -PRON- PRP cord-030380-okue1kso 233 4 have have VBP cord-030380-okue1kso 233 5 swung swing VBN cord-030380-okue1kso 233 6 from from IN cord-030380-okue1kso 233 7 one one CD cord-030380-okue1kso 233 8 extreme extreme NN cord-030380-okue1kso 233 9 to to IN cord-030380-okue1kso 233 10 another another DT cord-030380-okue1kso 233 11 , , , cord-030380-okue1kso 233 12 from from IN cord-030380-okue1kso 233 13 deifying deify VBG cord-030380-okue1kso 233 14 physicians physician NNS cord-030380-okue1kso 233 15 to to IN cord-030380-okue1kso 233 16 distrusting distrust VBG cord-030380-okue1kso 233 17 them -PRON- PRP cord-030380-okue1kso 233 18 , , , cord-030380-okue1kso 233 19 we -PRON- PRP cord-030380-okue1kso 233 20 may may MD cord-030380-okue1kso 233 21 have have VB cord-030380-okue1kso 233 22 lost lose VBN cord-030380-okue1kso 233 23 sight sight NN cord-030380-okue1kso 233 24 of of IN cord-030380-okue1kso 233 25 the the DT cord-030380-okue1kso 233 26 potential potential NN cord-030380-okue1kso 233 27 to to TO cord-030380-okue1kso 233 28 refine refine VB cord-030380-okue1kso 233 29 a a DT cord-030380-okue1kso 233 30 vital vital JJ cord-030380-okue1kso 233 31 resource resource NN cord-030380-okue1kso 233 32 . . . cord-030380-okue1kso 234 1 " " `` cord-030380-okue1kso 234 2 Physicians physician NNS cord-030380-okue1kso 234 3 will will MD cord-030380-okue1kso 234 4 never never RB cord-030380-okue1kso 234 5 be be VB cord-030380-okue1kso 234 6 perfect perfect JJ cord-030380-okue1kso 234 7 agents agent NNS cord-030380-okue1kso 234 8 . . . cord-030380-okue1kso 235 1 Regulatory regulatory JJ cord-030380-okue1kso 235 2 safeguards safeguard NNS cord-030380-okue1kso 235 3 , , , cord-030380-okue1kso 235 4 managerial managerial JJ cord-030380-okue1kso 235 5 accountability accountability NN cord-030380-okue1kso 235 6 , , , cord-030380-okue1kso 235 7 and and CC cord-030380-okue1kso 235 8 complementary complementary JJ cord-030380-okue1kso 235 9 strategies strategy NNS cord-030380-okue1kso 235 10 are be VBP cord-030380-okue1kso 235 11 needed need VBN cord-030380-okue1kso 235 12 . . . cord-030380-okue1kso 236 1 Data data NN cord-030380-okue1kso 236 2 - - HYPH cord-030380-okue1kso 236 3 driven drive VBN cord-030380-okue1kso 236 4 remediation remediation NN cord-030380-okue1kso 236 5 of of IN cord-030380-okue1kso 236 6 human human JJ cord-030380-okue1kso 236 7 error error NN cord-030380-okue1kso 236 8 and and CC cord-030380-okue1kso 236 9 private private JJ cord-030380-okue1kso 236 10 use use NN cord-030380-okue1kso 236 11 of of IN cord-030380-okue1kso 236 12 measures measure NNS cord-030380-okue1kso 236 13 for for IN cord-030380-okue1kso 236 14 internal internal JJ cord-030380-okue1kso 236 15 monitoring monitoring NN cord-030380-okue1kso 236 16 will will MD cord-030380-okue1kso 236 17 continue continue VB cord-030380-okue1kso 236 18 to to TO cord-030380-okue1kso 236 19 play play VB cord-030380-okue1kso 236 20 roles role NNS cord-030380-okue1kso 236 21 . . . cord-030380-okue1kso 237 1 Leadership leadership NN cord-030380-okue1kso 237 2 will will MD cord-030380-okue1kso 237 3 matter matter VB cord-030380-okue1kso 237 4 . . . cord-030380-okue1kso 238 1 But but CC cord-030380-okue1kso 238 2 as as IN cord-030380-okue1kso 238 3 we -PRON- PRP cord-030380-okue1kso 238 4 learned learn VBD cord-030380-okue1kso 238 5 from from IN cord-030380-okue1kso 238 6 the the DT cord-030380-okue1kso 238 7 Covid-19 covid-19 NN cord-030380-okue1kso 238 8 response response NN cord-030380-okue1kso 238 9 , , , cord-030380-okue1kso 238 10 immeasurable immeasurable JJ cord-030380-okue1kso 238 11 good good NN cord-030380-okue1kso 238 12 can can MD cord-030380-okue1kso 238 13 come come VB cord-030380-okue1kso 238 14 from from IN cord-030380-okue1kso 238 15 physicians physician NNS cord-030380-okue1kso 238 16 ' ' POS cord-030380-okue1kso 238 17 motivation motivation NN cord-030380-okue1kso 238 18 to to TO cord-030380-okue1kso 238 19 learn learn VB cord-030380-okue1kso 238 20 and and CC cord-030380-okue1kso 238 21 do do VB cord-030380-okue1kso 238 22 what what WP cord-030380-okue1kso 238 23 is be VBZ cord-030380-okue1kso 238 24 best good JJS cord-030380-okue1kso 238 25 for for IN cord-030380-okue1kso 238 26 their -PRON- PRP$ cord-030380-okue1kso 238 27 patients patient NNS cord-030380-okue1kso 238 28 . . . cord-030380-okue1kso 239 1 A a DT cord-030380-okue1kso 239 2 lingering linger VBG cord-030380-okue1kso 239 3 question question NN cord-030380-okue1kso 239 4 is be VBZ cord-030380-okue1kso 239 5 how how WRB cord-030380-okue1kso 239 6 the the DT cord-030380-okue1kso 239 7 development development NN cord-030380-okue1kso 239 8 and and CC cord-030380-okue1kso 239 9 adoption adoption NN cord-030380-okue1kso 239 10 of of IN cord-030380-okue1kso 239 11 successful successful JJ cord-030380-okue1kso 239 12 new new JJ cord-030380-okue1kso 239 13 strategies strategy NNS cord-030380-okue1kso 239 14 will will MD cord-030380-okue1kso 239 15 be be VB cord-030380-okue1kso 239 16 encouraged encourage VBN cord-030380-okue1kso 239 17 if if IN cord-030380-okue1kso 239 18 not not RB cord-030380-okue1kso 239 19 contractible contractible JJ cord-030380-okue1kso 239 20 through through IN cord-030380-okue1kso 239 21 the the DT cord-030380-okue1kso 239 22 payment payment NN cord-030380-okue1kso 239 23 system system NN cord-030380-okue1kso 239 24 . . . cord-030380-okue1kso 240 1 Although although IN cord-030380-okue1kso 240 2 unsatisfying unsatisfying JJ cord-030380-okue1kso 240 3 to to IN cord-030380-okue1kso 240 4 regulators regulator NNS cord-030380-okue1kso 240 5 , , , cord-030380-okue1kso 240 6 ultimately ultimately RB cord-030380-okue1kso 240 7 the the DT cord-030380-okue1kso 240 8 spread spread NN cord-030380-okue1kso 240 9 of of IN cord-030380-okue1kso 240 10 better well JJR cord-030380-okue1kso 240 11 care care NN cord-030380-okue1kso 240 12 -once -once NN cord-030380-okue1kso 240 13 identified identify VBN cord-030380-okue1kso 240 14 -will -will : cord-030380-okue1kso 240 15 rely rely VB cord-030380-okue1kso 240 16 to to IN cord-030380-okue1kso 240 17 a a DT cord-030380-okue1kso 240 18 large large JJ cord-030380-okue1kso 240 19 extent extent NN cord-030380-okue1kso 240 20 on on IN cord-030380-okue1kso 240 21 patients patient NNS cord-030380-okue1kso 240 22 wanting want VBG cord-030380-okue1kso 240 23 to to TO cord-030380-okue1kso 240 24 receive receive VB cord-030380-okue1kso 240 25 it -PRON- PRP cord-030380-okue1kso 240 26 and and CC cord-030380-okue1kso 240 27 clinicians clinician NNS cord-030380-okue1kso 240 28 wanting want VBG cord-030380-okue1kso 240 29 to to TO cord-030380-okue1kso 240 30 deliver deliver VB cord-030380-okue1kso 240 31 it -PRON- PRP cord-030380-okue1kso 240 32 . . . cord-030380-okue1kso 241 1 Competition competition NN cord-030380-okue1kso 241 2 and and CC cord-030380-okue1kso 241 3 other other JJ cord-030380-okue1kso 241 4 mechanisms mechanism NNS cord-030380-okue1kso 241 5 can can MD cord-030380-okue1kso 241 6 strengthen strengthen VB cord-030380-okue1kso 241 7 responsiveness responsiveness NN cord-030380-okue1kso 241 8 to to IN cord-030380-okue1kso 241 9 those those DT cord-030380-okue1kso 241 10 demands demand NNS cord-030380-okue1kso 241 11 . . . cord-030380-okue1kso 242 1 Removal removal NN cord-030380-okue1kso 242 2 of of IN cord-030380-okue1kso 242 3 distracting distract VBG cord-030380-okue1kso 242 4 incentives incentive NNS cord-030380-okue1kso 242 5 will will MD cord-030380-okue1kso 242 6 be be VB cord-030380-okue1kso 242 7 key key JJ cord-030380-okue1kso 242 8 . . . cord-030380-okue1kso 243 1 But but CC cord-030380-okue1kso 243 2 improvement improvement NN cord-030380-okue1kso 243 3 might may MD cord-030380-okue1kso 243 4 require require VB cord-030380-okue1kso 243 5 a a DT cord-030380-okue1kso 243 6 change change NN cord-030380-okue1kso 243 7 in in IN cord-030380-okue1kso 243 8 emphasis emphasis NN cord-030380-okue1kso 243 9 from from IN cord-030380-okue1kso 243 10 interventions intervention NNS cord-030380-okue1kso 243 11 conceived conceive VBN cord-030380-okue1kso 243 12 to to TO cord-030380-okue1kso 243 13 score score VB cord-030380-okue1kso 243 14 movement movement NN cord-030380-okue1kso 243 15 on on IN cord-030380-okue1kso 243 16 a a DT cord-030380-okue1kso 243 17 specific specific JJ cord-030380-okue1kso 243 18 measure measure NN cord-030380-okue1kso 243 19 to to IN cord-030380-okue1kso 243 20 those those DT cord-030380-okue1kso 243 21 conceived conceive VBN cord-030380-okue1kso 243 22 to to TO cord-030380-okue1kso 243 23 support support VB cord-030380-okue1kso 243 24 the the DT cord-030380-okue1kso 243 25 elements element NNS cord-030380-okue1kso 243 26 of of IN cord-030380-okue1kso 243 27 high high JJ cord-030380-okue1kso 243 28 - - HYPH cord-030380-okue1kso 243 29 quality quality NN cord-030380-okue1kso 243 30 care care NN cord-030380-okue1kso 243 31 and and CC cord-030380-okue1kso 243 32 evaluated evaluate VBD cord-030380-okue1kso 243 33 using use VBG cord-030380-okue1kso 243 34 a a DT cord-030380-okue1kso 243 35 broad broad JJ cord-030380-okue1kso 243 36 range range NN cord-030380-okue1kso 243 37 of of IN cord-030380-okue1kso 243 38 measures measure NNS cord-030380-okue1kso 243 39 , , , cord-030380-okue1kso 243 40 including include VBG cord-030380-okue1kso 243 41 clinician clinician NN cord-030380-okue1kso 243 42 views view NNS cord-030380-okue1kso 243 43 : : : cord-030380-okue1kso 243 44 a a DT cord-030380-okue1kso 243 45 paradigm paradigm NN cord-030380-okue1kso 243 46 shift shift NN cord-030380-okue1kso 243 47 from from IN cord-030380-okue1kso 243 48 seeking seek VBG cord-030380-okue1kso 243 49 successful successful JJ cord-030380-okue1kso 243 50 measures measure NNS cord-030380-okue1kso 243 51 to to IN cord-030380-okue1kso 243 52 seeking seek VBG cord-030380-okue1kso 243 53 measurable measurable JJ cord-030380-okue1kso 243 54 success success NN cord-030380-okue1kso 243 55 . . . cord-030380-okue1kso 244 1 Conditions condition NNS cord-030380-okue1kso 244 2 for for IN cord-030380-okue1kso 244 3 adoption adoption NN cord-030380-okue1kso 244 4 will will MD cord-030380-okue1kso 244 5 remain remain VB cord-030380-okue1kso 244 6 imperfect imperfect JJ cord-030380-okue1kso 244 7 but but CC cord-030380-okue1kso 244 8 may may MD cord-030380-okue1kso 244 9 be be VB cord-030380-okue1kso 244 10 good good JJ cord-030380-okue1kso 244 11 enough enough RB cord-030380-okue1kso 244 12 for for IN cord-030380-okue1kso 244 13 movement movement NN cord-030380-okue1kso 244 14 . . . cord-030380-okue1kso 245 1 The the DT cord-030380-okue1kso 245 2 pure pure JJ cord-030380-okue1kso 245 3 motivation motivation NN cord-030380-okue1kso 245 4 and and CC cord-030380-okue1kso 245 5 indefatigable indefatigable JJ cord-030380-okue1kso 245 6 drive drive NN cord-030380-okue1kso 245 7 behind behind IN cord-030380-okue1kso 245 8 the the DT cord-030380-okue1kso 245 9 explosion explosion NN cord-030380-okue1kso 245 10 of of IN cord-030380-okue1kso 245 11 measurement measurement NN cord-030380-okue1kso 245 12 activity activity NN cord-030380-okue1kso 245 13 should should MD cord-030380-okue1kso 245 14 give give VB cord-030380-okue1kso 245 15 us -PRON- PRP cord-030380-okue1kso 245 16 hope hope NN cord-030380-okue1kso 245 17 ; ; : cord-030380-okue1kso 245 18 imagine imagine VB cord-030380-okue1kso 245 19 those those DT cord-030380-okue1kso 245 20 efforts effort NNS cord-030380-okue1kso 245 21 redeployed redeploy VBN cord-030380-okue1kso 245 22 on on IN cord-030380-okue1kso 245 23 more more JJR cord-030380-okue1kso 245 24 productive productive JJ cord-030380-okue1kso 245 25 missions mission NNS cord-030380-okue1kso 245 26 . . . cord-030380-okue1kso 246 1 In in IN cord-030380-okue1kso 246 2 health health NN cord-030380-okue1kso 246 3 care care NN cord-030380-okue1kso 246 4 policy policy NN cord-030380-okue1kso 246 5 there there EX cord-030380-okue1kso 246 6 are be VBP cord-030380-okue1kso 246 7 only only RB cord-030380-okue1kso 246 8 trade trade NN cord-030380-okue1kso 246 9 - - HYPH cord-030380-okue1kso 246 10 offs off NNS cord-030380-okue1kso 246 11 , , , cord-030380-okue1kso 246 12 which which WDT cord-030380-okue1kso 246 13 under under IN cord-030380-okue1kso 246 14 uncertainty uncertainty NN cord-030380-okue1kso 246 15 are be VBP cord-030380-okue1kso 246 16 akin akin JJ cord-030380-okue1kso 246 17 to to IN cord-030380-okue1kso 246 18 gambles gamble NNS cord-030380-okue1kso 246 19 . . . cord-030380-okue1kso 247 1 If if IN cord-030380-okue1kso 247 2 we -PRON- PRP cord-030380-okue1kso 247 3 continue continue VBP cord-030380-okue1kso 247 4 to to TO cord-030380-okue1kso 247 5 conflate conflate VB cord-030380-okue1kso 247 6 improvement improvement NN cord-030380-okue1kso 247 7 with with IN cord-030380-okue1kso 247 8 measurement measurement NN cord-030380-okue1kso 247 9 and and CC cord-030380-okue1kso 247 10 double double VB cord-030380-okue1kso 247 11 down down RP cord-030380-okue1kso 247 12 on on IN cord-030380-okue1kso 247 13 performance performance NN cord-030380-okue1kso 247 14 - - HYPH cord-030380-okue1kso 247 15 based base VBN cord-030380-okue1kso 247 16 " " `` cord-030380-okue1kso 247 17 Handbook Handbook NNP cord-030380-okue1kso 247 18 of of IN cord-030380-okue1kso 247 19 Health Health NNP cord-030380-okue1kso 247 20 Economics Economics NNP cord-030380-okue1kso 247 21 Uncertainty Uncertainty NNP cord-030380-okue1kso 247 22 and and CC cord-030380-okue1kso 247 23 the the DT cord-030380-okue1kso 247 24 welfare welfare NN cord-030380-okue1kso 247 25 economics economic NNS cord-030380-okue1kso 247 26 of of IN cord-030380-okue1kso 247 27 medical medical JJ cord-030380-okue1kso 247 28 care care NN cord-030380-okue1kso 248 1 To to IN cord-030380-okue1kso 248 2 Err err VB cord-030380-okue1kso 248 3 is be VBZ cord-030380-okue1kso 248 4 Human human NN cord-030380-okue1kso 248 5 : : : cord-030380-okue1kso 249 1 Building build VBG cord-030380-okue1kso 249 2 a a DT cord-030380-okue1kso 249 3 Safer Safer NNP cord-030380-okue1kso 249 4 Health Health NNP cord-030380-okue1kso 249 5 System System NNP cord-030380-okue1kso 249 6 Crossing Crossing NNP cord-030380-okue1kso 249 7 the the DT cord-030380-okue1kso 249 8 Quality Quality NNP cord-030380-okue1kso 249 9 Chasm Chasm NNP cord-030380-okue1kso 249 10 : : : cord-030380-okue1kso 250 1 A a DT cord-030380-okue1kso 250 2 New New NNP cord-030380-okue1kso 250 3 Health Health NNP cord-030380-okue1kso 250 4 System System NNP cord-030380-okue1kso 250 5 for for IN cord-030380-okue1kso 250 6 the the DT cord-030380-okue1kso 250 7 21st 21st JJ cord-030380-okue1kso 250 8 Century Century NNP cord-030380-okue1kso 250 9 CMS CMS NNP cord-030380-okue1kso 250 10 Announces announce VBZ cord-030380-okue1kso 250 11 Relief Relief NNP cord-030380-okue1kso 250 12 for for IN cord-030380-okue1kso 250 13 Clinicians clinician NNS cord-030380-okue1kso 250 14 , , , cord-030380-okue1kso 250 15 Providers Providers NNPS cord-030380-okue1kso 250 16 , , , cord-030380-okue1kso 250 17 Hospitals Hospitals NNPS cord-030380-okue1kso 250 18 and and CC cord-030380-okue1kso 250 19 Facilities Facilities NNPS cord-030380-okue1kso 250 20 Participating participate VBG cord-030380-okue1kso 250 21 in in IN cord-030380-okue1kso 250 22 Quality Quality NNP cord-030380-okue1kso 250 23 Reporting Reporting NNP cord-030380-okue1kso 250 24 Programs Programs NNP cord-030380-okue1kso 250 25 in in IN cord-030380-okue1kso 250 26 Response Response NNP cord-030380-okue1kso 250 27 to to TO cord-030380-okue1kso 250 28 COVID-19 covid-19 VB cord-030380-okue1kso 250 29 The the DT cord-030380-okue1kso 250 30 value value NN cord-030380-okue1kso 250 31 - - HYPH cord-030380-okue1kso 250 32 based base VBN cord-030380-okue1kso 250 33 payment payment NN cord-030380-okue1kso 250 34 modifier modifier NN cord-030380-okue1kso 250 35 : : : cord-030380-okue1kso 250 36 program program NN cord-030380-okue1kso 250 37 outcomes outcome NNS cord-030380-okue1kso 250 38 and and CC cord-030380-okue1kso 250 39 implications implication NNS cord-030380-okue1kso 250 40 for for IN cord-030380-okue1kso 250 41 disparities disparity NNS cord-030380-okue1kso 251 1 Decreases decrease NNS cord-030380-okue1kso 251 2 in in IN cord-030380-okue1kso 251 3 readmissions readmission NNS cord-030380-okue1kso 251 4 credited credit VBN cord-030380-okue1kso 251 5 to to IN cord-030380-okue1kso 251 6 Medicare Medicare NNP cord-030380-okue1kso 251 7 's 's POS cord-030380-okue1kso 251 8 program program NN cord-030380-okue1kso 251 9 to to TO cord-030380-okue1kso 251 10 reduce reduce VB cord-030380-okue1kso 251 11 hospital hospital NN cord-030380-okue1kso 251 12 readmissions readmission NNS cord-030380-okue1kso 251 13 have have VBP cord-030380-okue1kso 251 14 been be VBN cord-030380-okue1kso 251 15 overstated overstate VBN cord-030380-okue1kso 251 16 Did do VBD cord-030380-okue1kso 251 17 hospital hospital NN cord-030380-okue1kso 251 18 readmissions readmission NNS cord-030380-okue1kso 251 19 fall fall VB cord-030380-okue1kso 251 20 because because IN cord-030380-okue1kso 251 21 per per IN cord-030380-okue1kso 251 22 capita capita FW cord-030380-okue1kso 251 23 admission admission NN cord-030380-okue1kso 251 24 rates rate NNS cord-030380-okue1kso 251 25 fell fall VBD cord-030380-okue1kso 251 26 ? ? . cord-030380-okue1kso 252 1 Health Health NNP cord-030380-okue1kso 252 2 Aff Aff NNP cord-030380-okue1kso 252 3 ( ( -LRB- cord-030380-okue1kso 252 4 Millwood Millwood NNP cord-030380-okue1kso 252 5 ) ) -RRB- cord-030380-okue1kso 252 6 Changes change NNS cord-030380-okue1kso 252 7 in in IN cord-030380-okue1kso 252 8 hospital hospital NN cord-030380-okue1kso 252 9 quality quality NN cord-030380-okue1kso 252 10 associated associate VBN cord-030380-okue1kso 252 11 with with IN cord-030380-okue1kso 252 12 hospital hospital NN cord-030380-okue1kso 252 13 valuebased valuebase VBN cord-030380-okue1kso 252 14 purchasing purchase VBG cord-030380-okue1kso 252 15 The the DT cord-030380-okue1kso 252 16 long long JJ cord-030380-okue1kso 252 17 - - HYPH cord-030380-okue1kso 252 18 term term NN cord-030380-okue1kso 252 19 effect effect NN cord-030380-okue1kso 252 20 of of IN cord-030380-okue1kso 252 21 premier premier JJ cord-030380-okue1kso 252 22 pay pay NN cord-030380-okue1kso 252 23 for for IN cord-030380-okue1kso 252 24 performance performance NN cord-030380-okue1kso 252 25 on on IN cord-030380-okue1kso 252 26 patient patient JJ cord-030380-okue1kso 252 27 outcomes outcome NNS cord-030380-okue1kso 252 28 Effect effect NN cord-030380-okue1kso 252 29 of of IN cord-030380-okue1kso 252 30 nonpayment nonpayment NN cord-030380-okue1kso 252 31 for for IN cord-030380-okue1kso 252 32 preventable preventable JJ cord-030380-okue1kso 252 33 infections infection NNS cord-030380-okue1kso 252 34 in in IN cord-030380-okue1kso 252 35 U.S. U.S. NNP cord-030380-okue1kso 252 36 hospitals hospital NNS cord-030380-okue1kso 252 37 Face face VBP cord-030380-okue1kso 252 38 the the DT cord-030380-okue1kso 252 39 facts fact NNS cord-030380-okue1kso 252 40 : : : cord-030380-okue1kso 252 41 we -PRON- PRP cord-030380-okue1kso 252 42 need need VBP cord-030380-okue1kso 252 43 to to TO cord-030380-okue1kso 252 44 change change VB cord-030380-okue1kso 252 45 the the DT cord-030380-okue1kso 252 46 way way NN cord-030380-okue1kso 252 47 we -PRON- PRP cord-030380-okue1kso 252 48 do do VBP cord-030380-okue1kso 252 49 pay pay VB cord-030380-okue1kso 252 50 for for IN cord-030380-okue1kso 252 51 performance performance NN cord-030380-okue1kso 253 1 US US NNP cord-030380-okue1kso 253 2 physician physician NN cord-030380-okue1kso 253 3 practices practice NNS cord-030380-okue1kso 253 4 spend spend VBP cord-030380-okue1kso 253 5 more more JJR cord-030380-okue1kso 253 6 than than IN cord-030380-okue1kso 253 7 $ $ $ cord-030380-okue1kso 253 8 15.4 15.4 CD cord-030380-okue1kso 253 9 billion billion CD cord-030380-okue1kso 253 10 annually annually RB cord-030380-okue1kso 253 11 to to TO cord-030380-okue1kso 253 12 report report VB cord-030380-okue1kso 253 13 quality quality NN cord-030380-okue1kso 253 14 measures measure NNS cord-030380-okue1kso 253 15 Upcoding Upcoding NNP cord-030380-okue1kso 253 16 : : : cord-030380-okue1kso 253 17 evidence evidence NN cord-030380-okue1kso 253 18 from from IN cord-030380-okue1kso 253 19 Medicare Medicare NNP cord-030380-okue1kso 253 20 on on IN cord-030380-okue1kso 253 21 squishy squishy JJ cord-030380-okue1kso 253 22 risk risk NN cord-030380-okue1kso 253 23 adjustment adjustment NN cord-030380-okue1kso 253 24 Assessment Assessment NNP cord-030380-okue1kso 253 25 of of IN cord-030380-okue1kso 253 26 the the DT cord-030380-okue1kso 253 27 effect effect NN cord-030380-okue1kso 253 28 of of IN cord-030380-okue1kso 253 29 adjustment adjustment NN cord-030380-okue1kso 253 30 for for IN cord-030380-okue1kso 253 31 patient patient JJ cord-030380-okue1kso 253 32 characteristics characteristic NNS cord-030380-okue1kso 253 33 on on IN cord-030380-okue1kso 253 34 hospital hospital NN cord-030380-okue1kso 253 35 readmission readmission NN cord-030380-okue1kso 253 36 rates rate NNS cord-030380-okue1kso 253 37 : : : cord-030380-okue1kso 253 38 implications implication NNS cord-030380-okue1kso 253 39 for for IN cord-030380-okue1kso 253 40 pay pay NN cord-030380-okue1kso 253 41 for for IN cord-030380-okue1kso 253 42 performance performance NN cord-030380-okue1kso 253 43 Characteristics characteristic NNS cord-030380-okue1kso 253 44 of of IN cord-030380-okue1kso 253 45 hospitals hospital NNS cord-030380-okue1kso 253 46 receiving receive VBG cord-030380-okue1kso 253 47 penalties penalty NNS cord-030380-okue1kso 253 48 under under IN cord-030380-okue1kso 253 49 the the DT cord-030380-okue1kso 253 50 Hospital Hospital NNP cord-030380-okue1kso 253 51 Readmissions Readmissions NNPS cord-030380-okue1kso 253 52 Reduction Reduction NNP cord-030380-okue1kso 253 53 Program Program NNP cord-030380-okue1kso 253 54 Professional professional JJ cord-030380-okue1kso 253 55 dissonance dissonance NN cord-030380-okue1kso 253 56 and and CC cord-030380-okue1kso 253 57 burnout burnout NN cord-030380-okue1kso 253 58 in in IN cord-030380-okue1kso 253 59 primary primary JJ cord-030380-okue1kso 253 60 care care NN cord-030380-okue1kso 253 61 : : : cord-030380-okue1kso 253 62 a a DT cord-030380-okue1kso 253 63 qualitative qualitative JJ cord-030380-okue1kso 253 64 study study NN cord-030380-okue1kso 253 65 Allocation allocation NN cord-030380-okue1kso 253 66 of of IN cord-030380-okue1kso 253 67 physician physician NN cord-030380-okue1kso 253 68 time time NN cord-030380-okue1kso 253 69 in in IN cord-030380-okue1kso 253 70 ambulatory ambulatory JJ cord-030380-okue1kso 253 71 practice practice NN cord-030380-okue1kso 253 72 : : : cord-030380-okue1kso 253 73 a a DT cord-030380-okue1kso 253 74 time time NN cord-030380-okue1kso 253 75 and and CC cord-030380-okue1kso 253 76 motion motion NN cord-030380-okue1kso 253 77 study study NN cord-030380-okue1kso 253 78 in in IN cord-030380-okue1kso 253 79 4 4 CD cord-030380-okue1kso 253 80 specialties specialty NNS cord-030380-okue1kso 253 81 Era Era NNP cord-030380-okue1kso 253 82 3 3 CD cord-030380-okue1kso 253 83 for for IN cord-030380-okue1kso 253 84 medicine medicine NN cord-030380-okue1kso 253 85 and and CC cord-030380-okue1kso 253 86 health health NN cord-030380-okue1kso 253 87 care care NN cord-030380-okue1kso 254 1 Measuring measure VBG cord-030380-okue1kso 254 2 Vital vital JJ cord-030380-okue1kso 254 3 Signs sign NNS cord-030380-okue1kso 254 4 : : : cord-030380-okue1kso 254 5 an an DT cord-030380-okue1kso 254 6 IOM IOM NNP cord-030380-okue1kso 254 7 report report NN cord-030380-okue1kso 254 8 on on IN cord-030380-okue1kso 254 9 core core NN cord-030380-okue1kso 254 10 metrics metric NNS cord-030380-okue1kso 254 11 for for IN cord-030380-okue1kso 254 12 health health NN cord-030380-okue1kso 254 13 and and CC cord-030380-okue1kso 254 14 health health NN cord-030380-okue1kso 254 15 care care NN cord-030380-okue1kso 254 16 progress progress NN cord-030380-okue1kso 255 1 Targeted target VBN cord-030380-okue1kso 255 2 supplemental supplemental JJ cord-030380-okue1kso 255 3 data data NN cord-030380-okue1kso 255 4 collection collection NN cord-030380-okue1kso 256 1 -addressing -addressing NN cord-030380-okue1kso 257 1 the the DT cord-030380-okue1kso 257 2 qualitymeasurement qualitymeasurement NNP cord-030380-okue1kso 257 3 conundrum conundrum NN cord-030380-okue1kso 258 1 The the DT cord-030380-okue1kso 258 2 quality quality NN cord-030380-okue1kso 258 3 of of IN cord-030380-okue1kso 258 4 outpatient outpatient NN cord-030380-okue1kso 258 5 care care NN cord-030380-okue1kso 258 6 delivered deliver VBN cord-030380-okue1kso 258 7 to to IN cord-030380-okue1kso 258 8 adults adult NNS cord-030380-okue1kso 258 9 in in IN cord-030380-okue1kso 258 10 the the DT cord-030380-okue1kso 258 11 United United NNP cord-030380-okue1kso 258 12 States States NNP cord-030380-okue1kso 258 13 Improving improve VBG cord-030380-okue1kso 258 14 the the DT cord-030380-okue1kso 258 15 quality quality NN cord-030380-okue1kso 258 16 of of IN cord-030380-okue1kso 258 17 health health NN cord-030380-okue1kso 258 18 care care NN cord-030380-okue1kso 258 19 : : : cord-030380-okue1kso 258 20 what what WP cord-030380-okue1kso 258 21 's be VBZ cord-030380-okue1kso 258 22 taking take VBG cord-030380-okue1kso 258 23 so so RB cord-030380-okue1kso 258 24 long long RB cord-030380-okue1kso 258 25 ? ? . cord-030380-okue1kso 259 1 Health Health NNP cord-030380-okue1kso 259 2 Aff Aff NNP cord-030380-okue1kso 259 3 ( ( -LRB- cord-030380-okue1kso 259 4 Millwood Millwood NNP cord-030380-okue1kso 259 5 ) ) -RRB- cord-030380-okue1kso 260 1 If if IN cord-030380-okue1kso 260 2 You -PRON- PRP cord-030380-okue1kso 260 3 Ca can MD cord-030380-okue1kso 260 4 n't not RB cord-030380-okue1kso 260 5 Measure measure VB cord-030380-okue1kso 260 6 Performance Performance NNP cord-030380-okue1kso 260 7 , , , cord-030380-okue1kso 260 8 Can Can MD cord-030380-okue1kso 260 9 You -PRON- PRP cord-030380-okue1kso 260 10 Improve improve VB cord-030380-okue1kso 260 11 It -PRON- PRP cord-030380-okue1kso 260 12 ? ? . cord-030380-okue1kso 261 1 JAMA JAMA NNP cord-030380-okue1kso 261 2 Forum Forum NNP cord-030380-okue1kso 262 1 You -PRON- PRP cord-030380-okue1kso 262 2 Ca can MD cord-030380-okue1kso 262 3 n't not RB cord-030380-okue1kso 262 4 Manage manage VB cord-030380-okue1kso 262 5 It -PRON- PRP cord-030380-okue1kso 262 6 . . . cord-030380-okue1kso 263 1 The the DT cord-030380-okue1kso 263 2 W. W. NNP cord-030380-okue1kso 263 3 Edwards Edwards NNP cord-030380-okue1kso 263 4 Deming Deming NNP cord-030380-okue1kso 263 5 Institute Institute NNP cord-030380-okue1kso 263 6 Physician Physician NNP cord-030380-okue1kso 263 7 beliefs belief NNS cord-030380-okue1kso 263 8 and and CC cord-030380-okue1kso 263 9 patient patient NN cord-030380-okue1kso 263 10 preferences preference NNS cord-030380-okue1kso 263 11 : : : cord-030380-okue1kso 263 12 a a DT cord-030380-okue1kso 263 13 new new JJ cord-030380-okue1kso 263 14 look look NN cord-030380-okue1kso 263 15 at at IN cord-030380-okue1kso 263 16 regional regional JJ cord-030380-okue1kso 263 17 variation variation NN cord-030380-okue1kso 263 18 in in IN cord-030380-okue1kso 263 19 health health NN cord-030380-okue1kso 263 20 care care NN cord-030380-okue1kso 263 21 spending spending NN cord-030380-okue1kso 263 22 Value value NN cord-030380-okue1kso 263 23 - - HYPH cord-030380-okue1kso 263 24 based base VBN cord-030380-okue1kso 263 25 purchasing purchasing NN cord-030380-okue1kso 263 26 and and CC cord-030380-okue1kso 263 27 physician physician NN cord-030380-okue1kso 263 28 professionalism professionalism NN cord-030380-okue1kso 263 29 Pay pay VB cord-030380-okue1kso 263 30 for for IN cord-030380-okue1kso 263 31 Performance performance NN cord-030380-okue1kso 263 32 Extends extend VBZ cord-030380-okue1kso 263 33 to to IN cord-030380-okue1kso 263 34 Health Health NNP cord-030380-okue1kso 263 35 Care Care NNP cord-030380-okue1kso 263 36 in in IN cord-030380-okue1kso 263 37 New New NNP cord-030380-okue1kso 263 38 York York NNP cord-030380-okue1kso 263 39 State State NNP cord-030380-okue1kso 263 40 Experiment Experiment NNP cord-030380-okue1kso 264 1 The the DT cord-030380-okue1kso 264 2 Business Business NNP cord-030380-okue1kso 264 3 of of IN cord-030380-okue1kso 264 4 Health Health NNP cord-030380-okue1kso 264 5 Care Care NNP cord-030380-okue1kso 264 6 Depends depend VBZ cord-030380-okue1kso 264 7 on on IN cord-030380-okue1kso 264 8 Exploiting exploit VBG cord-030380-okue1kso 264 9 Doctors doctor NNS cord-030380-okue1kso 264 10 and and CC cord-030380-okue1kso 264 11 Nurses nurse NNS cord-030380-okue1kso 264 12 . . . cord-030380-okue1kso 265 1 New New NNP cord-030380-okue1kso 265 2 York York NNP cord-030380-okue1kso 265 3 Times Times NNP cord-030380-okue1kso 265 4 . . . cord-030380-okue1kso 266 1 The the DT cord-030380-okue1kso 266 2 New New NNP cord-030380-okue1kso 266 3 York York NNP cord-030380-okue1kso 266 4 Times Times NNP cord-030380-okue1kso 266 5 Company Company NNP cord-030380-okue1kso 266 6 Making make VBG cord-030380-okue1kso 266 7 health health NN cord-030380-okue1kso 266 8 care care NN cord-030380-okue1kso 266 9 markets market NNS cord-030380-okue1kso 266 10 work work VBP cord-030380-okue1kso 267 1 : : : cord-030380-okue1kso 267 2 competition competition NN cord-030380-okue1kso 267 3 policy policy NN cord-030380-okue1kso 267 4 for for IN cord-030380-okue1kso 267 5 health health NN cord-030380-okue1kso 267 6 care care NN cord-030380-okue1kso 267 7 Provider Provider NNP cord-030380-okue1kso 267 8 consolidation consolidation NN cord-030380-okue1kso 267 9 and and CC cord-030380-okue1kso 267 10 potential potential JJ cord-030380-okue1kso 267 11 efficiency efficiency NN cord-030380-okue1kso 267 12 gains gain VBZ cord-030380-okue1kso 267 13 : : : cord-030380-okue1kso 267 14 a a DT cord-030380-okue1kso 267 15 review review NN cord-030380-okue1kso 267 16 of of IN cord-030380-okue1kso 267 17 theory theory NN cord-030380-okue1kso 267 18 and and CC cord-030380-okue1kso 267 19 evidence evidence NN cord-030380-okue1kso 267 20 Competition Competition NNP cord-030380-okue1kso 267 21 in in IN cord-030380-okue1kso 267 22 Health Health NNP cord-030380-okue1kso 267 23 Care Care NNP cord-030380-okue1kso 267 24 Markets Markets NNPS cord-030380-okue1kso 267 25 Changes change NNS cord-030380-okue1kso 267 26 in in IN cord-030380-okue1kso 267 27 quality quality NN cord-030380-okue1kso 267 28 of of IN cord-030380-okue1kso 267 29 care care NN cord-030380-okue1kso 267 30 after after IN cord-030380-okue1kso 267 31 hospital hospital NN cord-030380-okue1kso 267 32 mergers merger NNS cord-030380-okue1kso 267 33 and and CC cord-030380-okue1kso 267 34 acquisitions acquisition NNS cord-030380-okue1kso 268 1 Weighing weigh VBG cord-030380-okue1kso 268 2 the the DT cord-030380-okue1kso 268 3 effects effect NNS cord-030380-okue1kso 268 4 of of IN cord-030380-okue1kso 268 5 vertical vertical JJ cord-030380-okue1kso 268 6 integration integration NN cord-030380-okue1kso 268 7 versus versus IN cord-030380-okue1kso 268 8 market market NN cord-030380-okue1kso 268 9 concentration concentration NN cord-030380-okue1kso 268 10 on on IN cord-030380-okue1kso 268 11 hospital hospital NN cord-030380-okue1kso 268 12 quality quality NN cord-030380-okue1kso 268 13 Physician physician NN cord-030380-okue1kso 268 14 burnout burnout NN cord-030380-okue1kso 268 15 and and CC cord-030380-okue1kso 268 16 higher high JJR cord-030380-okue1kso 268 17 clinic clinic NN cord-030380-okue1kso 268 18 capacity capacity NN cord-030380-okue1kso 268 19 to to TO cord-030380-okue1kso 268 20 address address VB cord-030380-okue1kso 268 21 patients patient NNS cord-030380-okue1kso 268 22 ' ' POS cord-030380-okue1kso 268 23 social social JJ cord-030380-okue1kso 268 24 needs need VBZ cord-030380-okue1kso 268 25 Direct direct JJ cord-030380-okue1kso 268 26 primary primary JJ cord-030380-okue1kso 268 27 care care NN cord-030380-okue1kso 268 28 is be VBZ cord-030380-okue1kso 268 29 about about JJ cord-030380-okue1kso 268 30 to to TO cord-030380-okue1kso 268 31 take take VB cord-030380-okue1kso 268 32 off off RP cord-030380-okue1kso 268 33 -or -or NN cord-030380-okue1kso 269 1 maybe maybe RB cord-030380-okue1kso 269 2 not not RB cord-030380-okue1kso 269 3 Regulating regulate VBG cord-030380-okue1kso 270 1 Long Long NNP cord-030380-okue1kso 270 2 - - HYPH cord-030380-okue1kso 270 3 Term term NN cord-030380-okue1kso 270 4 Care Care NNP cord-030380-okue1kso 270 5 Quality quality NN cord-030380-okue1kso 270 6 : : : cord-030380-okue1kso 271 1 An an DT cord-030380-okue1kso 271 2 International International NNP cord-030380-okue1kso 271 3 Comparison Comparison NNP cord-030380-okue1kso 271 4 The the DT cord-030380-okue1kso 271 5 Social Social NNP cord-030380-okue1kso 271 6 Transformation Transformation NNP cord-030380-okue1kso 271 7 of of IN cord-030380-okue1kso 271 8 American American NNP cord-030380-okue1kso 271 9 Medicine Medicine NNP cord-030380-okue1kso 271 10 : : : cord-030380-okue1kso 272 1 The the DT cord-030380-okue1kso 272 2 Rise rise NN cord-030380-okue1kso 272 3 of of IN cord-030380-okue1kso 272 4 a a DT cord-030380-okue1kso 272 5 Sovereign Sovereign NNP cord-030380-okue1kso 272 6 Profession Profession NNP cord-030380-okue1kso 272 7 and and CC cord-030380-okue1kso 272 8 the the DT cord-030380-okue1kso 272 9 Making making NN cord-030380-okue1kso 272 10 of of IN cord-030380-okue1kso 272 11 a a DT cord-030380-okue1kso 272 12 Vast vast JJ cord-030380-okue1kso 272 13 Industry industry NN cord-030380-okue1kso 272 14 Structuring structuring NN cord-030380-okue1kso 272 15 Incentives incentive NNS cord-030380-okue1kso 272 16 Within within IN cord-030380-okue1kso 272 17 Organizations Organizations NNPS cord-030380-okue1kso 272 18 : : : cord-030380-okue1kso 272 19 The the DT cord-030380-okue1kso 272 20 Case Case NNP cord-030380-okue1kso 272 21 of of IN cord-030380-okue1kso 272 22 Accountable Accountable NNP cord-030380-okue1kso 272 23 Care Care NNP cord-030380-okue1kso 272 24 Organizations organization NNS cord-030380-okue1kso 272 25 Using use VBG cord-030380-okue1kso 272 26 behavioral behavioral JJ cord-030380-okue1kso 272 27 economics economic NNS cord-030380-okue1kso 272 28 to to TO cord-030380-okue1kso 272 29 design design VB cord-030380-okue1kso 272 30 physician physician NN cord-030380-okue1kso 272 31 incentives incentive NNS cord-030380-okue1kso 272 32 that that WDT cord-030380-okue1kso 272 33 deliver deliver VBP cord-030380-okue1kso 272 34 high high JJ cord-030380-okue1kso 272 35 - - HYPH cord-030380-okue1kso 272 36 value value NN cord-030380-okue1kso 272 37 care care NN cord-030380-okue1kso 272 38 Physician Physician NNP cord-030380-okue1kso 272 39 peer peer NN cord-030380-okue1kso 272 40 comparisons comparison NNS cord-030380-okue1kso 272 41 as as IN cord-030380-okue1kso 272 42 a a DT cord-030380-okue1kso 272 43 nonfinancial nonfinancial JJ cord-030380-okue1kso 272 44 strategy strategy NN cord-030380-okue1kso 272 45 to to TO cord-030380-okue1kso 272 46 improve improve VB cord-030380-okue1kso 272 47 the the DT cord-030380-okue1kso 272 48 value value NN cord-030380-okue1kso 272 49 of of IN cord-030380-okue1kso 272 50 care care NN cord-030380-okue1kso 272 51 Information information NN cord-030380-okue1kso 272 52 and and CC cord-030380-okue1kso 272 53 quality quality NN cord-030380-okue1kso 272 54 when when WRB cord-030380-okue1kso 272 55 motivation motivation NN cord-030380-okue1kso 272 56 is be VBZ cord-030380-okue1kso 272 57 intrinsic intrinsic JJ cord-030380-okue1kso 272 58 : : : cord-030380-okue1kso 272 59 evidence evidence NN cord-030380-okue1kso 272 60 from from IN cord-030380-okue1kso 272 61 surgeon surgeon NN cord-030380-okue1kso 272 62 report report NN cord-030380-okue1kso 272 63 cards card NNS cord-030380-okue1kso 272 64 Assessing assess VBG cord-030380-okue1kso 272 65 the the DT cord-030380-okue1kso 272 66 effectiveness effectiveness NN cord-030380-okue1kso 272 67 of of IN cord-030380-okue1kso 272 68 peer peer NN cord-030380-okue1kso 272 69 comparisons comparison NNS cord-030380-okue1kso 272 70 as as IN cord-030380-okue1kso 272 71 a a DT cord-030380-okue1kso 272 72 way way NN cord-030380-okue1kso 272 73 to to TO cord-030380-okue1kso 272 74 improve improve VB cord-030380-okue1kso 272 75 health health NN cord-030380-okue1kso 272 76 care care NN cord-030380-okue1kso 272 77 quality quality NN cord-030380-okue1kso 272 78 Effect effect NN cord-030380-okue1kso 272 79 of of IN cord-030380-okue1kso 272 80 an an DT cord-030380-okue1kso 272 81 automated automated JJ cord-030380-okue1kso 272 82 patient patient NN cord-030380-okue1kso 272 83 dashboard dashboard NN cord-030380-okue1kso 272 84 using use VBG cord-030380-okue1kso 272 85 active active JJ cord-030380-okue1kso 272 86 choice choice NN cord-030380-okue1kso 272 87 and and CC cord-030380-okue1kso 272 88 peer peer NN cord-030380-okue1kso 272 89 comparison comparison NN cord-030380-okue1kso 272 90 performance performance NN cord-030380-okue1kso 272 91 feedback feedback NN cord-030380-okue1kso 272 92 to to IN cord-030380-okue1kso 272 93 physicians physician NNS cord-030380-okue1kso 272 94 on on IN cord-030380-okue1kso 272 95 statin statin NN cord-030380-okue1kso 272 96 prescribing prescribe VBG cord-030380-okue1kso 272 97 : : : cord-030380-okue1kso 272 98 the the DT cord-030380-okue1kso 272 99 PRESCRIBE PRESCRIBE NNP cord-030380-okue1kso 272 100 cluster cluster NN cord-030380-okue1kso 272 101 randomized randomize VBD cord-030380-okue1kso 272 102 clinical clinical JJ cord-030380-okue1kso 272 103 trial trial NN cord-030380-okue1kso 272 104 Effect effect NN cord-030380-okue1kso 272 105 of of IN cord-030380-okue1kso 272 106 behavioral behavioral JJ cord-030380-okue1kso 272 107 interventions intervention NNS cord-030380-okue1kso 272 108 on on IN cord-030380-okue1kso 272 109 inappropriate inappropriate JJ cord-030380-okue1kso 272 110 antibiotic antibiotic JJ cord-030380-okue1kso 272 111 prescribing prescribing NN cord-030380-okue1kso 272 112 among among IN cord-030380-okue1kso 272 113 primary primary JJ cord-030380-okue1kso 272 114 care care NN cord-030380-okue1kso 272 115 practices practice NNS cord-030380-okue1kso 272 116 : : : cord-030380-okue1kso 272 117 a a DT cord-030380-okue1kso 272 118 randomized randomized JJ cord-030380-okue1kso 272 119 clinical clinical JJ cord-030380-okue1kso 272 120 trial trial NN cord-030380-okue1kso 272 121 Effect effect NN cord-030380-okue1kso 272 122 of of IN cord-030380-okue1kso 272 123 an an DT cord-030380-okue1kso 272 124 outpatient outpatient NN cord-030380-okue1kso 272 125 antimicrobial antimicrobial JJ cord-030380-okue1kso 272 126 stewardship stewardship NN cord-030380-okue1kso 272 127 intervention intervention NN cord-030380-okue1kso 272 128 on on IN cord-030380-okue1kso 272 129 broad broad JJ cord-030380-okue1kso 272 130 - - HYPH cord-030380-okue1kso 272 131 spectrum spectrum NN cord-030380-okue1kso 272 132 antibiotic antibiotic NN cord-030380-okue1kso 272 133 prescribing prescribing NN cord-030380-okue1kso 272 134 by by IN cord-030380-okue1kso 272 135 primary primary JJ cord-030380-okue1kso 272 136 care care NN cord-030380-okue1kso 272 137 pediatricians pediatrician NNS cord-030380-okue1kso 272 138 : : : cord-030380-okue1kso 272 139 a a DT cord-030380-okue1kso 272 140 randomized randomized JJ cord-030380-okue1kso 272 141 trial trial NN cord-030380-okue1kso 272 142 Provision Provision NNP cord-030380-okue1kso 272 143 of of IN cord-030380-okue1kso 272 144 social social JJ cord-030380-okue1kso 272 145 norm norm NN cord-030380-okue1kso 272 146 feedback feedback NN cord-030380-okue1kso 272 147 to to IN cord-030380-okue1kso 272 148 high high JJ cord-030380-okue1kso 272 149 prescribers prescriber NNS cord-030380-okue1kso 272 150 of of IN cord-030380-okue1kso 272 151 antibiotics antibiotic NNS cord-030380-okue1kso 272 152 in in IN cord-030380-okue1kso 272 153 general general JJ cord-030380-okue1kso 272 154 practice practice NN cord-030380-okue1kso 272 155 : : : cord-030380-okue1kso 272 156 a a DT cord-030380-okue1kso 272 157 pragmatic pragmatic JJ cord-030380-okue1kso 272 158 national national JJ cord-030380-okue1kso 272 159 randomised randomised JJ cord-030380-okue1kso 272 160 controlled control VBN cord-030380-okue1kso 272 161 trial trial NN cord-030380-okue1kso 272 162 Effect effect NN cord-030380-okue1kso 272 163 of of IN cord-030380-okue1kso 272 164 peer peer NN cord-030380-okue1kso 272 165 comparison comparison NN cord-030380-okue1kso 272 166 letters letter NNS cord-030380-okue1kso 272 167 for for IN cord-030380-okue1kso 272 168 highvolume highvolume NNP cord-030380-okue1kso 272 169 primary primary JJ cord-030380-okue1kso 272 170 care care NN cord-030380-okue1kso 272 171 prescribers prescriber NNS cord-030380-okue1kso 272 172 of of IN cord-030380-okue1kso 272 173 quetiapine quetiapine NN cord-030380-okue1kso 272 174 in in IN cord-030380-okue1kso 272 175 older old JJR cord-030380-okue1kso 272 176 and and CC cord-030380-okue1kso 272 177 disabled disabled JJ cord-030380-okue1kso 272 178 adults adult NNS cord-030380-okue1kso 272 179 : : : cord-030380-okue1kso 272 180 a a DT cord-030380-okue1kso 272 181 randomized randomized JJ cord-030380-okue1kso 272 182 clinical clinical JJ cord-030380-okue1kso 272 183 trial trial NN cord-030380-okue1kso 272 184 Patient Patient NNP cord-030380-okue1kso 272 185 mortality mortality NN cord-030380-okue1kso 272 186 during during IN cord-030380-okue1kso 272 187 unannounced unannounced JJ cord-030380-okue1kso 272 188 accreditation accreditation NN cord-030380-okue1kso 272 189 surveys survey NNS cord-030380-okue1kso 272 190 at at IN cord-030380-okue1kso 272 191 US US NNP cord-030380-okue1kso 272 192 hospitals hospital NNS cord-030380-okue1kso 273 1 The the DT cord-030380-okue1kso 273 2 author author NN cord-030380-okue1kso 273 3 thanks thank VBZ cord-030380-okue1kso 273 4 Thomas Thomas NNP cord-030380-okue1kso 273 5 McGuire McGuire NNP cord-030380-okue1kso 273 6 , , , cord-030380-okue1kso 273 7 Leemore Leemore NNP cord-030380-okue1kso 273 8 Dafny Dafny NNP cord-030380-okue1kso 273 9 , , , cord-030380-okue1kso 273 10 Mark Mark NNP cord-030380-okue1kso 273 11 Friedberg Friedberg NNP cord-030380-okue1kso 273 12 , , , cord-030380-okue1kso 273 13 Tim Tim NNP cord-030380-okue1kso 273 14 Layton Layton NNP cord-030380-okue1kso 273 15 , , , cord-030380-okue1kso 273 16 Michael Michael NNP cord-030380-okue1kso 273 17 Chernew Chernew NNP cord-030380-okue1kso 273 18 , , , cord-030380-okue1kso 273 19 Adam Adam NNP cord-030380-okue1kso 273 20 Beckman Beckman NNP cord-030380-okue1kso 273 21 , , , cord-030380-okue1kso 273 22 and and CC cord-030380-okue1kso 273 23 three three CD cord-030380-okue1kso 273 24 anonymous anonymous JJ cord-030380-okue1kso 273 25 referees referee NNS cord-030380-okue1kso 273 26 for for IN cord-030380-okue1kso 273 27 helpful helpful JJ cord-030380-okue1kso 273 28 comments comment NNS cord-030380-okue1kso 273 29 on on IN cord-030380-okue1kso 273 30 an an DT cord-030380-okue1kso 273 31 earlier early JJR cord-030380-okue1kso 273 32 draft draft NN cord-030380-okue1kso 273 33 . . . cord-030380-okue1kso 274 1 Disclosures disclosure NNS cord-030380-okue1kso 274 2 : : : cord-030380-okue1kso 275 1 J. J. NNP cord-030380-okue1kso 275 2 Michael Michael NNP cord-030380-okue1kso 275 3 McWilliams McWilliams NNP cord-030380-okue1kso 275 4 reports report VBZ cord-030380-okue1kso 275 5 no no DT cord-030380-okue1kso 275 6 relevant relevant JJ cord-030380-okue1kso 275 7 potential potential JJ cord-030380-okue1kso 275 8 conflicts conflict NNS cord-030380-okue1kso 275 9 of of IN cord-030380-okue1kso 275 10 interest interest NN cord-030380-okue1kso 275 11 to to TO cord-030380-okue1kso 275 12 disclose disclose VB cord-030380-okue1kso 275 13 . . .