“What Got You Here Won’t Get You There” is the title of a 2007 publication of Marshall Goldsmith, Ph.D. Dr. Goldsmith is a world-renowned executive trainer and coach. Even though Dr. Goldsmith’s typical audience is composed of movers and shakers in the business world, his words ring true in medicine. As the measurement of anesthesiology performance and outcome continues to evolve, it is clear that what brought us where we are, as physicians and anesthesiologists, will not take us where we need to go, while remaining in the same profession – at least from a payment point of view.

As described by Drs. Fleisher and Cole in their article “PQRS: At the Intersection of Quality Improvement and Consumerism” (see page 16 in this NEWSLETTER), the practice of anesthesiology has already begun to be measured by Medicare. Originally, the three Medicare measures – patient temperature within 30 minutes of the...

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