Resumen de Use of Administrative Data for Public Reporting of Outcomes�Reply

Steven A. Farmer, Bernard S. Black

• In Reply: Drs Utter and Romano have made important contributions to society's ability to measure patient safety using patient safety indicators based on administrative (billing) data. But their response to our article is puzzling. Our central claim was that billing data cannot be relied on to simultaneously measure quality, publicly report quality, and pay for performance. If they are, the ability to measure true changes in quality will be lost.