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Feature Article

Problems with Using Women’s Cancer Screening Rates to Measure Performance
Heineken PA, Wenell C, Kerlikowske K, Walter LC
Fed Pract. 2009;26(6):17–20, 32.

When a VA audit determined that the San Francisco VA Medical Center had underperformed with regard to breast and cervical cancer screening, these authors reviewed the medical charts of patients who were counted as screening failures. Their findings point to flaws with the VA’s auditing process and its use of women’s cancer screening rates as performance measures.


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