We were pleased to see the article “Quality-of-care standards missing for homebound seniors”, on the continued evolution of quality-of-care measurement for house calls to the frail, elderly home-limited patients. Just to prevent confusion: The physicians, nurse practitioners and physicians who make house calls do engage in the same quality reporting all medical practices do, using the existing Physician Quality Reporting System measures.
The issue is that these measures have not been validated in this very sick population or in the home setting. We commend Drs. Bruce Leff and Christine Ritchie for their important work to define setting-specific measures and look forward to the completion of this important project.