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American Board of Internal Medicine (ABIM) Commends The Commonwealth Fund Commission on a High Performance Health System for its National Scorecard Report.

Philadelphia, September 20, 2006
The American Board of Internal Medicine (ABIM) and ABIM Foundation recognize The Commonwealth Fund Commission on a High Performance Health System for its unsettling report (9/20/06) on the condition of our nation's health care system as compared to the rest of the world.

The Commonwealth Fund Commission Scorecard findings are significant - and very disturbing. Our health care system is desperately in need of major overhaul. Improving patient outcomes requires a degree of coordination and organization that our health care system currently lacks - and that our financing system often undermines.

Our nation needs new models of care that promote prevention, coordination and integration - that link together patients, care teams and information - and a financing system that supports such patient-centered care. We must reduce waste and inefficiency which drive up health care costs - failure to do so makes quality health care unaffordable and unavailable to many across our nation.

Internists - and all primary care clinicians - work at the nexus of this broken system. But rather than wait for a "system fix," ABIM is providing physicians tools, via board certification, to: assess their own clinical performance; glean feedback from patients and colleagues; evaluate their own system infrastructure, including IT; and get objective feedback about their knowledge base, diagnostic acumen, and clinical judgment. ABIM is also examining ways to enhance its programs in order to support physicians in becoming more efficient (See "Taming Health Care Inefficiency: Physicians and Others Explore Solutions" at www.abimfoundation.org/publications).

We applaud the Commission for providing us with a comprehensive, comparative set of measures to use as a basis for improving the performance of our nation's health care system. We will continue our work with physicians, policy makers and other stakeholders to promote coordinated, efficient and high quality patient care, and to help build a strong and viable health care delivery system. Our patients deserve nothing less.

About ABIM Foundation

The ABIM Foundation is a not-for-profit organization dedicated to reflecting and supporting medical professionalism, physician leadership, science-based medicine, and health care of the highest quality. Its mission is to advance medical professionalism and physician leadership in quality assessment and improvement by: exploring what it means for physicians to be professionals; stimulating physicians to become involved in quality assessment and improvement; bringing diverse groups of leaders together to enable dialogue and consensus; and promoting research into the science of quality evaluation and improvement.

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