In life, some laws are universal. The five stages of grief, for instance: denial and isolation; anger; bargaining; depression; and, finally, acceptance. Dr. Joseph Territo says there is a painfully similar universal truth with performance reporting. As medical director of quality for the Mid-Atlantic Permanente Medical Group, Territo works on the front line of health care quality. He’s not advocating to eliminate performance reporting. But alleviating the pain is a different story. His answer is not necessarily a spoonful of sugar, but building an organizational narrative of quality improvement that may help the medicine go down—and may ease performance reporting.

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