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Key Findings

1. Overall, adults received about half of recommended care.
2. Quality of care was similar in all of the metropolitan areas studied.
3. Quality varied across conditions, and across communities for the same condition.
4. No community had consistently the best or worst quality.
5. All sociodemographic groups were at risk for poor care.
6. Systemwide investments in health information technology, performance tracking, and incentives for improvement are needed to improve care.

How good is the quality of health care in America? To answer this question, Elizabeth McGlynn led a team of experts in the largest and most comprehensive examination ever conducted of health care quality in the United States. Called the Community Quality Index Study, it assessed the extent to which recommended care was provided to a representative sample of the U.S. population for a broad range of conditions in 12 metropolitan areas. The bottom line: all adults in the United States are at risk for receiving poor health care, no matter where they live; why, where, and from whom they seek care; or what their race, gender, or financial status is.