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[which] could encourage clinicians and organizations to focus on a balance of care that’s just right.’.. Clinical performance measures address underuse and overuse of care in healthcare settings Medical performance measures – quality indicators utilized to judge and motivate healthcare providers’ performance – have taken middle stage in efforts to improve quality in healthcare on a nationwide level. Lead writer Erika Newton, MD,MPH, Clinical Associate Professor of Emergency Medicine at Stony Brook Medication, and Brenda Sirovich, MD,MS, of the Outcomes Group, VA INFIRMARY, White River Junction, VT, and the Dartmouth Institute, and co-workers examined 16 national collections of performance procedures and found that a lot more than 90 % of 521 outpatient steps targeted underuse of treatment and only 7 % resolved overuse of care.