As consumers, payers, and regulatory agencies require evidence regarding he
alth care quality, the demand for process of care measures will grow. Altho
ugh outcome measures of quality represent the desired end results of health
care, validated process of care measures provide an important additional e
lement to quality improvement efforts, as they illuminate exactly which pro
vider actions could be changed to improve patient outcomes. In this essay,
we discuss the advantages and disadvantages of process measures of quality,
and outline some practical strategies and issues in implementing them.