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the likelihood of obtaining broad acceptance of practice recommendations and achieving patient-centered outcomes. They will all need to be centrally involved in each of these following stages. Guidelines need to be transformed into valid performance measures that can be feasibly measured. This translational step requires that guideline recommendations be operationalized into denominators and numerators that can be reliably quantified with specified inclusion/exclusion rules. Ideally, measures should be derived from data gathered during routine processes of care (eg, insurance claims, electronic health records) rather than through a separate data collection process. Standardizing the practice elements in the denominator and numerator of performance measures enhances the ability to develop measures that will actually be used. Unfortunately,

From PORT to Policy to Patient Outcomes: Crossing the Quality Chasm