It is a special privilege to receive an award that honors Doug Richardson, who was my attending physician during residency. He showed extraordinary dedication to his patients, his colleagues, and his trainees. I thought I would share my thoughts on quality measurement here not only because the care that Doug gave was of the highest quality but also because he believed in applying measurement to the delivery of health care1,2 and he encouraged me to view health services research as fundamental to improving children’s health.

First, I will discuss why we measure quality. Then I will describe where the field was 2 decades ago when I first started working in it. I will then move on to where we are now, and finally, where I hope to see us go in the future.

So, to begin, what do we use quality measurement for? First, quality measurement can...

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