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Collection of data on race and ethnic group by physician practices.

To the Editor: We support the principle that Wynia et al. (March 4 issue)1 outline on the collection of data on patients’ race and ethnic group. It is critical, however, to link that information to the delivery of care. Comparative feedback and public reporting of outcomes according to race and ethnic group are necessary to lessen the gap in results between these groups. These efforts also will increase awareness about the unique health challenges faced by specific populations.2 HealthPartners Medical Group reports key clinical outcomes of more than 400,000 patients. These outcomes are classified according to socioeconomic status and race and ethnic group. Since 2004, more than 90% of patients have willingly shared their race and ethnic group, country of origin, and preferred language. We are using the information to improve care. Where we have identified gaps in the care of minority patients, we have implemented targeted interventions. We established a structured approach to improve rates of mammographic screening among minority women (Fig. 1). We also changed our metrics, and we now report rates of colonoscopic screening among blacks starting at 45 years of age.3 Our work remains focused on developing additional usable quality measurements. Our future goal is even more customized, individualized information resulting in better outcomes for our patients.4 Tom von Sternberg, M.D. Beth Averbeck, M.D. Nancy McClure, J.D.