“…For example, the performance data generated by the Cleveland Health Quality Choice Program were used by the Cleveland business coalition to identify service providers to receive the business purchasing group's request for proposal. The Under the Microscope project in the US was developed to provide feedback on the performance of a home care service BENCHmark (Porter, 1995) California Hospital Outcomes Project (Romano et al, 1995) Cleveland Health Quality Choice (Rosenthal and Harper, 1994;CHQCP, 1995) Hypothetical Governing Body Quarterly Report (Luttman, Siren andLaffel, 1994) Joint Commission's Indicator Measurement System (Nadzam et al, 1993) Illinois Hospital (Counte, Glandon and Holliman, 1988) Maryland Hospital Association (Kazandjian et al, 1993) Maryland Quality Indicator Project (Scheiderer, 1995) Minnesota Clinical Comparison & Assessment Program (Borbas, McLaughlin and Schultz, 1995) Monmouth Medical Centre (Laffel, Thompson and Sparer, 1995) United States QUIIX-Ed (Fitzgerald, Shiverick and Zimmerman, 1996) United States CRISP (Bergman, 1994) CRISP (Nerenz, Zajac and Rosman, 1993) Dartmouth-Hitchcock (Nelson et al, 1995) HEmS (CCHRI, 1995) HEms (Corrigan and Nielsen, 1993) HEmS Gordan, Straus and Bailit, 1995) Henry Ford Health System (Sahney, 1995) Hypothetical (Ellencweig, 1992) Kaiser Permanente (1995) Massachusetts Health Care Purchaser Group (Jordan, Straus and Bailit, 1995) Pennsylvania Health Care Cost Containment Council (Localio et al, 1997) Level of assessment provider to account to the current and potential client referral sources (Miller and Lazar, 1995). Gamm (1996) provided comment on four types of accountability: political; commercial; clinical or patient; and community.…”