Patients, physicians, and other team members in a practice should decide on what issues are most important

Practices with different patient populations, settings, and health care organizations could choose different performance measures to meet their individual practice needs

Priorities of individual practices could be different from those of other stakeholders in the health care system

Use systematic reviews and a rigorous approach to evaluation of the quality of evidence (eg, GRADE) in developing recommendations

Consideration should be given to strong vs weak or conditional recommendations and the balance of benefit vs harms for screening maneuvers

Consider the availability and quality of evidence on patient values and preferences for the screening maneuver and the availability of strategies shown to be effective for quality improvement

Individual patients might be eligible for multiple screening maneuvers at different screening intervals

The overall screening needs of individual patients, in contrast to the uptake of a single screening intervention, need to be assessed

the data can be easily obtained in your practice setting

existing electronic medical records capture the data needed to measure the issues considered important (eg, shared decision making)

there are human resources to help analyze and report on the outcomes of performance measurement

other physicians and primary care team members will be able to easily interpret the results

Ideally, values and preferences of patients would be reflected in the choice of performance measures; however, it can be potentially challenging for individual practices to engage patients in the process of performance measure selection

Demands from health care administrators about the choice and number of performance measures will be inevitable

Performance measures important to other health system stakeholders might not be relevant at the individual practice level