Quality measures and the individual physician.

The quarterly “report card” sits on my desk. Only 33% of my patients with diabetes have glycated hemoglobin levels that are at goal. Only 44% have cholesterol levels at goal. A measly 26% have blood pressure at goal. All my grades are well below my institution's targets. It's hard not to feel like a failure when the numbers are so abysmal. We've been getting these reports for more than 2 years now, and my numbers never budge. It's wholly dispiriting. When I voice concern about the reports, I'm told that these are simply data, not criticisms, and that any feedback . . .