RT Journal A1 Baruch L, Phillips RA T1 Quality: The need for intelligent efforts JF Archives of Internal Medicine JO Archives of Internal Medicine YR 2005 FD July 11 VO 165 IS 13 SP 1455 OP 1456 DO 10.1001/archinte.165.13.1455 UL http://dx.doi.org/10.1001/archinte.165.13.1455 AB Cardiovascular disease is the leading cause of morbidity and mortality in the United States. During the past 30 years, a stream of effective medications and counseling interventions have been developed to reduce cardiovascular morbidity and mortality. Professional organizations such as the American Heart Association and National Cholesterol Education Program have developed guidelines to integrate evidence-based care into day-to-day clinical practice. Despite widespread dissemination of the various guidelines, a significant number of patients with cardiovascular disease are recipients of suboptimal care.1