Clarify that quality measurement is often done internally by provider systems.

Existing Wording:

Step 6, “Reporting” serves the purpose of evaluating clinical performance and outcomes for healthcare organizations, for public health and for payers.  

Proposed Wording:

Step 6, “Reporting” serves the purpose of evaluating clinical performance and outcomes, whether it be internally for health care organizations, or for third parties such as public health or for payers.  

(Comment 6 - imported by: Bryn Rhodes)