The quality of care provided to persons near the end of life would be captured reasonably well by measuring the nine domains listed in this statement. The tools to do so need development, and funders and researchers should attend to this work. As adequate measurement tools are developed, they should be incorporated into the continuous quality improvement for care systems. With all possible haste, benchmarks of quality in good systems need to be made available. Eventually, information about the performance of insurance plans and care delivery systems should be available to the public for use in selecting insurers and providers; and payors and certifiers should set minimal performance standards for contracting and certification.