A composite score on this measure is derived from responses on 5 items (each item scored with a text-anchored 5-point Likert scale with 1 representing the lowest value and 5 representing the highest value). Subjects (patients) receive individual items for their response. These items are not identified to patients as a component of a QCDR composite measure. Note: Limiting the composite measure score to the highest response category provides an opportunity for differentiation among providers in a meaningful way and provides an opportunity for performance improvement at a provider level. Items: Bivarus 1: Hand Sanitation Performed By My Provider Bivarus 2: Medication Reconciliation Performed At My Visit Bivarus 3: Practice Asked Me About Allergies Bivarus 5: Practice Explained Medications Before Giving Them Bivarus 10: Overall Assessment Of Safety