The Patient Protection and Affordable Care Act contains provisions to increase health care quality and shift Medicare payment to a pay-for-quality model. As part of this shift toward pay-for-quality, health care providers, starting in 2013, will be required to report the inclusion of quality indicators during patient visits. However, in an electronic survey conducted by Diane Jette, PT, DSc, and Dianne Jewell, PT, DPT, PhD, CCS, only 6% to 36% of physical therapist respondents used standardized quality measures with at least 90% of their patients. What accounts for this apparent low frequency? Jette and Jewell are joined by moderator and PTJ Editor in Chief Rebecca Craik, PT, PhD, FAPTA, and APTA's Program Director of Quality Heather Smith, PT, MPH, to discuss the implications of their findings.