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Medicare. Vol. 1 : a strategy for quality assurance / Committee to Design a Strategy for Quality Review and Assurance in Medicare, Division of Health Care Services, Institute of Medicine, Division of Health Care Services ; Kathleen N. Lohr, editor.

By: Contributor(s): Material type: TextTextPublication details: Washington, D.C. : National Academy Press, 1990.Description: 1 online resource (468 pages) : illustrationsContent type:
  • text
Media type:
  • computer
Carrier type:
  • online resource
ISBN:
  • 0585339759
  • 9780585339757
Subject(s): Genre/Form: Additional physical formats: Print version:: Medicare. Vol. 1.DDC classification:
  • 362.1/0973 20
LOC classification:
  • RA395.A3 I56 1990eb
NLM classification:
  • WT 30 I591m
Online resources:
Contents:
""MEDICARE""; ""Copyright""; ""Contents""; ""Preface""; ""Introduction to the Study and This Report""; ""CONGRESSIONAL CHARGE""; ""STUDY METHODS""; ""ORGANIZATION OF THIS REPORT""; ""Summary""; ""FINDINGS AND CONCLUSIONS""; ""A MODEL OF QUALITY ASSURANCE FOR MEDICARE""; ""DEFINING QUALITY OF CARE""; ""RECOMMENDATIONS""; ""Medicare Mission and Quality Assurance""; ""Quality Assurance Goals of the Medicare Program""; ""Medicare Program to Assure Quality (MPAQ)""; ""Public Accountability and Evaluation""; ""Hospital Conditions of Participation""; ""Research and Capacity Building""; ""FUNDING""
""ORGANIZATIONAL AND OPERATIONAL FEATURES OF THE MEDICARE PROGRAM TO ASSURE QUALITY""""Starting Points""; ""Structure""; ""The Federal and Local Levels""; ""The Internal Organization-Based Level""; ""Operational Overview of the Proposed Model""; ""An Emphasis on Outcomes""; ""The Importance of the Process of Care""; ""Continuity of Quality Assessment""; ""Potential Problems""; ""IMPLEMENTATION STRATEGY AND PHASES""; ""Phase I: Years 1 and 2""; ""Phase II: Years 2 through 8""; ""Data Collection""; ""Data Analysis Capabilities""; ""Information Dissemination""; ""Special Projects""
""Phase III: Years 9 and 10""""CONCLUDING REMARKS""; ""1 Health, Health Care, and Quality of Care ""; ""DEFINING QUALITY OF HEALTH CARE""; ""Elements of the Committee's Definition""; ""Implications of the Committee's Definition""; ""HEALTH AND HEALTH CARE IN THE UNITED STATES""; ""Health and Illness""; ""Structure of the U.S. Health Care System""; ""Major Health Policy Issues with Implications for Quality of Care""; ""Health Care Expenditures""; ""Access to Services""; ""Settings of Care""; ""Integration of Financing and Delivery of Services""
""Utilization Management and Utilization Review""""Medicare's Physician Payment System""; ""Summary""; ""QUALITY OF HEALTH CARE AS A PUBLIC POLICY ISSUE""; ""Burden of Harm of Poor Quality""; ""Assuring Quality: A Professional and a Public Responsibility""; ""Professional Responsibilities""; ""Public Sector Responsibilities and Regulation""; ""Health Care as a Public Good""; ""Other Forces for Quality Assurance""; ""Market Forces and Competition""; ""Malpractice and Risk Management""; ""Value Purchasing""; ""Decision Making and Population-Based Outcomes""; ""SUMMARY""; ""NOTES""
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"This study was supported by the Health Care Financing Administration, U.S. Department of Health and Human Services, under cooperative agreement no. 17-C-99170/3"--Title page verso.

Includes bibliographical references and indexes.

Print version record.

""MEDICARE""; ""Copyright""; ""Contents""; ""Preface""; ""Introduction to the Study and This Report""; ""CONGRESSIONAL CHARGE""; ""STUDY METHODS""; ""ORGANIZATION OF THIS REPORT""; ""Summary""; ""FINDINGS AND CONCLUSIONS""; ""A MODEL OF QUALITY ASSURANCE FOR MEDICARE""; ""DEFINING QUALITY OF CARE""; ""RECOMMENDATIONS""; ""Medicare Mission and Quality Assurance""; ""Quality Assurance Goals of the Medicare Program""; ""Medicare Program to Assure Quality (MPAQ)""; ""Public Accountability and Evaluation""; ""Hospital Conditions of Participation""; ""Research and Capacity Building""; ""FUNDING""

""ORGANIZATIONAL AND OPERATIONAL FEATURES OF THE MEDICARE PROGRAM TO ASSURE QUALITY""""Starting Points""; ""Structure""; ""The Federal and Local Levels""; ""The Internal Organization-Based Level""; ""Operational Overview of the Proposed Model""; ""An Emphasis on Outcomes""; ""The Importance of the Process of Care""; ""Continuity of Quality Assessment""; ""Potential Problems""; ""IMPLEMENTATION STRATEGY AND PHASES""; ""Phase I: Years 1 and 2""; ""Phase II: Years 2 through 8""; ""Data Collection""; ""Data Analysis Capabilities""; ""Information Dissemination""; ""Special Projects""

""Phase III: Years 9 and 10""""CONCLUDING REMARKS""; ""1 Health, Health Care, and Quality of Care ""; ""DEFINING QUALITY OF HEALTH CARE""; ""Elements of the Committee's Definition""; ""Implications of the Committee's Definition""; ""HEALTH AND HEALTH CARE IN THE UNITED STATES""; ""Health and Illness""; ""Structure of the U.S. Health Care System""; ""Major Health Policy Issues with Implications for Quality of Care""; ""Health Care Expenditures""; ""Access to Services""; ""Settings of Care""; ""Integration of Financing and Delivery of Services""

""Utilization Management and Utilization Review""""Medicare's Physician Payment System""; ""Summary""; ""QUALITY OF HEALTH CARE AS A PUBLIC POLICY ISSUE""; ""Burden of Harm of Poor Quality""; ""Assuring Quality: A Professional and a Public Responsibility""; ""Professional Responsibilities""; ""Public Sector Responsibilities and Regulation""; ""Health Care as a Public Good""; ""Other Forces for Quality Assurance""; ""Market Forces and Competition""; ""Malpractice and Risk Management""; ""Value Purchasing""; ""Decision Making and Population-Based Outcomes""; ""SUMMARY""; ""NOTES""

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