Medicare. a strategy for quality assurance / Vol. 1 :
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.
- Washington, D.C. : National Academy Press, 1990.
- 1 online resource (468 pages) : illustrations
- IOM publication ; 90-02. .
"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.
""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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Medical care--Quality control.--United States Medicare. HEALTH & FITNESS--Health Care Issues. MEDICAL--Public Health. MEDICAL--Health Policy. HEALTH & FITNESS--Diseases--General. MEDICAL--Diseases. MEDICAL--Health Care Delivery. Medical care--Quality control. Medicare. Quality Assurance, Health Care--United States.