Sources and methods : 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.

Format:

Book

Author/Creator:

Institute of Medicine (U.S.). Division of Health Care Services.

Contributor:

Lohr, Kathleen N., 1941-

Series:

Medi-care ; v.2.

Medicare ; v.2

Language:

English

Subjects (All):

Medical care--Quality control.

Medical care.

Medicare.

Physical Description:

1 online resource (476 p.)

Edition:

1st ed.

Place of Publication:

Washington, D.C. : National Academy Press, 1990.

Summary:

Volume II of Medicare: A Strategy for Quality Assurance provides extensive source materials on quality assurance, including results of focus groups with the elderly and practicing physicians, findings from public hearings on quality of care for the elderly, and many exhibits from site visits and the literature on quality measurements and assurance tools. The current Medicare peer review organization program and related hospital accreditation efforts are comprehensively described as background for the recommendations in Volume I of this report. Like the companion volume, this substantial book will be a valuable reference document for all groups concerned with quality of health care and the elderly.

Contents:

""Medicare""; ""Copyright""; ""Contents""; ""1 Overview Of The Study To Design A Strategy For Quality Review And Assurance In Medicare ""; ""STUDY COMMITTEE AND TECHNICAL ADVISORY PANEL""; ""CONDUCT OF THE STUDY""; ""Phases Of The Study""; ""Data Collection And Other Study Activities""; ""Main Study Tasks""; ""Hospital Conditions Of Participation""; ""Medicare Peer Review Organizations""; ""CONCLUDING REMARKS""; ""2 Oral And Written Testimony From The Public Hearings ""; ""METHODS""; ""Invitations To Submit Testimony""; ""Respondents To The Invitations""; ""Types Of Documents Submitted""

""Development And Testing Of Abstract Form""""Data Base System""; ""Limitations Of The Analysis""; ""FINDINGS""; ""Main Themes""; ""Gaps In Information""; ""Peer Review""; ""Access Issues""; ""Patient-Physician Relationship""; ""Role Of The Elderly In Quality Assessment And Assurance And Health Care Decision Making""; ""Interrelationship Of Quality, Costs, And Financing""; ""Patient-Centered Quality Assurance System""; ""Clinical Guidelines, Specialty Board Certification, And Credentialing""; ""Need To Measure, Demonstrate, And Prove Performance Competency""

""Assessing The Needs Of The Elderly""""Continuous Quality Improvement""; ""Responses To Specific Questions""; ""Defining Quality Of Care""; ""Assessment Of Contemporary Health Care""; ""Cost Containment And Quality Health Care""; ""Medicare Benefits""; ""Costs Of Quality Assessment And Assurance Activities""; ""Assessment Of Adequacy Of Quality Assessment And Assurance""; ""Comments Of Pros""; ""Comments of Superpro""; ""Comments Of Other Groups Conducting External Quality Reviews""; ""Comments Of Third-Party Payers And Purchasers""; ""Comments Of Direct Care Providers""

""Most Effective And Least Effective Activities""""Adequacy Of Current Level Of Quality Assessment""; ""Adequacy Of Current Quality Assessment And Assurance Tools Or Methods""; ""Coordinating Quality Assessment And Assurance Activities""; ""Recommendations""; ""Recommendations For Improving The Quality Of Health Care Generally""; ""Recommendations Concerning Broad Quality-Of-Care Topics""; ""Recommendations Concerning Quality Assessment Methods""; ""Recommendations Concerning Specific Quality Assurance Activities""; ""Recommendations For Research And Development""; ""CONCLUDING REMARKS""

""Appendix A Guidelines For Written Testimony A Study To Design A Strategy For Quality Review And Assurance In Medicare""""PART A. BACKGROUND""; ""PART B. KEY QUESTIONS""; ""PART C. FORMAT""; ""Appendix B Organizations Submitting Testimony ""; ""3 Results of The Medicare Beneficiary and Physician Focus Groups ""; ""BENEFITS AND LIMITATIONS OF FOCUS GROUPS""; ""STUDY METHODS""; ""Subcontractor Selection""; ""Focus Group Site Selection""; ""Development Of The Moderator's Guide""; ""The Recruiting Process""; ""Focus Group Composition""

""Pre-Recruitment Specifications Of The Beneficiary Focus Groups""

Notes:

"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"--T.p. verso.

Includes bibliographical references and indexes.

ISBN:

9786610212644

9781280212642

1280212640

9780309559928

0309559928

9780585084770

0585084777

OCLC:

923268731