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VIEW LARGER COVER

This book contains chapters and commentaries by members of the Institute of Medicine (IOM) committee and by outstanding practitioners, researchers, legislators, and policymakers about the IOM's proposals for new directions in quality assurance as specified in Medicare: A Strategy for Quality Assurance, Volumes 1 and 2.

Sections of this new book address ideas about how to move toward increasing professionalism, implementing orgranization and system-focused quality improvement, better decision making by patients and clinicians, patient outcomes orientation, and public accountability and program evaluation. Other sections explore research questions and capacity building in the field of quality assessment and improvement, the epidemiology and quality problems, and legal issues in quality assessment.

Suggested Citation

Institute of Medicine. 1991. Medicare: New Directions in Quality Assurance Proceedings. Washington, DC: The National Academies Press. https://doi.org/10.17226/1768.

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Publication Info

218 pages |  6 x 9 |  Paperback
ISBN: 978-0-309-04429-5
DOI: https://doi.org/10.17226/1768
Chapters skim
Front Matter i-x
Part 1: Introduction 1-2
1. Introduction 3-6
2. The Institute of Medicine Report 7-14
Part 2: New Directions: More Professionalism, Less Regulation 15-17
3. The Committee View 18-21
4. A Response 22-26
Part 3: New Directions: Organization- and System-Focused Quality Improvement 27-30
5. The Committee View 31-36
6. A Response 37-44
Part 4: New Directions: Improved Decision-Making by Patients and Clinicians 45-47
7. The Committee View 48-53
8. A Response 54-58
Part 5: New Directions: A Patient Outcomes Orientation 59-62
9. The Committee View 63-72
10. A Response 73-78
Part 6: New Directions: Public Accountability and Program Evaluation 79-81
11. The Committee View 82-85
12. A Response 86-90
Part 7: Confronting Special Implementation Issues 91-95
13. The Epidemiology of Quality Problems 96-104
14. Legal Concerns 105-115
15. Translating the Institute of Medicine Report 116-126
Part 8: New Directions: The Research, Training, and Capacity Building Agendas 127-129
16. Research and Capacity Building: Issues Raised by the Institute of Medicine Report 130-139
17. The Research Agenda: An Outside View 140-144
18. The Training and Capacity Building Agendas: An Outside View 145-150
Part 9: Response to the Institute of Medicine Report Recommendations 151-154
19. A Legislator's Response to the Institute of Medicine Report 155-160
20. A Legislator's Response to the Institute of Medicine Report 161-166
21. A Physician's Response to the Institute of Medicine Report 167-173
22. An Administration Response to the Institute of Medicine Report from the Agency for Health Care Policy and Research 174-178
23. An Administration Response to the Institute of Medicine Report from the Health Care Financing Administration 179-185
24. A Peer Review Organization Response to the Institute of Medicine Report 186-190
Part 10: Where Do We Go From Here? 191-193
25. Where Do We Go From Here? 194-197
26. Where Do We Go From Here? 198-204
List of Authors 205-208

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