Index
A
see also Outcome measures;
Performance measures
clinical quality measurement, 4, 26, 58, 84, 110, 139
diabetes care, 158-161
Advisory Commission on Consumer Protection and Quality in the Health Care Industry, 24
Advisory Committee on Regulatory Reform, 49, 87
Age factors
see also Children;
Elderly persons;
Medicare;
State Children’s Health Insurance Program
Medicaid beneficiaries, 33, 34, 35, 49
TRICARE, 35-36
Agency for Healthcare Research and Quality (AHRQ), 6, 7-8, 13, 14, 17, 59, 70, 72, 74, 83, 129, 131-135, 138, 142, 143, 147, 150
Consumer Assessment of Health Plans (CAHPS), 62, 66-67, 68, 69, 70-71, 83, 84, 85, 92, 96-99 (passim), 121, 133-134, 136, 138, 141
information technology, 109, 125
AIDS, see HIV/AIDS
American Board of Internal Medicine, 39-40
American College of Physicians, 39-40
American Health Quality Association, 171
American Hospital Association (AHA), 49
American Indians, see Indian Health Service;
Native Americans
American Medical Association, 85(n.2)
American National Standards Institute, 171
American Society of Internal Medicine, 40
Association for Ambulatory Health, 64
Attitudes and beliefs, 25, 37-41
Consumer Assessment of Health Plans (CAHPS), 62, 66-67, 68, 69, 70-71, 83, 84, 85, 92, 96-99 (passim), 121, 133-134, 136, 138, 141
patient-centered care, 37, 39-41, 48
B
Balanced Budget Acts, 49, 68, 96
Beliefs, see Attitudes and beliefs
Benchmarking, 12, 13, 67, 72, 101
information capabilities, 109
research on, 134
State Children’s Health Insurance Program (SCHIP), 97
Veterans Health Administration (VHA), 70
Best practices, 7, 8, 13, 56, 57, 58, 101
information technology, 109
Blue Shield, 48
Bureau of Health Professions, 60
Bureau of Primary Health Care, 60
Buyers Health Care Action Group, 47
C
National Cancer Institute, 134, 138-139
Cancer Care Outcomes and Surveillance Consortium, 138-139
Cardiac disease, 69, 86, 90, 91, 94, 99, 134, 136, 139
Centers for Disease Control and Prevention, 59, 72, 130, 134, 137, 139
Centers for Medicare and Medicaid Services (CMS), 3, 17, 18, 64, 65, 66, 68-69, 72, 97
see also Medicaid;
Medicare;
State Children’s Health Insurance Program
End Stage Renal Disease Networks, 3, 85, 93
information technology, 117, 120
Medical Statistical Information Set, 114
Outcome Assessment and Information Set (OASIS), 84, 86, 87, 95
performance measures, other, 81, 85, 86, 87-95, 96, 103, 133
Quality Improvement System for Managed Care, 66
research agenda, 133, 134, 135-137, 139
Centers of Excellence, 68, 69, 72
Centralized Quality Assurance System, 168
Children
see also State Children’s Health Insurance Program
Indian Health Service (IHS), 100
see also Diabetes;
Disabled persons;
Institutional care;
Nursing homes
cardiac, 69, 86, 90, 91, 94, 99, 134, 136, 139
expectations and needs of beneficiaries, 37-39
Medicare, 29-32, 33, 38, 42-43, 69
patient-centered care, 40
renal disease, 3, 29, 85, 93, 95
State Children’s Health Insurance Program (SCHIP), 43
Chronic Disease Care Index, 99
Clinical performance measures, 4, 26, 58, 84, 110, 139
Common procedure terminology, 163
Composite Health Care System, 115, 167
Computer technology, general, 4-5, 8, 11-13, 56, 74, 108-128, 132
see also Internet
Agency for Health Care Research and Quality, 109, 125
architecture of systems, 12, 70, 112, 162, 163-169 (passim)
Department of Defense, 4-5, 11, 26, 117
Indian Health Service (IHS), 48, 109, 116, 120
medical errors, 108, 113, 114, 121, 165-166, 168-169
State Children’s Health Insurance Program (SCHIP), 5, 108, 113
TRICARE, 5, 108-109, 113, 114, 116, 162, 166, 169
Veterans Health Administration, 4-5, 26, 109, 114-116, 120, 139-141, 162-166
Computerized patient record systems, 4-5, 11-13, 67, 75-76, 80, 109, 110-112, 114-118, 164-169 (passim)
confidentiality and privacy, 13-14, 16, 49, 109, 112, 125
Department of Defense, 4-5, 11, 26, 117
hospitals, 110-111
incentives for adopting, 12, 108, 109, 112, 118, 119-120, 121
Indian Health Service (IHS), 48, 109, 116, 120
pharmaceuticals, 110-111
purchasing strategies, 68
standardization, 110, 111, 112-113, 117
Computerized patient records, 4-5, 8, 11-13, 39, 108-110, 145, 162-169 (passim)
Confidentiality and privacy, 13-14, 16, 49, 109, 112, 125
CONQUEST, 132
Consolidated Health Informatics Initiative, 113, 117
Consolidated Omnibus Reconciliation Act, 66
Consumer Assessment of Health Plans (CAHPS), 62, 66-67, 68, 69, 70-71, 83, 84, 85, 92, 96-99 (passim), 121, 133-134, 136, 138, 141
Consumer input, general, 6, 71, 74, 75
Consumer Assessment of Health Plans (CAHPS), 62, 66-67, 68, 69, 70-71, 83, 84, 85, 92, 96-99 (passim), 121, 133-134, 136, 138, 141
insurance, information capabilities, 109
patient-centered care, 37, 39-41, 100, 130, 135, 145-146
program design and administration, 48
Contracting, 3, 36, 48, 59, 61, 65, 67, 68, 71, 85, 88, 93, 103, 118-120
Cost factors, 1
see also Economic factors;
Funding
clinical records, 110
information technology, 110, 112
Outcome Assessment and Information Set (OASIS), 87
research on, 131
risk adjustment, 45, 59, 67-68, 85-86, 101, 140-141, 149
TRICARE, 36
Crossing the Quality Chasm: A New Health System for the 21st Century, 2, 24
Cultural factors, 100
patient-centered care, 40-41
D
Defense Blood Standard System, 167
Defense Medical Logistics Standard Support System, 167-168
Demonstration projects, 16, 59, 68-69, 79-80, 111, 135-137, 141
Department of Defense
see also TRICARE
health information systems, 4-5, 11, 26, 117
Military Health System (MHA), 115-116, 120, 166-169
Military treatment facilities, 36
Department of Health and Human Services (DHHS), 9, 134
see also Centers for Medicare and Medicaid Services;
Indian Health Service;
Medicaid;
Medicare;
State Children’s Health Insurance Program
Advisory Committee on Regulatory Reform, 49, 87
Agency for Healthcare Research and Quality (AHRQ), 6, 7-8, 13, 14, 17, 59, 70, 72, 74, 83, 129, 131-135, 138, 142, 143, 147, 150
Consumer Assessment of Health Plans (CAHPS), 62, 66-67, 68, 69, 70-71, 83, 84, 85, 92, 96-99 (passim), 121, 133-134, 136, 138, 141
information technology, 109, 125
Food and Drug Administration, 72
Health Resources and Services Administration, 137-138, 139, 141
National Cancer Institute, 134, 138-139
National Health Care Purchasing Institute, 46-47
National Heart, Lung, and Blood Institute, 139
National Institute of Diabetes and Digestive and Kidney Diseases, 139
National Institutes of Health (NIH), 59, 60, 130, 138-139, 142
performance measures, 9, 10, 79, 86(n.3), 87, 101
Department of Veterans Affairs
see also Veterans Health Administration
computerized clinical data, 11
dual eligibility, 29
regulatory issues, 58, 60, 64, 65
research agenda, 139
Diabetes, 136, 139, 141, 158-161
Diabetes Quality Improvement Project (DQIP), 26, 80, 82, 83-85, 125, 135, 141
Internet information, 40
performance, 26, 80, 82, 83-85, 158-161
Translating Research into Action for Diabetes, 137
veterans, 99
Diabetes Research and Training Centers, 139
Dialysis, see End Stage Renal Disease Networks
Digital Imaging and Communications in Medicine
Disabled persons
see also Chronic conditions
expectations and needs of beneficiaries, 37-39
Drugs, see Pharmaceuticals
E
Economic factors, 2, 6, 21, 28
see also Cost factors;
Funding;
Insurance;
Poverty;
Tax policy
beneficiaries/expenditures, 3, 21, 29, 30-33
contracting, 3, 36, 48, 59, 61, 65, 67, 68, 71, 85, 88, 93, 103, 118-120
incentives, 2, 6, 11-12, 16, 18, 44, 58, 75
alternative payment models, 146-147
chronic conditions, 38
fee-for-service, 46-48
grants, 12, 35, 69, 108, 118, 119-120
information technology, 12, 108, 109, 112, 118, 119-120, 121
performance measures, 58-59, 67, 134, 146-147
information technology, 12, 108-112 (passim), 118, 119-120, 121
purchasing strategies, 7, 8, 10, 22, 23, 48, 56, 58, 59, 60, 67-69, 74-75
Education, see Patient education;
Professional education;
Public education
Educational attainment
Indian Health Service enrollees, 37
Elderly persons
Emergency care
TRICARE, 36
Emergency Medical Treatment and Active Labor Act, 89
Employers’ Coalition on Health, 47
End Stage Renal Disease Networks, 3, 85, 93, 95
European Federation of Internal Medicine, 40
External Quality Review Organizations (EQRO), 62, 65-67, 84, 86(n.4), 92
F
Federal Employees Health Benefits Program, 69
Federal Health Information Exchange, 117
design and administration, 48-49
historical perspectives, 23-24
Medicare, 50, 62, 66, 68, 69, 88, 113
performance measures, 45-46, 47-48
physicians, 45-46
quality improvement organizations (QIOs), 3, 17, 66, 88-93, 103, 113-114, 133-134, 136
Females, see Gender factors
Food and Drug Administration, 72
Foundation for Accountability, 80
see also Cost factors
End Stage Renal Disease Network, 93
grants, 12, 35, 69, 108, 118, 119-120
Indian Health Service (IHS), 44
Medicaid, 33
Medicare, 103
performance measures, 83
professional training, 60
quality improvement organizations (QIOs), 89
G
Gender factors, 100
Medicaid, 49
General Motors, 48
Geographic factors, 24, 95, 100, 101
see also State-level issues
computerized patient records, 111, 125
nursing homes, 95
H
Handicapped persons, see Disabled persons
Health Care Financing Administration, see Centers for Medicare and Medicaid Services
Health Care Quality Improvement Program, 144
Health Insurance Portability and Accountability Act, 112, 125
Health maintenance organizations
Medicare, 30
Health Outcomes Survey (HOS), 62, 85, 92
Health Plan Employer Data and Information Set (HEDIS), 17, 62, 66, 68, 69, 70, 71, 84, 85, 92, 96, 97, 98, 113, 121
Health Resources and Services Administration, 137-138, 139, 141
Healthcare Research and Quality Act, 2, 22
Heart disease, see Cardiac disease
Hill-Burton Act, 119
Historical perspectives, 23-24
Internet, 121
performance measures, 81
regulatory issues, 58, 61, 66-67:
see also Legislation
HIV/AIDS, 138
Home health care, 38, 39, 42, 50, 65, 66, 92-93, 95
claims data, 110
computerized patient records, 110-111
Indian Health Service (IHS), 37
Medicare, 91
performance measures, 4, 58, 66, 86, 91, 94, 122
Human immunodeficiency virus/acquired immunodeficiency syndrome, see HIV/AIDS
I
Incentives, 2, 6, 11-12, 16, 18, 44, 58, 75
see also Tax policy
alternative payment models, 146-147
chronic conditions, 38
fee-for-service, 46-48
grants, 12, 35, 69, 108, 118, 119-120
information technology, 12, 108, 109, 112, 118, 119-120, 121
performance measures, 58-59, 67, 134, 146-147
Indian Health Service (IHS), 36-37, 71
beneficiaries/expenditures, 3, 31, 37
children, 100
design and administration, 48
dual eligibility, 29
hospitals, 37
information capabilities, 48, 109, 116, 120
Medicare/Medicaid and, 64
performance measures, 84, 99-100
regulatory issues, 60, 64, 65, 70
Information technology, see Internet
Institutional care, 9
see also Hospitals
DOD TRICARE, 31
insurance, general, 42
nursing homes, 3, 35, 38, 41, 42, 50, 68, 83, 85-86, 88, 95
performance measures, 85-86, 93, 95
Insurance, 41-44
see also Fee-for-service;
Health maintenance organizations;
Managed care;
Medicaid;
Medicare;
State Children’s Health Insurance Program
alternative payment models, 146-147
chronic conditions, 42
claims data, 110
design and administration, 48-49
institutional care, 42
medical errors, 48
risk adjustment, 45, 59, 67-68, 85-86, 101, 140-141, 149
pharmaceuticals, 42
Interdisciplinary approaches, see Multidisciplinary approaches
Internet
agency sites, selected list of, 171
clinical information retrieval, 109, 116, 121, 169
diabetes, 40
End Stage Renal Disease Network, 93, 95
patient-centered care, 40-42, 166, 169
regulatory issues, 65
J
Joint Commission on Accreditation of Healthcare Organizations (JCAHO), 64, 65, 69, 71, 80, 85, 99, 103
K
Keystone Peer Review Organization, 67
Kidney disease, see Renal disease
L
Leapfrog Group, 10, 80, 101, 103
see also Regulatory issues
Balanced Budget Acts, 49, 68, 96
Consolidated Omnibus Reconciliation Act, 66
Emergency Medical Treatment and Active Labor Act, 89
End Stage Renal Disease Network, 93
Health Insurance Portability and Accountability Act, 112, 125
Healthcare Research and Quality Act, 2, 22
Hill-Burton Act, 119
Medicaid, general, 66
Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act, 86
M
Males, see Gender factors
Malpractice, see Medical errors and malpractice
Managed care, 33
design and administration, 48-49
health maintenance organizations, 30
Medicare, 30, 62-63, 66-67, 88
State Children’s Health Care Program, 35
Massachusetts General Hospital Utility Multi-Programming System, 163
see also Centers for Medicare and Medicaid Services
beneficiaries/expenditures, 3, 30-34
benefits and copayments, 43
capitation, 45
design and administration, 49
gender factors, 49
information capabilities, 108, 113-114
institutional care, 33, 43, 95
managed care, 33, 62-63, 66-67, 96, 97
Medicare participants, 29
performance measures, 4, 58, 62, 80, 81, 84, 96-97, 103, 138, 146
pharmaceuticals, 43
quality improvement organizations (QIOs), 3, 17, 66, 88-93, 103, 113-114, 133-134, 136
regulatory issues, 58, 60, 61, 62-63, 66-67
Medicaid Management Information System, 114
Medical errors and malpractice, 2, 4-7 (passim), 24, 25, 28, 82, 101-102
federal agency coordination in rectification, 60, 66, 67, 71, 72, 74
information technology and, 108, 113, 114, 121, 165-166, 168-169
insurers and, 48
program participation standards, 61
research on, 12, 24, 130, 131-132, 139-140
standards, 65
Medical Expenditure Panel Survey, 31
Medical Statistical Information Set, 114
see also Centers for Medicare and Medicaid Services
beneficiaries/expenditures, 3, 29-30, 33
benefits and copayments, 42-43, 44
chronic conditions, 29-32, 33, 38, 42-43, 69
design and administration, 48, 49, 50
fee-for-service, 50, 62, 66, 68, 69, 88, 113
health maintenance organizations, 30
hospitals, 91
information capabilities, 108, 113-114
managed care, 30, 62-63, 66-67, 88
Medicaid participants, 29
mental diseases and disorders, 32, 42
performance measures, 3, 4, 58, 68, 80, 81, 84, 88-95, 103
purchasing strategies, 68
quality improvement organizations
(QIOs), 3, 17, 66, 88-93, 103, 113-114, 133-134, 136
regulatory issues, 58, 60-69 (passim), 73, 88
Scope of Work (SOW), 89, 90, 93, 97
Medicare+Choice (M+C), 30, 48, 49, 50, 58, 66, 68, 88, 90, 93
Medicare Coordinated Demonstration Projects, 111
Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act, 86
Mental diseases and disorders, 42-43, 100
Military Health System (MHA), 115-116, 120, 166-169
Military personnel, see Department of Defense;
TRICARE
Military treatment facilities, 36
Minimum data set (MDS), 85-86, 95
Minority groups, see Race/ethnicity
Multidisciplinary approaches
patient-centered care, 40
My Healthy Vet program, 115, 166
N
National Cancer Institute, 134, 138-139
National Center for Patient Safety, 71
National Committee for Quality Assurance (NCQA), 17, 45, 66, 69, 80, 85(n.2), 96, 103, 123
National Committee on Vital and Health Statistics, 171
National Council for Prescription Drug Programs, 171
National Diabetes Quality Improvement Alliance, 85(n.2)
National Health Care Purchasing Institute, 46-47
National Healthcare Quality Report, 10
National Heart, Lung, and Blood Institute, 139
National Institute of Diabetes and Digestive and Kidney Diseases, 139
National Institutes of Health (NIH), 59, 60, 130, 138-139, 142
Agency for Healthcare Research and Quality (AHRQ), 6, 7-8, 13, 14, 17, 59, 134
National Mail Order Pharmacy Program, 167
National Measures Clearinghouse, 132
National Medicare Education Program, 68
National Patient Information Reporting System, 116
National Quality Forum (NQF), 80, 85(n.2), 101, 103
National Quality Report, 134
National Roundtable on Health Care Quality, 24
National Surgical Quality Improvement Program, 71, 99
Native Americans, 29
see also Indian Health Service
Nursing homes, 3, 35, 38, 41, 42, 50, 68, 83, 85-86, 88, 95
O
Outcome Assessment and Information Set (OASIS), 84, 86, 87, 95
Outcome measures, general, 22, 23, 75, 80, 81, 82, 84
see also Medical errors and malpractice;
Performance measures
diabetes, 26
design and administration, 48-49, 83, 84
research on, 132-133, 136, 140-141
Outcomes-Based Quality Improvement Technology, 136
P
PacifiCare, 47
Patient education, 6, 18, 22, 74, 122, 140, 147-150
see also Patient-centered care;
Public education
diabetes, 39
Internet, 40-41
Medicare, 43
Patient Outcomes Research Team, 132
Patient Safety Centers of Inquiry, 139-140
Patient Safety Data Standards, 113
Patient-centered care, 37, 39-41, 100, 130, 135, 145-146
Consumer Assessment of Health Plans (CAHPS), 62, 66-67, 68, 69, 70-71, 83, 84, 85, 92, 96-99 (passim), 121, 133-134, 136, 138, 141
physicians, 39-40
Performance measures, 2-4, 6, 7, 9, 11, 13, 25, 58-59, 67, 71, 74, 79-107
see also Benchmarking;
Medical errors and malpractice;
Outcome measures;
Reporting requirements
analysis of data, 26
best practices, 7, 8, 13, 56, 57, 58
Centers for Medicare and Medicaid Services (CMS), 81, 85, 86, 87-95, 96, 103, 133
clinical, 4, 26, 58, 84, 110, 139
diabetes care, 26, 80, 82, 83-85, 158-161
hospitals, 4, 58, 66, 86, 91, 94, 122
incentives for adopting, 58-59, 67, 134, 146-147
Indian Health Service (IHS), 84, 99-100
information technology and, 109, 110-112, 122-125
institutional care, 85-86, 93, 95
Medicaid, 4, 58, 62, 80, 81, 84, 96-97, 103, 138, 146
Medicare, 3, 4, 58, 68, 80, 81, 84, 88-95, 103
participation standards, 61-65
purchasing strategies, 67-68
research on, 132-145 (passim)
small-practice settings, 145
standardized, 4, 6, 9, 10-11, 14-15, 26, 101-104, 110, 117, 129, 144
State Children’s Health Insurance Program (SCHIP), 4, 58, 62, 67, 84, 87, 97, 103-194
state-level issues, 3, 4, 59, 81, 96-97, 103
types of, 81-82
Veterans Health Administration (VHA), 84, 99, 163, 165-166
Pharmaceuticals
computerized patient records, 110-111
Medicaid, 43
insurance, general, 42
State Children’s Health Insurance Program (SCHIP), 34
Pharmacy Data Transaction Service, 167
Physicians, 26
capitation, 44-45
fee-for-service, 45-46
patient-centered care, 39-40
performance measures, 58, 61, 64, 91
Poverty, 100
see also Medicaid;
State Children’s Health Insurance Program
Indian Health Service (IHS), 37
Preventive care
chronic conditions, 38
fee-for-service, 46
TRICARE, 36
Privacy, see Confidentiality and privacy
Professional education, 22-23, 60
information capabilities, 109
Public education, 22, 58, 68, 75, 147-150
see also Patient education
Consumer Assessment of Health Plans (CAHPS), 62, 66-67, 68, 69, 70-71, 83, 84, 85, 92, 96-99 (passim), 121, 133-134, 136, 138, 141
information technology and, 40-42, 121-125 (passim)
Purchasing strategies, 7, 8, 10, 22, 23, 48, 56, 58, 59, 60, 67-69, 74-75
Q
Q-Span, 132
Quality assurance, general, 2-5, 22-25, 39, 41, 57, 69-70
see also Accountability;
Performance measures;
Regulatory issues;
Standards
clinical quality measurement, 4, 11-12, 26, 58
committee recommendations, 1, 4-18 (passim), 28
committee study charge, 1, 22-23
expectations and needs of beneficiaries, 37-41
historical perspectives, 23-24
Quality Enhancement Research Initiative, 139, 140-141
Quality improvement organizations (QIOs), 3, 17, 66, 88-93, 103, 113-114, 133-134, 136
Quality Improvement System for Managed Care, 66
Quality Interagency Coordination Task Force (QuIC), 72, 82, 134-135, 142
committee recommendations, 1, 10-11, 14, 15, 17, 18, 79, 80, 103, 129, 130
R
Race/ethnicity, 100
see also Indian Health Service;
Native Americans
patient-centered care, 40-41
Regulatory issues, 6, 7, 23, 25, 49-50, 56, 57-59, 60-74 (passim)
see also Legislation;
Performance measures;
Standards;
Tax policy
committee recommendations, 1, 15
confidentiality and privacy, 13-14, 16, 49, 109, 112, 125
Department of Veterans Affairs, 58, 60, 64, 65
historical perspectives, 58, 61, 66-67
Indian Health Service (IHS), 60, 64, 65, 70
information technology, 108, 111, 118-119
institutional care
Internet, 65
Medicaid, 58, 60, 61, 62-63, 66-67
Medicare, 58, 60-69 (passim), 73, 88
State Children’s Health Insurance Program (SCHIP), 58, 60, 61, 62-64, 97, 103-104
state-level, other, 59, 60, 61-65 (passim), 96-97, 103-104
TRICARE, 58, 60, 64, 65, 67, 69-71
Veterans Health Administration (VHA), 60, 64, 67
Renal disease, 29
End Stage Renal Disease Networks, 3, 85, 93, 95
Reporting requirements, 26, 72, 81, 96-97, 148
committee study charge, 22
Consumer Assessment of Health Plans, 62, 66-67
electronic, 108, 121-123, 165-166
Outcome Assessment and Information Set (OASIS), 84, 86, 87, 95
standardization, 9, 10, 15, 26, 80, 104
Research agendas, 6, 7, 14-15, 26, 129-152
see also Agency for Healthcare Research and Quality;
Centers for Disease Control and Prevention ;
National Institutes of Health
Centers for Medicare and Medicaid Services (CMS), 133, 134, 135-137, 139
demonstration projects, 16, 59, 68-69, 79-80, 111, 135-137, 141
medical errors, 12, 24, 130, 131-132, 139-140
outcome measures, 132-133, 136, 140-141
performance measures, 132-145 (passim)
time lags before clinical practice, 132-133
Reward Results initiative, 147
Risk factors
risk adjustment, 45, 59, 67-68, 85-86, 101, 140-141, 149
TRICARE, 36
vulnerable populations, 44
Robert Wood Johnson Foundation, 46-47, 134, 147
S
Safety (malpractice and medical errors), see Medical errors and malpractice
Scope of Work (SOW), Medicare, 89, 90, 93, 97
SEER, see Surveillance, Epidemiology, and End Results
see also Benchmarking;
Regulatory issues
best practices, 7, 8, 13, 56, 57, 58, 101, 109
computerized patient records, 110, 111, 112-113, 117
performance measures, 4, 6, 9, 10-11, 14-15, 26, 101-104, 110, 117, 129, 144
practice standards, other, 24, 57
provider participation in programs, 2, 61-65
reporting, 9, 10, 15, 26, 80, 104
State Children’s Health Insurance Program (SCHIP), 17, 34-35, 130
see also Centers for Medicare and Medicaid Services
beneficiaries/expenditures, 3, 30-31
benefits and copayments, 43
chronic conditions, 43
eligibility, 34-35
fee-for-service, 97
information capabilities, 5, 108, 113
participation standards, 65, 67
performance measures, 4, 58, 62, 67, 84, 87, 97, 103-194
pharmaceuticals, 34
regulatory issues, 58, 60, 61, 62-64, 97, 103-104
State-level issues, 17-18
Indian Health Service (IHS), 37
information capabilities, 109
Medicaid, 17, 30, 33, 38-39, 42-43, 96-97, 103, 130, 146
performance measures, 3, 4, 59, 81, 96-97, 103
professional licensure, 61, 64
public education, 148-149
regulatory issues, 59, 60, 61-65 (passim), 96-97, 103-104
scope-of-practice rules, 61, 64
tax policy, 60
Substance Abuse and Mental Health Services Administration, 134
Surveillance, Epidemiology, and End Results (SEER), 139
T
Tax policy, 60
computer technology, 12, 108, 119-120
Theater Medical Information Program, 115-116, 166, 169
Translating Research into Action for Diabetes, 137
Translating Research Into Practice, 132-133, 138
beneficiaries/expenditures, 3, 31
Centers of Excellence, 69
committee study charge, 1, 22-23
design and administration, 48, 100
emergency care, 36
information capabilities, 5, 108-109, 113, 114, 116, 162, 166, 169
institutional care, 31
Medicare and, 36
military treatment facilities, 36
regulatory issues, 58, 60, 64, 65, 67, 69-71
V
Veterans Administration, see Department of Veterans Affairs
Veterans Health Administration (VHA), 35, 59, 70, 71, 139-141
beneficiaries/expenditures, 3
benefits and copayments, 43, 44
chronic conditions, 38, 43, 44, 99
design and administration, 48
eligibility, 35
health information systems, 4-5, 26, 109, 114-116, 120, 130-141, 162-166
performance measures, 84, 99, 163, 165-166
Veterans Health Information Systems and Technology Architecture, 163
Veterans Integrated Service Networks, 35
VISTA, 70
Vulnerable populations
see also Poverty
State Children’s Health Care Program (SCHIP), 35
W
Waiver programs, 66
World Wide Web, see Internet