Acknowledgments

The contributions of many individuals and organizations to the committee’s work deserve acknowledgment.

The committee expresses its deep appreciation to all individuals and groups who contributed to and testified for the study’s public hearings and to those who gave generously of their time and knowledge during the study’s site visits. Because of the very large number of persons and associations included in these groups, they are identified in materials contained in Volume II of this report. We also express our gratitude to the members of the elderly community and the practicing physicians who participated in the study’s focus groups; their identities are confidential.

The committee thanks the authors of background papers prepared for this study which were used extensively by the staff and committee in their deliberations and in drafting this report. These experts include: Miriam Adams, Thomas Bubolz, Avedis Donabedian, Elliott Fisher, Catherine Hawes, Karen Josephson, Janet Kraegel, Norma Lang, Margaret O’Kane, Heather Palmer, Gail Povar, Evert Reerink, Leslie Roos, Noralou Roos, Laurence Rubenstein, Lisa Rubenstein, and Andrew Heath Smith. We thank Joann Richards of Mercy Hospital Systems for providing useful data and compilations on quality assurance and related activities collected through a recent hospital survey. We also extend our appreciation to the members of the criteria and standards expert panel: William A.Causey, Arthur J.Donovan, Leonard S.Driefus, David M.Eddy, Lesley Fishelman, Sheldon Greenfield, Robert J.Marder, Jane L.Neumann, Bruce Perry, and Ralph Schaffarzick. We are especially grateful to Paul Batalden, R.Heather Palmer, Henry Krakauer, Leslie Roos, Kenneth Wagstaff, and Harry S.Weeks for stimulating presentations to the committee.

The committee is particularly grateful to the members of the study’s



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Medicare: A Strategy for Quality Assurance - Volume I Acknowledgments The contributions of many individuals and organizations to the committee’s work deserve acknowledgment. The committee expresses its deep appreciation to all individuals and groups who contributed to and testified for the study’s public hearings and to those who gave generously of their time and knowledge during the study’s site visits. Because of the very large number of persons and associations included in these groups, they are identified in materials contained in Volume II of this report. We also express our gratitude to the members of the elderly community and the practicing physicians who participated in the study’s focus groups; their identities are confidential. The committee thanks the authors of background papers prepared for this study which were used extensively by the staff and committee in their deliberations and in drafting this report. These experts include: Miriam Adams, Thomas Bubolz, Avedis Donabedian, Elliott Fisher, Catherine Hawes, Karen Josephson, Janet Kraegel, Norma Lang, Margaret O’Kane, Heather Palmer, Gail Povar, Evert Reerink, Leslie Roos, Noralou Roos, Laurence Rubenstein, Lisa Rubenstein, and Andrew Heath Smith. We thank Joann Richards of Mercy Hospital Systems for providing useful data and compilations on quality assurance and related activities collected through a recent hospital survey. We also extend our appreciation to the members of the criteria and standards expert panel: William A.Causey, Arthur J.Donovan, Leonard S.Driefus, David M.Eddy, Lesley Fishelman, Sheldon Greenfield, Robert J.Marder, Jane L.Neumann, Bruce Perry, and Ralph Schaffarzick. We are especially grateful to Paul Batalden, R.Heather Palmer, Henry Krakauer, Leslie Roos, Kenneth Wagstaff, and Harry S.Weeks for stimulating presentations to the committee. The committee is particularly grateful to the members of the study’s

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Medicare: A Strategy for Quality Assurance - Volume I Technical Advisory Panel (TAP) for their interest, support, and assistance throughout the project. The individuals and organizations on the TAP included: Jenean Erickson and Judith Brown, American Health Care Association; Deborah Bohr, American Hospital Association; Lynn Jensen and Jim Rodgers, American Medical Association; Carole Magoffin, American Medical Review Research Center; Norma Lang, American Nurses Association; Lawrence C.Morris, Blue Cross and Blue Shield Association; Margaret E. O’Kane, Group Health Association of America, Inc.; Jane Majcher, Health Insurance Association of America; James S.Roberts, Joint Commission on Accreditation of Healthcare Organizations; Frances Kay Cerjak and Francis Appel, National Association of Quality Assurance Professionals; Ruth Galten, National Association of Home Care; Richard E.Curtis and John Luehrs, National Governors Association; Jesse B.Barber, National Medical Association; and Lou Glasse, Older Women’s League. The contributions of the report’s authors should be acknowledged. The study director, Kathleen N.Lohr, had primary responsibility for the entire report. In addition, chapters for which members of the project staff were specifically responsible were as follows: Chapters 1 and 2, Jo Harris-Wehling; Chapters 3 and 4, Allison Walker; Chapter 5, Michael McGeary and Jo Harris-Wehling; Chapter 6, Kathleen Lohr; Chapters 7, 8, and 9, Molla Donaldson; Chapter 10, Kathleen Lohr, Molla Donaldson, and Jay Bautz; Chapter 11, Kathleen Lohr and Allison Walker; and Chapter 12, Kathleen Lohr. We also acknowledge the valuable support of project consultants Elaine Elinsky and Jay Bautz and our subcontractor for the focus groups, Mathew Greenwald & Associates, Inc. We are indebted to several members of the Institute of Medicine (IOM) professional staff. Marilyn Field provided considerable and timely assistance in the review and revision of several chapters of this report. The assistance and support throughout the study of Bradford Gray, formerly of the IOM and now at Yale University, was especially appreciated. Richard Rettig was particularly helpful in the early stages of planning and initiating the study. We also thank Alan Kaplan, an attorney and consultant in Washington, D.C., for assistance throughout the study and particularly with regard to the Medicare Peer Review Organization program, where he has many years of experience and great expertise. The Study to Design a Strategy for Quality Review and Assurance in Medicare would not have been possible without the dedicated efforts of several members of the IOM staff, including H.Donald Tiller, Administrative Assistant; Dorothy Sheffield, Administrative Secretary; Lisa Chimento, Financial Specialist; and Thelma Cox, Denise Grady, and Theresa Nally, Project Secretaries. Wallace Waterfall provided much helpful editorial advice. In addition, the unflagging support and guidance of Karl Yordy, Director of the Division of Health Care Services, deserves special mention.

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Medicare: A Strategy for Quality Assurance - Volume I Finally, support for this study was provided by the U.S. Department of Health and Human Services, Health Care Financing Administration. We thank John Spiegel and Harvey Brook, of the Health Standards and Quality Bureau, for helpful responses to our inquiries and requests during the study. In addition, we particularly wish to acknowledge the considerable assistance and guidance of the government’s project officer, Harry L.Savitt, of the Office of Research and Demonstrations.

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Medicare: A Strategy for Quality Assurance - Volume I Index

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