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NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for this report were chosen for their special competencies and with regard for appropriate balance.

Volume I of this report has been reviewed by a group other than the authors according to procedures approved by a Report Review Committee consisting of members of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.

The Institute of Medicine was chartered in 1970 by the National Academy of Sciences to enlist distinguished members of the appropriate professions in the examination of policy matters pertaining to the health of the public. In this, the Institute acts under both the Academy’s 1863 congressional charter responsibility to be an adviser to the federal government and its own initiative in identifying issues of medical care, research, and education.

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.

Library of Congress Cataloging-in-Publication Data

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

Medicare: a strategy for quality assurance: a report of a study by a committee of the Institute of Medicine, Division of Health Care Services/Kathleen N.Lohr, editor.

p. cm.—(Publication IOM; 90–02)

“Committee to Design a Strategy for Quality Review and Assurance in Medicare”—P. following t.p. verso.

“This study was supported by the Health Care Financing Administration, U.S. Dept. of Health and Human Services, under cooperative agreement no. 17-C-991/3”—T.p. verso.

Includes bibliographical references.

ISBN 0-309-04230-5 (v. 1)

1. Medical care—United States—Quality control. 2. Medicare. I. Lohr, Kathleen N., 1941–. II. Institute of Medicine (U.S.). Committee to Design a Strategy for Quality Review and Assurance in Medicare. III. United States. Health Care Financing Administration. IV. Title. V. Series: IOM publication; 90–02.

[DNLM: 1. Health Insurance for Aged and Disabled, Title 18.

2. Quality Assurance, Health Care—United States. WT 30 I591m]

RA395.A3I56 1990

362.1’0973–dc20

DNLM/DLC

for Library of Congress 90–5787

CIP

Copyright © 1990 by the National Academy of Sciences

No part of this book may be reproduced by any mechanical, photographic, or electronic process, or in the form of a phonographic recording, nor may it be stored in a retrieval system, transmitted, or otherwise copied for public or private use, without written permission from the publisher, except for the purpose of official use by the United States government.

Printed in the United States of America



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