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AHCPR, an agency that was created in November 1989. She provides an overview of the plans of the new agency and how they correspond with the IOM report's broad recommendations concerning basic, applied, and diffusion of research.

Mr. Morford, Director of HCFA's Health Standards and Quality Bureau and an experienced federal bureaucrat, gives the response for the agency that is presumptively most affected by the IOM report. He focuses on new directions of the PRO program as they reflect recommendations and implications of the IOM report.

Dr. Moncrief is President and Medical Director of California Medical Review, Inc. (the California PRO) and President of the American Medical Peer Review Organization; before holding these posts he had a long career in the practice of surgery. His authoritative view of the reaction of the PRO community reflects support for the "new directions" proposed in the IOM report, but it also stresses the continuing need for individual record review and for retaining sanctions in cases where they are needed.


Institute of Medicine. Medicare: A Strategy for Quality Assurance. Volumes I and II. Lohr, K.N., ed. Washington, D.C.: National Academy Press, 1990.

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