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Medicare: New Directions in Quality Assurance Proceedings (1991)
Institute of Medicine (IOM)

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. "Part 9: Response to the Institute of Medicine Report Recommendations." Medicare: New Directions in Quality Assurance Proceedings. Washington, DC: The National Academies Press, 1991.

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Medicare: New Directions in Quality Assurance

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.

REFERENCES

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

Page
154
Front Matter (R1-R10)
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)