National Academies Press: OpenBook

Medicare: New Directions in Quality Assurance Proceedings (1991)

Chapter: Part 10: Where Do We Go From Here?

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Suggested Citation:"Part 10: Where Do We Go From Here?." Institute of Medicine. 1991. Medicare: New Directions in Quality Assurance Proceedings. Washington, DC: The National Academies Press. doi: 10.17226/1768.
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PART X
Where Do We Go From Here?

Suggested Citation:"Part 10: Where Do We Go From Here?." Institute of Medicine. 1991. Medicare: New Directions in Quality Assurance Proceedings. Washington, DC: The National Academies Press. doi: 10.17226/1768.
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Suggested Citation:"Part 10: Where Do We Go From Here?." Institute of Medicine. 1991. Medicare: New Directions in Quality Assurance Proceedings. Washington, DC: The National Academies Press. doi: 10.17226/1768.
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Where Do We Go From Here?

Introduction

Molla S. Donaldson, Jo Harris-Wehling, and Kathleen N. Lohr

The final part of the proceedings asks about the next steps in implementing the recommendations of the Institute of Medicine report. In closing the conference, two presenters, Ceylon S. Lewis, Jr. and Jerome H. Grossman, provided thoughtful and vigorous support for the report.

Dr. Lewis, who is in the private practice of internal medicine in Tulsa, Oklahoma, also serves on the Board of the Joint Commission on Accreditation of Healthcare Organizations. In his commentary, he reviews major mechanisms in place in the private and public sector to maintain high quality of care such as medical education, board certification, and hospital accreditation. He also comments on the IOM's 10 recommendations and how these might be accomplished by joint efforts of the public and private sectors.

Dr. Grossman is the Chairman and Chief Executive Officer of the New England Medical Center in Boston. He sees the strategy as a "mid-course correction" in the Medicare program, and the maturation of outcomes and health status measures and the involvement of patients in their care as critical to making the shift to a broader definition of quality and outcome. He calls for a long-term investment in quality to develop a national strategy beyond Medicare.

Suggested Citation:"Part 10: Where Do We Go From Here?." Institute of Medicine. 1991. Medicare: New Directions in Quality Assurance Proceedings. Washington, DC: The National Academies Press. doi: 10.17226/1768.
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Page 191
Suggested Citation:"Part 10: Where Do We Go From Here?." Institute of Medicine. 1991. Medicare: New Directions in Quality Assurance Proceedings. Washington, DC: The National Academies Press. doi: 10.17226/1768.
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Page 192
Suggested Citation:"Part 10: Where Do We Go From Here?." Institute of Medicine. 1991. Medicare: New Directions in Quality Assurance Proceedings. Washington, DC: The National Academies Press. doi: 10.17226/1768.
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Page 193
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Medicare: New Directions in Quality Assurance Proceedings Get This Book
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This book contains chapters and commentaries by members of the Institute of Medicine (IOM) committee and by outstanding practitioners, researchers, legislators, and policymakers about the IOM's proposals for new directions in quality assurance as specified in Medicare: A Strategy for Quality Assurance, Volumes 1 and 2.

Sections of this new book address ideas about how to move toward increasing professionalism, implementing orgranization and system-focused quality improvement, better decision making by patients and clinicians, patient outcomes orientation, and public accountability and program evaluation. Other sections explore research questions and capacity building in the field of quality assessment and improvement, the epidemiology and quality problems, and legal issues in quality assessment.

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