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Suggested Citation:"Front Matter." 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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MEDICARE

New Directions in Quality Assurance

Proceedings of an Invitational Conference by the INSTITUTE OF MEDICINE

Division of Health Care Services

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

NATIONAL ACADEMY PRESS
Washington D. C.
1991

Suggested Citation:"Front Matter." 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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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.

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 conference 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 Catalog Card No. 90-63821

International Standard Book Number 0-309-04429-4

Additional copies of this report are available from:
National Academy Press
2101 Constitution Avenue, NW Washington, DC 20418

S274

Printed in the United States of America

Suggested Citation:"Front Matter." Institute of Medicine. 1991. Medicare: New Directions in Quality Assurance Proceedings. Washington, DC: The National Academies Press. doi: 10.17226/1768.
×

COMMITTEE TO DESIGN A STRATEGY FOR QUALITY REVIEW AND ASSURANCE IN MEDICARE

STEVEN A. SCHROEDER, Chair, Chief,

Division of General Internal Medicine, University of California, San Francisco, California

MARK R. CHASSIN,

Value Health Sciences, Santa Monica, California

LEO M. COONEY, Jr.,

Yale University School of Medicine and Yale-New Haven Hospital, New Haven, Connecticut

ROBERT B. COPELAND,

Georgia Heart Clinic, LaGrange, Georgia

CHARLES J. FAHEY,

Third Age Center, Fordham University, New York, New York

PAUL F. GRINER,

University of Rochester Medical Center and Strong Memorial Hospital, Rochester, New York

WILLIAM S. HOFFMAN,

Social Security Department, International Union, United Auto Workers, Detroit, Michigan

ROBERT L. KANE,

School of Public Health, University of Minnesota, Minneapolis, Minnesota

HAROLD S. LUFT,

Institute for Health Policy Studies, University of California at San Francisco, San Francisco, California

MAXWELL J. MEHLMAN,

The Law-Medicine Center, Case Western Reserve University School of Law, Cleveland, Ohio

MARIE MICHNICH,

American College of Cardiology, Bethesda, Maryland

MARILYN MOON,

Public Policy Institute, American Association of Retired Persons, Washington, D.C.

JAMES D. MORTIMER,

Midwest Business Group on Health, Chicago, Illinois

ALBERT G. MULLEY, Jr.,

General Internal Medicine Unit, Massachusetts General Hospital, Boston, Massachusetts

EDWARD B. PERRIN,

Department of Health Services, University of Washington, Seattle, Washington

MARGARET D. SOVIE,

Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania

LORING W. WOOD, NYNEX

Corporation, White Plains, New York

Suggested Citation:"Front Matter." Institute of Medicine. 1991. Medicare: New Directions in Quality Assurance Proceedings. Washington, DC: The National Academies Press. doi: 10.17226/1768.
×

STUDY STAFF

Division of Health Care Services

KARL D. YORDY, Director

KATHLEEN N. LOHR, Study Director

MOLLA S. DONALDSON, Associate Study Director

JO HARRIS-WEHLING, Staff Officer

ALLISON J. WALKER, Research Associate

H. DONALD TILLER, Administrative Assistant

THELMA COX, Senior Secretary

THERESA NALLY, Senior Secretary

Suggested Citation:"Front Matter." Institute of Medicine. 1991. Medicare: New Directions in Quality Assurance Proceedings. Washington, DC: The National Academies Press. doi: 10.17226/1768.
×

Acknowledgments

The contributions of several members of the Institute of Medicine staff deserve special mention. Theresa Nally, Senior Secretary for the project, both assisted with the conference and prepared the manuscript. Thelma Cox, Project Secretary, H. Donald Tiller, Administrative Assistant, Allison J. Walker, Research Associate on the study, and Wallace K. Waterfall, Director of the Office of Communications, also provided valuable assistance. The consistent and generous support of Karl D. Yordy, Director of the Division of Health Care Services, deserves special mention.

Support for the study was provided by the U.S. Department of Health and Human Services, Health Care Financing Administration. We acknowledge the assistance of the government's project officer, Harry L. Savitt of the Office of Research and Demonstrations. The Institute of Medicine provided partial support for this monograph through its discretionary funds.

Suggested Citation:"Front Matter." 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:"Front Matter." Institute of Medicine. 1991. Medicare: New Directions in Quality Assurance Proceedings. Washington, DC: The National Academies Press. doi: 10.17226/1768.
×

Contents

ACKNOWLEDGMENTS

 

v

PART I:
INTRODUCTION

 

 

1.

 

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

 

3

2.

 

The Institute of Medicine Report
Steven A. Schroeder

 

7

PART II:
NEW DIRECTIONS: MORE PROFESSIONALISM, LESS REGULATIONS

William S. Hoffman

 

17

3.

 

The Committee View
Leo M. Cooney, Jr.

 

18

4.

 

A Response
Lonnie R. Bristow

 

22

PART III:
NEW DIRECTIONS: ORGANIZATION- AND SYSTEM- FOCUSED QUALITY IMPROVEMENT

Loring W. Wood

 

29

5.

 

The Committee View
James D. Mortimer

 

31

6.

 

A Response
Chip Caldwell

 

37

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Suggested Citation:"Front Matter." 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:"Front Matter." 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:"Front Matter." 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:"Front Matter." 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:"Front Matter." 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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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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