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INSTI TUTE O F MEDI CINE
ADVANCING THE QUALITY O F HEALTH CARE:
KEY ISSUES AND FUNDAMENTAL PRINCIPLES
A Po] icy Statement by a
Committee of the Institute of Medicine
Augus t 19 7 4
National Academy of Sciences
Washington, D. C.
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NOTICE
This is the report of a project undertaken
with the approval of the Counci] of the Institute
of Medicine, National Academy of Sciences. Such
approval manifests the judgment that the project
is of national importance and appropriate both to
the purposes and professional resources of the
Institute of Medicine.
The members of the committee appointed to
conduct the project and prepare the report were
selected for recognized competence and with due
consideration for the balance of disciplines ap-
propriate to the project. Responsibility for the
substantive aspects of the report rests with that
committee.
Each report issuing from a study committee of
the Institute of Medicine is reviewed by an inde-
pendent group of qualified individuals according
to procedures established and monitored by the
National Academy of Sciences. Only upon satis-
factory completion of the review process is dis-
tribution of a report approved.
The Institute of Medicine was chartered in
1970 by the National Acadmey of Sciences to en-
list distinguished members of medical and other
professions for 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 ad-
visor to the Federal Government, and its own ini-
tiative in identifying issues of medical care,
research, and education.
2101 Constitution Ave., N.W., Washington, D.C. 20418
Area 202/389-6891
TOM Publication 74-04
.
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Committee to Develop a Policy Statement
on Mechanisms for Advancing the Quality of Health Care
MEMBERS
';Robert J. Haggerty, M.D. (chairman)
Professor and Chairman
Department of Pediatrics
The University of Rochester
School of Medicine and Dentistry
Rochester, New York
Robert H. Brook, M.D.
Medical Officer
National Center for Health
Services Research and
Development
Rockville, Maryland -
';E. L. Burwell, M.D.
Physician
Falmouth, Massachusetts
Rick J. Carlson
Consultant
West Village, Colorado
L. W. Coppleson, M.D.
Associate Professor
Division of Emergency Medicine
Pritzker School of Medicine
University of Chicago
Chicago, Illinois
Jay W. Friedman, D.D.S.
Dental Director
United States Administrators
Beverly Hills, California
David M. Kessner, M.D.
Director
Health Services Research Office
Georgetown University
Washington, D.C.
STAFF: Karl
Don
*Member of Institute of Medicine
#Resigned from the committee
.';Anne Kibrick, R.N., Ed.D.
Professor and Director
Department of Nursing
Boston State College
Boston, Massachusetts
Mildred A. Morehead, M.D.
Director, Evaluation Unit
Department of Community Health
Albert Einstein College of
Medicine
Bronx, New York
W. B. Nestler, M.D.
Medica] Coordinator
Overlook Hospital
Summit, New Jersey
Donald C. Riedel, Ph.D.
Professor of Public Health
(Medical Care)
Health Services Research
Program
Yale University
New Haven, Connecticut
'#Lawrence L. Weed, M.D.
Professor of Medicine
University of Vermont
School of Medicine
Burlington, Vermont
'Kerr L. White, M.D.
Professor
Department of Health Care
Organization
The Johns Hopkins University
School of Hygiene and Public
Health -
Baltimore, Maryland
D. Yordy
E. Detmer, M.D.
i
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