Medicare A Strategy for Quality Assurance, Volume II: Sources and Methods (1990) / Chapter Skim
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1. Overview of the Study to Design a Strategy for Quality Review and Assurance in Medicare
1. Overview of the Study to Design a Strategy for Quality Review and Assurance in Medicare
Pages 1-6
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Moreover, the growth of for-profit enterprises and of commercialism is seen as leading to possible conflict between physicians and patients. Finally, and perhaps most germane, continuing increases in health expenditures and in the rate at which they rise have led to momentous changes in the health care environment, and these changes have conflicting implications for quality of care and quality assurance.
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To this end, a Technical Advisory Panel (TAP) was appointed early in the study, with representatives from the following groups: American Health Care Association; American Hospital Association; American Medical Association; American Medical Review Research Center; American Nurses Association; Blue Cross and Blue Shield Association; Group Health Association of America; Health Insurance Association of America; Joint Commission on Accreditation of Healthcare Organizations; National Association for Home Care; National Association of Quality Assurance Professionals; National Governors Association; National Medical Association; and Older Women's League.
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The study committee placed considerable importance on developing a definition of `'quality of care" that would guide their thinking about a Medicare quality assurance program. Testimony from the public hearings, among other sources, provided many ideas and proposals for such a definition.
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~ . In Amenca Strengths and Weaknesses of Health Insurance Data Systems for Assessing Quality Reflections on the Effectiveness of Quality Assurance Quality Assurance: Ethical Considerations Issues Related to Quality Review and Assurance in Home Heals Care Study on International Aspects of Quality Assurance Considerations in Defining Quality in Health Care Quality of Care for Older People in America Andrew Heath Smith Maxwell Mehlman Margaret O'Kane Norma Lang Janet Kraegel Leslie L
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Much of the value of the site visits was in learning about and being able to document the wide variety of quality assessment and quality assurance activities being conducted throughout the country. To give a sense of the richness of the efforts beyond the Medicare program, Chapter 6 presents an extensive sampler of methods, instruments, and tools drawn from the site visits, the published literature, and other sources.
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From page 6... ...
The complexities of quality assessment and quality assurance in conceptualization and in practical application are such that much of the study committee's final report (Volume I) was oriented to those issues.
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