Medicare New Directions in Quality Assurance Proceedings (1991) / Chapter Skim
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17. The Research Agenda: An Outside View
17. The Research Agenda: An Outside View
Pages 140-144
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From page 140... ...
THE NEED FOR RESEARCH Some questions can be asked now only because of past research findings. With respect to outcomes, for example, if physicians or organizations are going to interpret outcome information, can they be sure that the outcomes are not attributable to differences in case mix?
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From page 141... ...
Nothing ever happens to the quality measures developed in that study. Much more often, every day in this country, thousands, millions of dollars are being spent in windowless lower floors of hospitals and other places on quality assurance activities that nobody can learn anything from.
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From page 142... ...
Finally, with respect to structure or continuous improvement, we need to know whether outcomes affect continuous improvement, whether continuous improvement affects processes and outcomes, and so forth. In the IOM End-Stage Renal Disease Study, we are trying to put together some quality indicators.
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From page 143... ...
Many of you remember the days when office practices were not as high powered in terms of their automated billing systems. I think that we have to be imaginative about ways to get physicians involved in the quality assurance effort, without making them sullen, difficult, and unhappy.
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From page 144... ...
Medicare: A Strategy for Quality Assurance.
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