Skip to main content

Medicare New Directions in Quality Assurance Proceedings (1991) / Chapter Skim
Currently Skimming:

3. The Committee View
Pages 18-21

The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.


From page 18...
... Numerous charts are photocopied and sent off in entirety because they fail "quality screens." Letters and accusations pass back and forth with virtually no impact on the way in which we practice medicine. The quality review burden on providers is exacerbated by the large number of agencies that review care, including the state health department, Medicaid agency, PROs, and the Joint Commission on Accreditation of Healthcare Organizations, yet these agencies are unable to share information or review in a coordinated fashion.
Read the entire page →
From page 19...
... We recognize that this review will be difficult and challenging, but it will conform to the standards of review that health care professionals have used for the past century to determine the effectiveness of various medical, surgical, and preventive maneuvers. This emphasis on outcome will require cooperation and participation by health care professionals in the outcome process and analysis.
Read the entire page →
From page 20...
... RESPONSIVENESS TO OUTCOMES Health care professionals make many decisions throughout each day, decisions that are well-meaning and have substantial impact on the outcome of care. Medical research helps us with many of these decisions, such as giving us data about medical treatment versus observation for asymptomatic urinary tract infections.
Read the entire page →
From page 21...
... Furthermore, health care professionals have demonstrated the ability and desire to adjust their practice patterns when data point out the most effective patterns. We believe that the American health care system will achieve better results for its elderly patients if it encourages, stimulates, and rewards the motivation for caring that led many of us to enter the health care professions.
Read the entire page →

Key Terms

  • nursing facility
  • skilled nursing
  • fractured hips
  • care professions
  • care provided

  • professional review
  • final analysis
  • tract infections
  • practitioners versus
  • consulting physicians

  • energetic clinicians
  • joint commission
  • poor rehabilitation
  • review burden
  • care results

  • require cooperation
  • patient care
  • external agencies
  • university hospital
  • acute hospital

  • operative wound
  • spending hours
  • exceptional technical
  • practice care
  • postoperative care

  • american health
  • community hospitals
  • poor surgical
  • positive effect
  • complications resulting


    • This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
    More information on Chapter Skim is available.