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24. A Peer Review Organization Response to the Institute of Medicine Report
Pages 186-190

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From page 186...
... NEW DIRECTIONS SUPPORTED BY THE PRO COMMUNITY The definition of quality of care is excellent and well reasoned; it includes not only the individual but also the community of patients, the community of consumers. Certainly any quality assurance program must be able to assess the impact of a medical intervention on patient health status.
From page 187...
... The American Medical Peer Review Association (AMPRA) believes that, both in the transition period when the data base is being developed and in the long term when the data base is operational, local physician peer review of medical records must continue to play a significant role in the program's ability to validate outcomes and to make final determinations about practitioner and provider performance.
From page 188...
... and for the Department of Health and Human Services (the National Council for Medicare Quality Assurance)
From page 189...
... One of the problems with institutions developing an effective, efficient quality assurance program has been that such programs are resource intensive. The PRO program currently is designed to feed back identified quality concerns to hospitals and direct the institution to take corrective action.


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