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Medicare New Directions in Quality Assurance Proceedings (1991) / Chapter Skim
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25. Where Do We Go From Here?
Pages 194-197

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Select key terms on the right to highlight them within pages of the chapter.


From page 194...
... The positions taken in the report that the quality of health care has been, and may continue to be, negatively influenced by cost containment pressures and that, therefore, quality should be addressed in a positive manner are an excellent beginning. I would like to review briefly the major mechanisms that are in place at present in the private sector and to some degree in the public sector to address the issue of maintenance of high quality of care.
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From page 195...
... Continuing effort to increase and update medical information for health professionals is one of the most potent means of assuring continual improvement in quality of care per se, but society will have to make the difficult decisions on the apportionment of resources to care for our citizens in the future, such as prenatal care compared to terminal care. Hospital Accreditation The environment for providing medical care, particularly for the hospitalized patient, is monitored and accredited primarily by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
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From page 196...
... In summary, the JCAHO is refocusing standards on key processes to include medication usage, infection control, systematic monitoring by using key indicators, and matching individual credentials with demonstrated performance. The traditional assessment of compliance with specific standards will continue and will be complemented by the collection, analysis, and feedback of data that reflect the actual performance of accredited organizations in undertaking key activities.
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From page 197...
... The primary suggestion that I have is to develop a strategy to encourage government agencies and private agencies, such as the JCAHO, to work together much as the Health Care Financing Administration and the JCAHO work together at present with a deemed status mechanism or as the LCME, the Residency Review Committees, and the specialty boards in the private sector carry out the quality assurance functions in medical education. I believe this would produce better results than government working alone.
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Key Terms

  • iom report
  • deemed status
  • adequate resources
  • clinical indicators
  • continuing medical

  • status mechanism
  • cost containment
  • monitoring quality
  • cooperative efforts
  • residency review

  • report calls
  • review committees
  • improved quality
  • adequate funding
  • major mechanisms

  • public sector
  • primary suggestion
  • medical student
  • care financing
  • continued improvement

  • systematic monitoring
  • program based
  • prenatal care
  • enable adequate
  • nonaccredited institutions

  • thereby lay
  • encourage government
  • using key
  • excellent recommendation
  • include medication


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