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26. Where Do We Go From Here?
Pages 198-204

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From page 198...
... It has the intellectual base that brings together what has been fermenting, and it incorporates the beginnings of cultural change in the last decade and gives them form and substance. Second, the report gives a specific set of recommendations and a program for implementation that I think superbly reflect the realities of public program and government operation.
From page 199...
... We can measure things now accurately, reliably, and repeatedly that simply were not available in the past to be measured and incorporated into a quality assurance effort. Within the issue of outcomes, functional status, and satisfaction is another critical shift namely, a redressing of the balance between those of us who give care and those of us who receive it.
From page 200...
... This last decade makes the previous ones look like small potatoes. The wonderful results that will come out of current molecular biology and genetics research are glorious stuff.
From page 201...
... for congressional advice and oversight of the proposed Medicare Program to Assure Quality and (2) a National Council for Medicare Quality Assurance for the Department of Health and Human Services.
From page 202...
... Finally, the IOM highlights the need to conduct sponsored research, to build appropriate capacity, and to train appropriate people. There is a wonderful analogy to the National Institutes of Health.
From page 203...
... Institute of Medicine. Medicare: A Strategy for Quality Assurance.


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