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1. Introduction
Pages 3-6

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From page 3...
... Lohr QUALITY OF CARE AND QUALITY ASSURANCE FOR MEDICARE At the twenty-fifth anniversary of the Medicare program, the Congress of the United States, the executive branch of the federal government, and indeed the entire country can be justifiably proud of the accomplishments of the program in expanding access to a generally high level of quality of care for the elderly. Near universal coverage by the Medicare program gives elderly people better access to health care than any other age group.
From page 4...
... The committee articulated several themes as the basis for the major redirection for a quality assurance program for Medicare. These included -- rip = enhancing professionalism, strengthening organizational systems for quality improvement, improving patient and practitioner decisionmaking, introducing a patient outcomes orientation to quality measurement, and evaluating quality assurance activities.
From page 5...
... , and a fourth called for expanded training for health professionals in quality assurance and research. A fifth recommendation called for reorganizing the current PRO program into a Medicare Program to Assure Quality; two related recommendations addressed implementation of that new effort.
From page 6...
... The first panel examined special issues in understanding the epidemiology of quality problems, responding to legal concerns, and translating the IOM report strategy beyond the Medicare program. The second panel addressed the research, training, and capacity building agendas called for in the study report.


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