Medicare New Directions in Quality Assurance Proceedings (1991) / Chapter Skim
Currently Skimming:
2. The Institute of Medicine Report
2. The Institute of Medicine Report
Pages 7-14
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From page 7... ...
define quality of care, evaluate standards, describe current methods to measure, review, and assure quality, evaluate the adequacy of current methods for preventing, detecting and correcting problems of poor quality, . set up a research agenda, consider how coordination and supervision of quality at the national level should be done, and look at criteria for allocation of funds and personnel.
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FINDINGS Health Care and Health of the Elderly What did we find? Regarding the elderly themselves, there were no big surprises.
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We cannot put a percentage on them, but we think it is very important that quality-of-care systems focus on all of them, not just on one, and we are afraid that much of the current scrutiny on quality of care focuses only on poor technical performance. ——D -- — ———~—~ Approaches to Quality Assurance What have been the approaches to quality assurance?
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The current system of quality assurance does little to improve the behavior of the average provider. Peer Review Organizations What about the function of the Medicare Peer Review Organizations (PROs)
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So we felt that the opportunity was there to make explicit the goals and the directions of quality assurance. Capacity Building We were also asked to set forth our recommendations for a national quality assurance structure.
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Three explicit goals for the quality assurance system should be articulated: to improve continuously the quality of health care for enrollees; to strengthen the ability of health care organizations and practitioners to assess and improve their own performance; and to identify barriers to achieving quality of care and then see how we can overcome those barriers. Medicare Program to Assure Quality To achieve these goals, we recommended restructuring the PRO program.
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From page 13... ...
, to assist in implementation, operation, and evaluation of the MPAQ and to tackle difficult policy issues, for example, the release of quality data on individual hospitals or other providers. This is the kind of group that could take a look at that and say, "Yes, we think that the data are sufficiently strong to be released," or"No, let's reanalyze the data." We recommend that the Secretary report to Congress on quality of care for Medicare beneficiaries and on the effectiveness of the Medicare Quality Assurance Program—how well it is doing in meeting those three goals I mentioned earlier—at least every two years.
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From page 14... ...
Institute of Medicine. Medicare: A Strategy for Quality Assurance.
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