Effectiveness Initiative Setting Priorities for Clinical Conditions (1989) / Chapter Skim
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The Workshop
The Workshop
Pages 4-9
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From page 4... ...
The executive session focused on the final recommendations to be made to HCFA. Homework Exercise The homework exercise was conducted as a modified Delphi process, in which committee members completed two questionnaire sheets to classify and Hen rate potential clinical conditions as to Heir probable importance for the Effectiveness Initiative.
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They included all those listed above plus cardiovascular accident and stroke without TIA, depressive disorders, degenerative joint disease, and gastrointestinal bleeding. These conditions roughly one-~ird of He original list formed a core set on which initial discussions at He workshop were focused.
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Acute myocardial infarction Valvular heart disease Congestive heart failure Hypertension Bradycardia and conduction defects Tachycardia Aortic Aneurysm 8.a Abdominal 8.b Thoracic 9. Peripheral vascular disease 10.
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Prostatic hyperplasia/trophy Breast cancer Uterine cancer Colorectal cancer Stomach cancer 40. Leukemia/lymphoma X
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It focused specifically on coronary artery bypass graft surgery and balloon angioplasty, win special emphasis on risk factors predictive of dead or of rehospitalization. PREMISES OF THE CLINICAL WORKSHOP In discharging its responsibilities, the committee based its deliberations on several premises and understandings Mat form the context for our specific recommendations.
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From page 9... ...
We assume existing HCFA data alone cannot answer all questions that might arise from the Initiative; Hey can, however, identify many problems warranting greater investigation. Thus, we expect that HCFA will undertake to gamer information on outpatient encounters on a diagnosis-speci~c basis.
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