Advancing The Quality of Health Care A Policy Statement (1974) / Chapter Skim
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4 The Implications of the Principles for the PSRO Program
4 The Implications of the Principles for the PSRO Program
Pages 47-52
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From page 47... ...
The committee recommends that no quality assurance program be established which extends beyond a natural ''medical trade" area. ation-Based Data, Recommendation, page 9 The PSRO legislation provides for review of care provided only to patients receiving care.
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From page 48... ...
Relating Processes to Outcomes, Recommendation, Page 22 The PSRO legislation does not deal with the relationship between processes and outcomes in a quality assurance program. The committee recommends that carefully designed research studies be fostered to causally relate process and structural factors to outcome.
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From page 49... ...
data for use in quality assurance activities as well as other purposes be recorded only once; (b) all health data be uniform with respect to terms, definition of terms, and classifications; and (c)
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From page 50... ...
The committee recommends that the Federal government bear the total cost of establishing quality assurance systems, but that local users, such as providers, third-party payers, and planning agencies be required to share substantially in the operating costs of the program.
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The committee recommends that quality assurance legislation serve primarily an educational purpose to improve provider performance rather than as a device to punish professional behavior not in compliance with the legislation. The committee also stresses the importance of positive incentives and the use of graduated sanctions.
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From page 52... ...
Other Federal agencies should fund basic research related to quality assurance. Third, the committee recommends that the Federal agency with the responsibilaty for quality assurance possess the authority to determine the needs for and control the use of data about provider performance and that such agency also possess the power to assure that policies for payment to-providers under all Federal.health care financing programs support the actions of quality assurance programs in administering sanctions.
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