National Academies Press: OpenBook
« Previous: Appendix D: Selected Agency Websites
Suggested Citation:"Index." Institute of Medicine. 2003. Leadership by Example: Coordinating Government Roles in Improving Health Care Quality. Washington, DC: The National Academies Press. doi: 10.17226/10537.
×

Index

A

Accountability, 2, 24, 26

see also Outcome measures;

Performance measures

clinical quality measurement, 4, 26, 58, 84, 110, 139

diabetes care, 158-161

Advisory Commission on Consumer Protection and Quality in the Health Care Industry, 24

Advisory Committee on Regulatory Reform, 49, 87

Age factors

see also Children;

Elderly persons;

Medicare;

State Children’s Health Insurance Program

Medicaid beneficiaries, 33, 34, 35, 49

TRICARE, 35-36

Agency for Healthcare Research and Quality (AHRQ), 6, 7-8, 13, 14, 17, 59, 70, 72, 74, 83, 129, 131-135, 138, 142, 143, 147, 150

Consumer Assessment of Health Plans (CAHPS), 62, 66-67, 68, 69, 70-71, 83, 84, 85, 92, 96-99 (passim), 121, 133-134, 136, 138, 141

information technology, 109, 125

AIDS, see HIV/AIDS

American Board of Internal Medicine, 39-40

American College of Physicians, 39-40

American Health Quality Association, 171

American Hospital Association (AHA), 49

American Indians, see Indian Health Service;

Native Americans

American Medical Association, 85(n.2)

American National Standards Institute, 171

American Society of Internal Medicine, 40

Association for Ambulatory Health, 64

Attitudes and beliefs, 25, 37-41

Consumer Assessment of Health Plans (CAHPS), 62, 66-67, 68, 69, 70-71, 83, 84, 85, 92, 96-99 (passim), 121, 133-134, 136, 138, 141

patient-centered care, 37, 39-41, 48

B

Balanced Budget Acts, 49, 68, 96

Beliefs, see Attitudes and beliefs

Benchmarking, 12, 13, 67, 72, 101

information capabilities, 109

research on, 134

State Children’s Health Insurance Program (SCHIP), 97

Veterans Health Administration (VHA), 70

Best practices, 7, 8, 13, 56, 57, 58, 101

information technology, 109

Suggested Citation:"Index." Institute of Medicine. 2003. Leadership by Example: Coordinating Government Roles in Improving Health Care Quality. Washington, DC: The National Academies Press. doi: 10.17226/10537.
×

Blue Shield, 48

Bureau of Health Professions, 60

Bureau of Primary Health Care, 60

Buyers Health Care Action Group, 47

C

Cancer, 24, 86, 91, 99, 137

National Cancer Institute, 134, 138-139

Cancer Care Outcomes and Surveillance Consortium, 138-139

Capitation, 44-45, 59

Cardiac disease, 69, 86, 90, 91, 94, 99, 134, 136, 139

Centers for Disease Control and Prevention, 59, 72, 130, 134, 137, 139

Centers for Medicare and Medicaid Services (CMS), 3, 17, 18, 64, 65, 66, 68-69, 72, 97

see also Medicaid;

Medicare;

State Children’s Health Insurance Program

End Stage Renal Disease Networks, 3, 85, 93

information technology, 117, 120

Medical Statistical Information Set, 114

Outcome Assessment and Information Set (OASIS), 84, 86, 87, 95

performance measures, other, 81, 85, 86, 87-95, 96, 103, 133

Quality Improvement System for Managed Care, 66

research agenda, 133, 134, 135-137, 139

Centers of Excellence, 68, 69, 72

Centralized Quality Assurance System, 168

Children

see also State Children’s Health Insurance Program

Indian Health Service (IHS), 100

Medicaid, 33, 34, 35, 49

Chronic conditions, 44, 145

see also Diabetes;

Disabled persons;

Institutional care;

Nursing homes

capitation, 44-45, 59

cardiac, 69, 86, 90, 91, 94, 99, 134, 136, 139

expectations and needs of beneficiaries, 37-39

Medicaid, 33-34, 42

Medicare, 29-32, 33, 38, 42-43, 69

obesity, 40, 99

patient-centered care, 40

renal disease, 3, 29, 85, 93, 95

State Children’s Health Insurance Program (SCHIP), 43

veterans, 38, 43, 44, 99

Chronic Disease Care Index, 99

Clinical performance measures, 4, 26, 58, 84, 110, 139

Common procedure terminology, 163

Composite Health Care System, 115, 167

Computer technology, general, 4-5, 8, 11-13, 56, 74, 108-128, 132

see also Internet

Agency for Health Care Research and Quality, 109, 125

architecture of systems, 12, 70, 112, 162, 163-169 (passim)

Department of Defense, 4-5, 11, 26, 117

Indian Health Service (IHS), 48, 109, 116, 120

medical errors, 108, 113, 114, 121, 165-166, 168-169

Medicare, 108, 113-114

State Children’s Health Insurance Program (SCHIP), 5, 108, 113

tax credits, 12, 108, 119-120

TRICARE, 5, 108-109, 113, 114, 116, 162, 166, 169

Veterans Health Administration, 4-5, 26, 109, 114-116, 120, 139-141, 162-166

Computerized patient record systems, 4-5, 11-13, 67, 75-76, 80, 109, 110-112, 114-118, 164-169 (passim)

confidentiality and privacy, 13-14, 16, 49, 109, 112, 125

Department of Defense, 4-5, 11, 26, 117

hospitals, 110-111

incentives for adopting, 12, 108, 109, 112, 118, 119-120, 121

Indian Health Service (IHS), 48, 109, 116, 120

Internet, 109, 116, 121, 169

pharmaceuticals, 110-111

purchasing strategies, 68

standardization, 110, 111, 112-113, 117

Computerized patient records, 4-5, 8, 11-13, 39, 108-110, 145, 162-169 (passim)

Suggested Citation:"Index." Institute of Medicine. 2003. Leadership by Example: Coordinating Government Roles in Improving Health Care Quality. Washington, DC: The National Academies Press. doi: 10.17226/10537.
×

Confidentiality and privacy, 13-14, 16, 49, 109, 112, 125

CONQUEST, 132

Consolidated Health Informatics Initiative, 113, 117

Consolidated Omnibus Reconciliation Act, 66

Consumer Assessment of Health Plans (CAHPS), 62, 66-67, 68, 69, 70-71, 83, 84, 85, 92, 96-99 (passim), 121, 133-134, 136, 138, 141

Consumer input, general, 6, 71, 74, 75

Consumer Assessment of Health Plans (CAHPS), 62, 66-67, 68, 69, 70-71, 83, 84, 85, 92, 96-99 (passim), 121, 133-134, 136, 138, 141

insurance, information capabilities, 109

patient-centered care, 37, 39-41, 100, 130, 135, 145-146

program design and administration, 48

Contracting, 3, 36, 48, 59, 61, 65, 67, 68, 71, 85, 88, 93, 103, 118-120

Copayments, 42-43, 44, 47

Cost factors, 1

see also Economic factors;

Funding

capitation, 44-45, 59

clinical records, 110

copayments, 42-43, 44, 47

information technology, 110, 112

Outcome Assessment and Information Set (OASIS), 87

research on, 131

risk adjustment, 45, 59, 67-68, 85-86, 101, 140-141, 149

TRICARE, 36

Crossing the Quality Chasm: A New Health System for the 21st Century, 2, 24

Cultural factors, 100

patient-centered care, 40-41

D

Defense Blood Standard System, 167

Defense Medical Logistics Standard Support System, 167-168

Demonstration projects, 16, 59, 68-69, 79-80, 111, 135-137, 141

Department of Defense

see also TRICARE

health information systems, 4-5, 11, 26, 117

Military Health System (MHA), 115-116, 120, 166-169

Military treatment facilities, 36

performance measures, 9, 79

Department of Health and Human Services (DHHS), 9, 134

see also Centers for Medicare and Medicaid Services;

Indian Health Service;

Medicaid;

Medicare;

State Children’s Health Insurance Program

Advisory Committee on Regulatory Reform, 49, 87

Agency for Healthcare Research and Quality (AHRQ), 6, 7-8, 13, 14, 17, 59, 70, 72, 74, 83, 129, 131-135, 138, 142, 143, 147, 150

Consumer Assessment of Health Plans (CAHPS), 62, 66-67, 68, 69, 70-71, 83, 84, 85, 92, 96-99 (passim), 121, 133-134, 136, 138, 141

information technology, 109, 125

Food and Drug Administration, 72

Health Resources and Services Administration, 137-138, 139, 141

National Cancer Institute, 134, 138-139

National Health Care Purchasing Institute, 46-47

National Heart, Lung, and Blood Institute, 139

National Institute of Diabetes and Digestive and Kidney Diseases, 139

National Institutes of Health (NIH), 59, 60, 130, 138-139, 142

performance measures, 9, 10, 79, 86(n.3), 87, 101

Department of Veterans Affairs

see also Veterans Health Administration

computerized clinical data, 11

dual eligibility, 29

performance measures, 9, 79

regulatory issues, 58, 60, 64, 65

research agenda, 139

Diabetes, 136, 139, 141, 158-161

Diabetes Quality Improvement Project (DQIP), 26, 80, 82, 83-85, 125, 135, 141

Internet information, 40

Medicaid, 34, 39

Suggested Citation:"Index." Institute of Medicine. 2003. Leadership by Example: Coordinating Government Roles in Improving Health Care Quality. Washington, DC: The National Academies Press. doi: 10.17226/10537.
×

Medicare, 86, 91

performance, 26, 80, 82, 83-85, 158-161

Translating Research into Action for Diabetes, 137

veterans, 99

Diabetes Research and Training Centers, 139

Dialysis, see End Stage Renal Disease Networks

Digital Imaging and Communications in Medicine

Disabled persons

see also Chronic conditions

expectations and needs of beneficiaries, 37-39

veterans, 35, 43

Drugs, see Pharmaceuticals

Dual eligibility, 9, 29

E

Economic factors, 2, 6, 21, 28

see also Cost factors;

Funding;

Insurance;

Poverty;

Tax policy

beneficiaries/expenditures, 3, 21, 29, 30-33

capitation, 44-45, 59

contracting, 3, 36, 48, 59, 61, 65, 67, 68, 71, 85, 88, 93, 103, 118-120

incentives, 2, 6, 11-12, 16, 18, 44, 58, 75

alternative payment models, 146-147

chronic conditions, 38

fee-for-service, 46-48

grants, 12, 35, 69, 108, 118, 119-120

information technology, 12, 108, 109, 112, 118, 119-120, 121

performance measures, 58-59, 67, 134, 146-147

information technology, 12, 108-112 (passim), 118, 119-120, 121

purchasing strategies, 7, 8, 10, 22, 23, 48, 56, 58, 59, 60, 67-69, 74-75

Education, see Patient education;

Professional education;

Public education

Educational attainment

Indian Health Service enrollees, 37

Elderly persons

Medicaid, 34, 43, 66

Emergency care

TRICARE, 36

Emergency Medical Treatment and Active Labor Act, 89

Employers’ Coalition on Health, 47

End Stage Renal Disease Networks, 3, 85, 93, 95

European Federation of Internal Medicine, 40

External Quality Review Organizations (EQRO), 62, 65-67, 84, 86(n.4), 92

F

Federal Employees Health Benefits Program, 69

Federal Health Information Exchange, 117

Fee-for-service, 4, 45-48

design and administration, 48-49

historical perspectives, 23-24

Medicare, 50, 62, 66, 68, 69, 88, 113

performance measures, 45-46, 47-48

physicians, 45-46

quality improvement organizations (QIOs), 3, 17, 66, 88-93, 103, 113-114, 133-134, 136

Females, see Gender factors

Food and Drug Administration, 72

Foundation for Accountability, 80

Funding, 1, 5, 7, 28, 86, 103

see also Cost factors

End Stage Renal Disease Network, 93

grants, 12, 35, 69, 108, 118, 119-120

Indian Health Service (IHS), 44

Medicaid, 33

Medicare, 103

performance measures, 83

professional training, 60

quality improvement organizations (QIOs), 89

research, 7, 130, 131

G

Gender factors, 100

Medicaid, 49

General Motors, 48

Geographic factors, 24, 95, 100, 101

see also State-level issues

computerized patient records, 111, 125

nursing homes, 95

Grants, 12, 35, 69, 108, 118, 119-120

Suggested Citation:"Index." Institute of Medicine. 2003. Leadership by Example: Coordinating Government Roles in Improving Health Care Quality. Washington, DC: The National Academies Press. doi: 10.17226/10537.
×

H

Handicapped persons, see Disabled persons

Health Care Financing Administration, see Centers for Medicare and Medicaid Services

Health Care Quality Improvement Program, 144

Health Insurance Portability and Accountability Act, 112, 125

Health maintenance organizations

Medicare, 30

Health Outcomes Survey (HOS), 62, 85, 92

Health Plan Employer Data and Information Set (HEDIS), 17, 62, 66, 68, 69, 70, 71, 84, 85, 92, 96, 97, 98, 113, 121

Health Resources and Services Administration, 137-138, 139, 141

Healthcare Research and Quality Act, 2, 22

Heart disease, see Cardiac disease

Hill-Burton Act, 119

Historical perspectives, 23-24

Internet, 121

performance measures, 81

regulatory issues, 58, 61, 66-67:

see also Legislation

HIV/AIDS, 138

Home health care, 38, 39, 42, 50, 65, 66, 92-93, 95

Hospitals, 12, 38

claims data, 110

computerized patient records, 110-111

Indian Health Service (IHS), 37

insurance, 41, 48, 49

Medicare, 91

performance measures, 4, 58, 66, 86, 91, 94, 122

veterans, 35, 99

Human immunodeficiency virus/acquired immunodeficiency syndrome, see HIV/AIDS

I

Incentives, 2, 6, 11-12, 16, 18, 44, 58, 75

see also Tax policy

alternative payment models, 146-147

chronic conditions, 38

fee-for-service, 46-48

grants, 12, 35, 69, 108, 118, 119-120

information technology, 12, 108, 109, 112, 118, 119-120, 121

performance measures, 58-59, 67, 134, 146-147

Indian Health Service (IHS), 36-37, 71

beneficiaries/expenditures, 3, 31, 37

children, 100

committee study charge, 1, 22

design and administration, 48

diabetes, 70, 71

dual eligibility, 29

hospitals, 37

information capabilities, 48, 109, 116, 120

Medicare/Medicaid and, 64

performance measures, 84, 99-100

regulatory issues, 60, 64, 65, 70

Information technology, see Internet

Institutional care, 9

see also Hospitals

DOD TRICARE, 31

insurance, general, 42

Medicaid, 33, 43, 95

Medicare, 85-86, 95

nursing homes, 3, 35, 38, 41, 42, 50, 68, 83, 85-86, 88, 95

performance measures, 85-86, 93, 95

regulatory issues, 50, 95

standards, 2, 9, 22

veterans, 35, 36

Insurance, 41-44

see also Fee-for-service;

Health maintenance organizations;

Managed care;

Medicaid;

Medicare;

State Children’s Health Insurance Program

alternative payment models, 146-147

capitation, 44-45, 59

chronic conditions, 42

claims data, 110

copayments, 42-43, 44, 47

design and administration, 48-49

dual eligibility, 9, 29

hospitalization, 41, 48, 49

institutional care, 42

medical errors, 48

risk adjustment, 45, 59, 67-68, 85-86, 101, 140-141, 149

performance measures, 58, 110

pharmaceuticals, 42

Interdisciplinary approaches, see Multidisciplinary approaches

Suggested Citation:"Index." Institute of Medicine. 2003. Leadership by Example: Coordinating Government Roles in Improving Health Care Quality. Washington, DC: The National Academies Press. doi: 10.17226/10537.
×

Internet

agency sites, selected list of, 171

clinical information retrieval, 109, 116, 121, 169

diabetes, 40

End Stage Renal Disease Network, 93, 95

patient-centered care, 40-42, 166, 169

regulatory issues, 65

J

Joint Commission on Accreditation of Healthcare Organizations (JCAHO), 64, 65, 69, 71, 80, 85, 99, 103

ORYX, 93, 94

K

Keystone Peer Review Organization, 67

Kidney disease, see Renal disease

L

Leapfrog Group, 10, 80, 101, 103

Legislation, 8, 72, 73, 103

see also Regulatory issues

Balanced Budget Acts, 49, 68, 96

Consolidated Omnibus Reconciliation Act, 66

Emergency Medical Treatment and Active Labor Act, 89

End Stage Renal Disease Network, 93

Health Insurance Portability and Accountability Act, 112, 125

Healthcare Research and Quality Act, 2, 22

Hill-Burton Act, 119

Medicaid, general, 66

Medicare, general, 3, 66

Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act, 86

M

Males, see Gender factors

Malpractice, see Medical errors and malpractice

Managed care, 33

design and administration, 48-49

health maintenance organizations, 30

Medicaid, 33, 45

Medicare, 30, 62-63, 66-67, 88

State Children’s Health Care Program, 35

Massachusetts General Hospital Utility Multi-Programming System, 163

Medicaid, 17, 32-34, 73, 138

see also Centers for Medicare and Medicaid Services

beneficiaries/expenditures, 3, 30-34

benefits and copayments, 43

capitation, 45

children, 33, 34, 35, 49

chronic conditions, 33-34, 42

committee study charge, 1, 22

design and administration, 49

diabetes, 34, 39

elderly persons, 34, 43, 66

eligibility, 32, 34

fee-for-service, 66, 113-114

gender factors, 49

information capabilities, 108, 113-114

institutional care, 33, 43, 95

managed care, 33, 62-63, 66-67, 96, 97

Medicare participants, 29

performance measures, 4, 58, 62, 80, 81, 84, 96-97, 103, 138, 146

pharmaceuticals, 43

quality improvement organizations (QIOs), 3, 17, 66, 88-93, 103, 113-114, 133-134, 136

regulatory issues, 58, 60, 61, 62-63, 66-67

Medicaid Management Information System, 114

Medical errors and malpractice, 2, 4-7 (passim), 24, 25, 28, 82, 101-102

consumer awareness of, 6, 7

federal agency coordination in rectification, 60, 66, 67, 71, 72, 74

information technology and, 108, 113, 114, 121, 165-166, 168-169

insurers and, 48

program participation standards, 61

research on, 12, 24, 130, 131-132, 139-140

standards, 65

Medical Expenditure Panel Survey, 31

Medical Statistical Information Set, 114

Medicare, 29-32, 133, 144

see also Centers for Medicare and Medicaid Services

Suggested Citation:"Index." Institute of Medicine. 2003. Leadership by Example: Coordinating Government Roles in Improving Health Care Quality. Washington, DC: The National Academies Press. doi: 10.17226/10537.
×

beneficiaries/expenditures, 3, 29-30, 33

benefits and copayments, 42-43, 44

chronic conditions, 29-32, 33, 38, 42-43, 69

committee study charge, 1, 22

design and administration, 48, 49, 50

diabetes, 86, 91

fee-for-service, 50, 62, 66, 68, 69, 88, 113

health maintenance organizations, 30

hospitals, 91

information capabilities, 108, 113-114

institutional care, 85-86, 95

managed care, 30, 62-63, 66-67, 88

Medicaid participants, 29

mental diseases and disorders, 32, 42

performance measures, 3, 4, 58, 68, 80, 81, 84, 88-95, 103

pharmaceuticals, 36, 49

purchasing strategies, 68

quality improvement organizations

(QIOs), 3, 17, 66, 88-93, 103, 113-114, 133-134, 136

regulatory issues, 58, 60-69 (passim), 73, 88

renal disease, 29, 85, 93, 95

Scope of Work (SOW), 89, 90, 93, 97

Medicare+Choice (M+C), 30, 48, 49, 50, 58, 66, 68, 88, 90, 93

Medicare Coordinated Demonstration Projects, 111

Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act, 86

Mental diseases and disorders, 42-43, 100

Medicare recipients, 32, 42

Military Health System (MHA), 115-116, 120, 166-169

Military personnel, see Department of Defense;

TRICARE

Military treatment facilities, 36

Minimum data set (MDS), 85-86, 95

Minority groups, see Race/ethnicity

Multidisciplinary approaches

patient-centered care, 40

My Healthy Vet program, 115, 166

N

National Cancer Institute, 134, 138-139

National Center for Patient Safety, 71

National Committee for Quality Assurance (NCQA), 17, 45, 66, 69, 80, 85(n.2), 96, 103, 123

National Committee on Vital and Health Statistics, 171

National Council for Prescription Drug Programs, 171

National Diabetes Quality Improvement Alliance, 85(n.2)

National Health Care Purchasing Institute, 46-47

National Healthcare Quality Report, 10

National Heart, Lung, and Blood Institute, 139

National Institute of Diabetes and Digestive and Kidney Diseases, 139

National Institutes of Health (NIH), 59, 60, 130, 138-139, 142

Agency for Healthcare Research and Quality (AHRQ), 6, 7-8, 13, 14, 17, 59, 134

National Mail Order Pharmacy Program, 167

National Measures Clearinghouse, 132

National Medicare Education Program, 68

National Patient Information Reporting System, 116

National Quality Forum (NQF), 80, 85(n.2), 101, 103

National Quality Report, 134

National Roundtable on Health Care Quality, 24

National Surgical Quality Improvement Program, 71, 99

Native Americans, 29

see also Indian Health Service

Nursing homes, 3, 35, 38, 41, 42, 50, 68, 83, 85-86, 88, 95

O

Obesity, 40, 99

ORYX, 93, 94

Outcome Assessment and Information Set (OASIS), 84, 86, 87, 95

Outcome measures, general, 22, 23, 75, 80, 81, 82, 84

see also Medical errors and malpractice;

Performance measures

Suggested Citation:"Index." Institute of Medicine. 2003. Leadership by Example: Coordinating Government Roles in Improving Health Care Quality. Washington, DC: The National Academies Press. doi: 10.17226/10537.
×

diabetes, 26

design and administration, 48-49, 83, 84

research on, 132-133, 136, 140-141

Outcomes-Based Quality Improvement Technology, 136

P

PacifiCare, 47

Patient education, 6, 18, 22, 74, 122, 140, 147-150

see also Patient-centered care;

Public education

diabetes, 39

Internet, 40-41

Medicare, 43

Patient Outcomes Research Team, 132

Patient Safety Centers of Inquiry, 139-140

Patient Safety Data Standards, 113

Patient-centered care, 37, 39-41, 100, 130, 135, 145-146

Consumer Assessment of Health Plans (CAHPS), 62, 66-67, 68, 69, 70-71, 83, 84, 85, 92, 96-99 (passim), 121, 133-134, 136, 138, 141

Internet, 40-42, 166, 169

physicians, 39-40

Performance measures, 2-4, 6, 7, 9, 11, 13, 25, 58-59, 67, 71, 74, 79-107

see also Benchmarking;

Medical errors and malpractice;

Outcome measures;

Reporting requirements

analysis of data, 26

best practices, 7, 8, 13, 56, 57, 58

Centers for Medicare and Medicaid Services (CMS), 81, 85, 86, 87-95, 96, 103, 133

clinical, 4, 26, 58, 84, 110, 139

Department of Defense, 9, 79

diabetes care, 26, 80, 82, 83-85, 158-161

fee-for-service, 45-46, 47-48

hospitals, 4, 58, 66, 86, 91, 94, 122

incentives for adopting, 58-59, 67, 134, 146-147

Indian Health Service (IHS), 84, 99-100

information technology and, 109, 110-112, 122-125

institutional care, 85-86, 93, 95

insurance, 58, 110

Medicaid, 4, 58, 62, 80, 81, 84, 96-97, 103, 138, 146

Medicare, 3, 4, 58, 68, 80, 81, 84, 88-95, 103

participation standards, 61-65

physicians, 58, 61, 64, 91

purchasing strategies, 67-68

research on, 132-145 (passim)

small-practice settings, 145

standardized, 4, 6, 9, 10-11, 14-15, 26, 101-104, 110, 117, 129, 144

State Children’s Health Insurance Program (SCHIP), 4, 58, 62, 67, 84, 87, 97, 103-194

state-level issues, 3, 4, 59, 81, 96-97, 103

TRICARE, 84, 100

types of, 81-82

Veterans Health Administration (VHA), 84, 99, 163, 165-166

Pharmaceuticals

computerized patient records, 110-111

Medicaid, 43

Medicare, 36, 49

insurance, general, 42

State Children’s Health Insurance Program (SCHIP), 34

TRICARE, 36, 167

Pharmacy Data Transaction Service, 167

Physicians, 26

capitation, 44-45

fee-for-service, 45-46

licensure, 61, 64

patient-centered care, 39-40

performance measures, 58, 61, 64, 91

Poverty, 100

see also Medicaid;

State Children’s Health Insurance Program

Indian Health Service (IHS), 37

Preventive care

chronic conditions, 38

fee-for-service, 46

TRICARE, 36

Privacy, see Confidentiality and privacy

Professional education, 22-23, 60

information capabilities, 109

Public education, 22, 58, 68, 75, 147-150

see also Patient education

Consumer Assessment of Health Plans (CAHPS), 62, 66-67, 68, 69, 70-71, 83, 84, 85, 92, 96-99 (passim), 121, 133-134, 136, 138, 141

Suggested Citation:"Index." Institute of Medicine. 2003. Leadership by Example: Coordinating Government Roles in Improving Health Care Quality. Washington, DC: The National Academies Press. doi: 10.17226/10537.
×

information technology and, 40-42, 121-125 (passim)

Purchasing strategies, 7, 8, 10, 22, 23, 48, 56, 58, 59, 60, 67-69, 74-75

Q

Q-Span, 132

Quality assurance, general, 2-5, 22-25, 39, 41, 57, 69-70

see also Accountability;

Performance measures;

Regulatory issues;

Standards

clinical quality measurement, 4, 11-12, 26, 58

committee recommendations, 1, 4-18 (passim), 28

committee study charge, 1, 22-23

definitional issues, 21, 22

expectations and needs of beneficiaries, 37-41

historical perspectives, 23-24

Quality Enhancement Research Initiative, 139, 140-141

Quality improvement organizations (QIOs), 3, 17, 66, 88-93, 103, 113-114, 133-134, 136

Quality Improvement System for Managed Care, 66

Quality Interagency Coordination Task Force (QuIC), 72, 82, 134-135, 142

committee recommendations, 1, 10-11, 14, 15, 17, 18, 79, 80, 103, 129, 130

R

Race/ethnicity, 100

see also Indian Health Service;

Native Americans

patient-centered care, 40-41

Regulatory issues, 6, 7, 23, 25, 49-50, 56, 57-59, 60-74 (passim)

see also Legislation;

Performance measures;

Standards;

Tax policy

committee recommendations, 1, 15

confidentiality and privacy, 13-14, 16, 49, 109, 112, 125

Department of Veterans Affairs, 58, 60, 64, 65

historical perspectives, 58, 61, 66-67

Indian Health Service (IHS), 60, 64, 65, 70

information technology, 108, 111, 118-119

institutional care

Internet, 65

Medicaid, 58, 60, 61, 62-63, 66-67

Medicare, 58, 60-69 (passim), 73, 88

physician licensure, 61, 64

State Children’s Health Insurance Program (SCHIP), 58, 60, 61, 62-64, 97, 103-104

state-level, other, 59, 60, 61-65 (passim), 96-97, 103-104

TRICARE, 58, 60, 64, 65, 67, 69-71

Veterans Health Administration (VHA), 60, 64, 67

Renal disease, 29

End Stage Renal Disease Networks, 3, 85, 93, 95

Medicare, 29, 85, 93, 95

Reporting requirements, 26, 72, 81, 96-97, 148

committee study charge, 22

Consumer Assessment of Health Plans, 62, 66-67

electronic, 108, 121-123, 165-166

Outcome Assessment and Information Set (OASIS), 84, 86, 87, 95

standardization, 9, 10, 15, 26, 80, 104

Research agendas, 6, 7, 14-15, 26, 129-152

see also Agency for Healthcare Research and Quality;

Centers for Disease Control and Prevention ;

National Institutes of Health

Centers for Medicare and Medicaid Services (CMS), 133, 134, 135-137, 139

demonstration projects, 16, 59, 68-69, 79-80, 111, 135-137, 141

medical errors, 12, 24, 130, 131-132, 139-140

outcome measures, 132-133, 136, 140-141

performance measures, 132-145 (passim)

time lags before clinical practice, 132-133

Respiratory disease, 28, 81, 86, 90, 92, 99

Suggested Citation:"Index." Institute of Medicine. 2003. Leadership by Example: Coordinating Government Roles in Improving Health Care Quality. Washington, DC: The National Academies Press. doi: 10.17226/10537.
×

Reward Results initiative, 147

Risk factors

risk adjustment, 45, 59, 67-68, 85-86, 101, 140-141, 149

TRICARE, 36

vulnerable populations, 44

Robert Wood Johnson Foundation, 46-47, 134, 147

S

Safety (malpractice and medical errors), see Medical errors and malpractice

Safety-net providers, 12, 119

Scope of Work (SOW), Medicare, 89, 90, 93, 97

SEER, see Surveillance, Epidemiology, and End Results

Standards, 8, 24, 70-72

see also Benchmarking;

Regulatory issues

best practices, 7, 8, 13, 56, 57, 58, 101, 109

computerized patient records, 110, 111, 112-113, 117

institutional care, 2, 9, 22

performance measures, 4, 6, 9, 10-11, 14-15, 26, 101-104, 110, 117, 129, 144

practice standards, other, 24, 57

provider participation in programs, 2, 61-65

reporting, 9, 10, 15, 26, 80, 104

State Children’s Health Insurance Program (SCHIP), 17, 34-35, 130

see also Centers for Medicare and Medicaid Services

beneficiaries/expenditures, 3, 30-31

benefits and copayments, 43

chronic conditions, 43

committee study charge, 1, 22

eligibility, 34-35

fee-for-service, 97

information capabilities, 5, 108, 113

participation standards, 65, 67

performance measures, 4, 58, 62, 67, 84, 87, 97, 103-194

pharmaceuticals, 34

regulatory issues, 58, 60, 61, 62-64, 97, 103-104

State-level issues, 17-18

Indian Health Service (IHS), 37

information capabilities, 109

Medicaid, 17, 30, 33, 38-39, 42-43, 96-97, 103, 130, 146

Medicare, 3, 30, 42, 87-95

performance measures, 3, 4, 59, 81, 96-97, 103

professional licensure, 61, 64

public education, 148-149

regulatory issues, 59, 60, 61-65 (passim), 96-97, 103-104

scope-of-practice rules, 61, 64

tax policy, 60

Stroke, 31, 86, 90, 92

Substance Abuse and Mental Health Services Administration, 134

Surveillance, Epidemiology, and End Results (SEER), 139

T

Tax policy, 60

computer technology, 12, 108, 119-120

Theater Medical Information Program, 115-116, 166, 169

Translating Research into Action for Diabetes, 137

Translating Research Into Practice, 132-133, 138

TRICARE, 35-36, 69-70, 71

beneficiaries/expenditures, 3, 31

Centers of Excellence, 69

committee study charge, 1, 22-23

design and administration, 48, 100

emergency care, 36

information capabilities, 5, 108-109, 113, 114, 116, 162, 166, 169

institutional care, 31

Medicare and, 36

military treatment facilities, 36

performance measures, 84, 100

pharmaceuticals, 36, 167

regulatory issues, 58, 60, 64, 65, 67, 69-71

V

Veterans Administration, see Department of Veterans Affairs

Veterans Health Administration (VHA), 35, 59, 70, 71, 139-141

beneficiaries/expenditures, 3

Suggested Citation:"Index." Institute of Medicine. 2003. Leadership by Example: Coordinating Government Roles in Improving Health Care Quality. Washington, DC: The National Academies Press. doi: 10.17226/10537.
×

benefits and copayments, 43, 44

chronic conditions, 38, 43, 44, 99

committee study charge, 1, 22

design and administration, 48

disabled, 35, 43

eligibility, 35

health information systems, 4-5, 26, 109, 114-116, 120, 130-141, 162-166

hospitals, 35, 99

institutional care, 35, 36

performance measures, 84, 99, 163, 165-166

regulatory issues, 60, 64, 67

Veterans Health Information Systems and Technology Architecture, 163

Veterans Integrated Service Networks, 35

VISTA, 70

Vulnerable populations

see also Poverty

State Children’s Health Care Program (SCHIP), 35

W

Waiver programs, 66

World Wide Web, see Internet

Suggested Citation:"Index." Institute of Medicine. 2003. Leadership by Example: Coordinating Government Roles in Improving Health Care Quality. Washington, DC: The National Academies Press. doi: 10.17226/10537.
×

This page intentionally left blank.

Suggested Citation:"Index." Institute of Medicine. 2003. Leadership by Example: Coordinating Government Roles in Improving Health Care Quality. Washington, DC: The National Academies Press. doi: 10.17226/10537.
×
Page 173
Suggested Citation:"Index." Institute of Medicine. 2003. Leadership by Example: Coordinating Government Roles in Improving Health Care Quality. Washington, DC: The National Academies Press. doi: 10.17226/10537.
×
Page 174
Suggested Citation:"Index." Institute of Medicine. 2003. Leadership by Example: Coordinating Government Roles in Improving Health Care Quality. Washington, DC: The National Academies Press. doi: 10.17226/10537.
×
Page 175
Suggested Citation:"Index." Institute of Medicine. 2003. Leadership by Example: Coordinating Government Roles in Improving Health Care Quality. Washington, DC: The National Academies Press. doi: 10.17226/10537.
×
Page 176
Suggested Citation:"Index." Institute of Medicine. 2003. Leadership by Example: Coordinating Government Roles in Improving Health Care Quality. Washington, DC: The National Academies Press. doi: 10.17226/10537.
×
Page 177
Suggested Citation:"Index." Institute of Medicine. 2003. Leadership by Example: Coordinating Government Roles in Improving Health Care Quality. Washington, DC: The National Academies Press. doi: 10.17226/10537.
×
Page 178
Suggested Citation:"Index." Institute of Medicine. 2003. Leadership by Example: Coordinating Government Roles in Improving Health Care Quality. Washington, DC: The National Academies Press. doi: 10.17226/10537.
×
Page 179
Suggested Citation:"Index." Institute of Medicine. 2003. Leadership by Example: Coordinating Government Roles in Improving Health Care Quality. Washington, DC: The National Academies Press. doi: 10.17226/10537.
×
Page 180
Suggested Citation:"Index." Institute of Medicine. 2003. Leadership by Example: Coordinating Government Roles in Improving Health Care Quality. Washington, DC: The National Academies Press. doi: 10.17226/10537.
×
Page 181
Suggested Citation:"Index." Institute of Medicine. 2003. Leadership by Example: Coordinating Government Roles in Improving Health Care Quality. Washington, DC: The National Academies Press. doi: 10.17226/10537.
×
Page 182
Suggested Citation:"Index." Institute of Medicine. 2003. Leadership by Example: Coordinating Government Roles in Improving Health Care Quality. Washington, DC: The National Academies Press. doi: 10.17226/10537.
×
Page 183
Suggested Citation:"Index." Institute of Medicine. 2003. Leadership by Example: Coordinating Government Roles in Improving Health Care Quality. Washington, DC: The National Academies Press. doi: 10.17226/10537.
×
Page 184
Leadership by Example: Coordinating Government Roles in Improving Health Care Quality Get This Book
×
Buy Paperback | $39.95 Buy Ebook | $31.99
MyNAP members save 10% online.
Login or Register to save!
Download Free PDF

The federal government operates six major health care programs that serve nearly 100 million Americans. Collectively, these programs significantly influence how health care is provided by the private sector.

Leadership by Example explores how the federal government can leverage its unique position as regulator, purchaser, provider, and research sponsor to improve care - not only in these six programs but also throughout the nation’s health care system.

The book describes the federal programs and the populations they serve: Medicare (elderly), Medicaid (low income), SCHIP (children), VHA (veterans), TRICARE (individuals in the military and their dependents), and IHS (native Americans). It then examines the steps each program takes to assure and improve safety and quality of care.

The Institute of Medicine proposes a national quality enhancement strategy focused on performance measurement of clinical quality and patient perceptions of care. The discussion on which this book focuses includes recommendations for developing and pilot-testing performance measures, creating an information infrastructure for comparing performance and disseminating results, and more. Leadership by Example also includes a proposed research agenda to support quality enhancement.

The third in the series of books from the Quality of Health Care in America project, this well-targeted volume will be important to all readers of To Err Is Human and Crossing the Quality Chasm - as well as new readers interested in the federal government’s role in health care.

  1. ×

    Welcome to OpenBook!

    You're looking at OpenBook, NAP.edu's online reading room since 1999. Based on feedback from you, our users, we've made some improvements that make it easier than ever to read thousands of publications on our website.

    Do you want to take a quick tour of the OpenBook's features?

    No Thanks Take a Tour »
  2. ×

    Show this book's table of contents, where you can jump to any chapter by name.

    « Back Next »
  3. ×

    ...or use these buttons to go back to the previous chapter or skip to the next one.

    « Back Next »
  4. ×

    Jump up to the previous page or down to the next one. Also, you can type in a page number and press Enter to go directly to that page in the book.

    « Back Next »
  5. ×

    Switch between the Original Pages, where you can read the report as it appeared in print, and Text Pages for the web version, where you can highlight and search the text.

    « Back Next »
  6. ×

    To search the entire text of this book, type in your search term here and press Enter.

    « Back Next »
  7. ×

    Share a link to this book page on your preferred social network or via email.

    « Back Next »
  8. ×

    View our suggested citation for this chapter.

    « Back Next »
  9. ×

    Ready to take your reading offline? Click here to buy this book in print or download it as a free PDF, if available.

    « Back Next »
Stay Connected!