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Leadership by Example Coordinating Government Roles in Improving Health Care Quality (2003) / Chapter Skim
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Index
Pages 173-184

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From page 173...
... , 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, 3741 Consumer Assessment of Health Plans (CAMPS)
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From page 174...
... , 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, 4445, 59 cardiac, 69, 86, 90, 91, 94, 99, 134, 136, 139 expectations and needs of beneficiaries, 37-39 Medicaid, 33-34, 42 INDEX 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)
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From page 175...
... , 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 (AHRQJ, 6, 7-8, 13, 14, 17,59,70,72,74,83,129,131-135, 138, 142, 143, 147, 150 Consumer Assessment of Health Plans (CAMPS)
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From page 176...
... , 3, 17, 66, 88-93, 103, 113114, 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)
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From page 177...
... , 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, 4144 see also Fee-for-service; Health maintenance organizations; Managed care; Medicaid; Medicare; State Children's Health Insurance Program alternative payment models, 146-147 capitation, 4445, 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
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From page 178...
... , 3, 17, 66, 88-93, 103, 113114, 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
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From page 179...
... National Health Care Purchasing Institute, 4647 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 (AHRQJ, 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)
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From page 180...
... , 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, 3940 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 (CAMPS)
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From page 181...
... , 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)
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From page 182...
... , 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, 1415, 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)
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From page 183...
... INDEX 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, 165166 regulatory issues, 60, 64, 67 183 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
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From page 184...
... The use of common standardized performance measures across settings would be most helpful in determining which settings are most capable of providing adequate care, anti the access to such comparative data would better inform patient decisions. Alternative Payment Models Although the preponderance of this report has focused on quality measurement as the stimulus for quality improvement, the committee
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Key Terms

  • indian health
  • regulatory issues
  • insurance program
  • quality improvement
  • renal disease

  • institutional care
  • chronic conditions
  • information capabilities
  • medical errors
  • committee study

  • information set
  • health plans
  • consumer assessment
  • study charge
  • medicaid services

  • veterans health
  • stage renal
  • healthcare research
  • computerized patient
  • health administration

  • patient records
  • purchasing strategies
  • tax policy
  • improvement organizations
  • public education

  • outcome assessment
  • alternative payment
  • health information
  • outcome measures
  • gender factors


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