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Leadership by Example Coordinating Government Roles in Improving Health Care Quality (2003) / Chapter Skim
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1 Introduction
Pages 21-27

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From page 21...
... program account for over 40 percent of all health care expenditures in the United States. Consequently, the federal government has a central and pervasive role in shaping nearly all aspects of the health care sector, both public and private.
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From page 22...
... Underlying the scope and intent of this study is the judgment that, by virtue of its breadth of involvement in health care regulation, purchasing, provision of services, and sponsorship of research and education, the federal government can and should have a significant influence on quality of care in all aspects of health care programs and services available to the American people, whether provided through a government health care program or not. To carry out this study, the IOM established the Committee on Enhancing Federal Healthcare Quality Programs.
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From page 23...
... An investment in quality enhancement within the six major government health care programs will, in itself, make a difference in the lives of about 100 million Americans served by these programs. In carrying out its fiduciary responsibility, the federal government has the opportunity to serve as an important beacon of influence within the larger public and private health care sectors.
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From page 24...
... (Berwick, 2002~. This steady stream of analyses, pronouncements, and consensus perspectives has created a national climate within which it is now expected that responsible health care programs will be accountable for demonstrating that the services they provide not only meet minimal standards of care quality, but also achieve continuous improvement.
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From page 25...
... It also reviews the broad trends affecting the needs and expectations of the programs' beneficiaries, as well as key program features other than quality enhancement processes that affect the quality of health care provided. Chapter 3 reviews the various roles played by the federal government in the health care arena and examines how these roles can be leveraged and better coordinated to improve the quality enhancement processes and activities of the various government health care programs.
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From page 26...
... It also explores the need for well-thoughtout processes for the analysis, interpretation, and release of performance data. Lastly, a strong health services research capability will be necessary to enable the establishment of standardized measures and public reporting functions across the various government health care programs.
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From page 27...
... 1998. How good is the quality of health care in the United States?
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Key Terms

  • care programs
  • government health
  • enhancement processes
  • six major
  • major government

  • enhancement strategy
  • care quality
  • care sector
  • standardized measures
  • public reporting

  • care industry
  • advisory commission
  • care delivery
  • services research
  • care provided

  • care processes
  • quality assessment
  • national roundtable
  • performance data
  • various government

  • quality health
  • national quality
  • harmful interventions
  • programs included
  • comparative performance

  • responsible health
  • enhancement identified
  • reporting functions
  • enhancing provider
  • shaping nearly


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