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4 The Health Care Financing Administration and the Effectiveness Initiative
Pages 27-30

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From page 27...
... interest in the subject of effectiveness, how we got to where we are today, what our role has been, and what it will be in the future. HCFA'S INTEREST IN EFFECTIVENESS In late 1987, HCFA Administrator William Roper and several others of us at HCFA became aware that research had been going on for years in the area of effectiveness, but for some reason it had not yet gotten into the consciousness of health policy officials, at least in Washington, D.C.
From page 28...
... Together they provide an incredibly rich source of data for analysis, research, and evaluation. Unfortunately, there is a certain risk in looking at effectiveness as a panacea, whether it be for improving quality of care or as a way of ensuring that all services are appropriate and that we are not wasting our health care dollars.
From page 29...
... We are also working on our second annual release of nursing home information, which shows certain performance indicators for the 15,000 nursing homes across the country that participate in Medicare and Medicaid. While not directly part of effectiveness work, these efforts demonstrate the power of putting good information and data into the hands of both providers and consumers of health care.
From page 30...
... For example, we are operating and expanding our health care information resource center, in which we will increasingly make available to qualified researchers more and better data, both from Medicare and from other sources. We will continue to work with the American Hospital Association, the American Medical Association, the Joint Commission on Accreditation of Healthcare Organizations, and others to complete the uniform clinical data set.


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