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Record Nr. |
UNINA9910827712203321 |
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Titolo |
Medicare [[electronic resource] ] . Volume 1 : a strategy for quality assurance / / Committee to Design a Strategy for Quality Review and Assurance in Medicare, Division of Health Care Services, Institute of Medicine, Division of Health Care Services ; Kathleen N. Lohr, editor |
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Pubbl/distr/stampa |
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Washington, D.C., : National Academy Press, 1990 |
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ISBN |
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1-280-21263-2 |
9786610212637 |
0-309-59339-5 |
0-585-33975-9 |
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Edizione |
[1st ed.] |
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Descrizione fisica |
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1 online resource (468 p.) |
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Altri autori (Persone) |
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Disciplina |
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Soggetti |
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Medical care - Quality control |
Medicare |
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Lingua di pubblicazione |
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Formato |
Materiale a stampa |
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Livello bibliografico |
Monografia |
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Note generali |
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"This study was supported by the Health Care Financing Administration, U.S. Department of Health and Human Services, under cooperative agreement no. 17-C-99170/3"--T.p. verso. |
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Nota di bibliografia |
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Includes bibliographical references and indexes. |
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Nota di contenuto |
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""MEDICARE""; ""Copyright""; ""Contents""; ""Preface""; ""Introduction to the Study and This Report""; ""CONGRESSIONAL CHARGE""; ""STUDY METHODS""; ""ORGANIZATION OF THIS REPORT""; ""Summary""; ""FINDINGS AND CONCLUSIONS""; ""A MODEL OF QUALITY ASSURANCE FOR MEDICARE""; ""DEFINING QUALITY OF CARE""; ""RECOMMENDATIONS""; ""Medicare Mission and Quality Assurance""; ""Quality Assurance Goals of the Medicare Program""; ""Medicare Program to Assure Quality (MPAQ)""; ""Public Accountability and Evaluation""; ""Hospital Conditions of Participation""; ""Research and Capacity Building""; ""FUNDING"" |
""ORGANIZATIONAL AND OPERATIONAL FEATURES OF THE MEDICARE PROGRAM TO ASSURE QUALITY""""Starting Points""; ""Structure""; ""The Federal and Local Levels""; ""The Internal Organization-Based Level""; ""Operational Overview of the Proposed Model""; ""An Emphasis on Outcomes""; ""The Importance of the Process of Care""; ""Continuity of Quality Assessment""; ""Potential Problems""; ""IMPLEMENTATION |
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STRATEGY AND PHASES""; ""Phase I: Years 1 and 2""; ""Phase II: Years 2 through 8""; ""Data Collection""; ""Data Analysis Capabilities""; ""Information Dissemination""; ""Special Projects"" |
""Phase III: Years 9 and 10""""CONCLUDING REMARKS""; ""1 Health, Health Care, and Quality of Care ""; ""DEFINING QUALITY OF HEALTH CARE""; ""Elements of the Committee's Definition""; ""Implications of the Committee's Definition""; ""HEALTH AND HEALTH CARE IN THE UNITED STATES""; ""Health and Illness""; ""Structure of the U.S. Health Care System""; ""Major Health Policy Issues with Implications for Quality of Care""; ""Health Care Expenditures""; ""Access to Services""; ""Settings of Care""; ""Integration of Financing and Delivery of Services"" |
""Utilization Management and Utilization Review""""Medicare's Physician Payment System""; ""Summary""; ""QUALITY OF HEALTH CARE AS A PUBLIC POLICY ISSUE""; ""Burden of Harm of Poor Quality""; ""Assuring Quality: A Professional and a Public Responsibility""; ""Professional Responsibilities""; ""Public Sector Responsibilities and Regulation""; ""Health Care as a Public Good""; ""Other Forces for Quality Assurance""; ""Market Forces and Competition""; ""Malpractice and Risk Management""; ""Value Purchasing""; ""Decision Making and Population-Based Outcomes""; ""SUMMARY""; ""NOTES"" |
""REFERENCES""""2 Concepts of Assessing, Assuring, and Improving Quality ""; ""QUALITY ASSESSMENT, QUALITY ASSURANCE, AND QUALITY IMPROVEMENT""; ""Definitions""; ""Purposes of Quality Assurance""; ""Internal and External Programs""; ""CRITERIA FOR JUDGING AN EFFECTIVE QUALITY ASSURANCE PROGRAM""; ""QUALITY ASSURANCE CONCEPTUAL MODELS""; ""The Traditional Structure-Process-Outcome Model""; ""Structure""; ""Process""; ""Outcomes""; ""Continuous Quality Improvement""; ""Four Core Assumptions""; ""Eight Key Constructs""; ""Applications"" |
""Quality Assurance Concepts from an International Perspective"" |
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