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010   $a0-309-59339-5
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100   $a19900305d1990      uy         0
101 0 $aeng
135   $aur|n|---|||||
181   $ctxt
182   $cc
183   $acr
200 10$aMedicare$b[electronic resource] $hVolume 1 $ea strategy for quality assurance /$fCommittee 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
205   $a1st ed.
210   $aWashington, D.C. $cNational Academy Press$d1990
215   $a1 online resource (468 p.)
300   $a"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.
311   $a0-309-04230-5 
320   $aIncludes bibliographical references and indexes.
327   $a""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""
327   $a""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 STRATEGY AND PHASES""; ""Phase I: Years 1 and 2""; ""Phase II: Years 2 through 8""; ""Data Collection""; ""Data Analysis Capabilities""; ""Information Dissemination""; ""Special Projects""
327   $a""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""
327   $a""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""
327   $a""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""
327   $a""Quality Assurance Concepts from an International Perspective""
410  0$aIOM publication ;$v90-02.
606   $aMedical care$xQuality control
606   $aMedicare
615  0$aMedical care$xQuality control.
615  0$aMedicare.
676   $a362.1/0973
701   $aLohr$b Kathleen N.$f1941-$01610164
801  0$bMiAaPQ
801  1$bMiAaPQ
801  2$bMiAaPQ
906   $aBOOK
912   $a9910827712203321
996   $aMedicare$94051545
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