LEADER 05736nam 2200673Ia 450 001 9910971034903321 005 20251116140408.0 010 $a9786610212644 010 $a9781280212642 010 $a1280212640 010 $a9780309559928 010 $a0309559928 010 $a9780585084770 010 $a0585084777 035 $a(CKB)110986584750970 035 $a(EBL)3377163 035 $a(MiAaPQ)EBC3377163 035 $a(Au-PeEL)EBL3377163 035 $a(CaPaEBR)ebr10068396 035 $a(OCoLC)923268731 035 $a(Perlego)4738010 035 $a(BIP)1017059 035 $a(EXLCZ)99110986584750970 100 $a19900305d1990 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 10$aSources and methods $ea strategy for quality assurance /$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 (476 p.) 225 1 $aMedicare ;$vv.2 300 $a"This study was supported by the Health Care Financing Administration, U.S. Department of Health and Human Services, under cooperative agreement no. 17-C-99170/3"--T.p. verso. 311 08$a9780309042383 311 08$a0309042380 320 $aIncludes bibliographical references and indexes. 327 $a""Medicare""; ""Copyright""; ""Contents""; ""1 Overview Of The Study To Design A Strategy For Quality Review And Assurance In Medicare ""; ""STUDY COMMITTEE AND TECHNICAL ADVISORY PANEL""; ""CONDUCT OF THE STUDY""; ""Phases Of The Study""; ""Data Collection And Other Study Activities""; ""Main Study Tasks""; ""Hospital Conditions Of Participation""; ""Medicare Peer Review Organizations""; ""CONCLUDING REMARKS""; ""2 Oral And Written Testimony From The Public Hearings ""; ""METHODS""; ""Invitations To Submit Testimony""; ""Respondents To The Invitations""; ""Types Of Documents Submitted"" 327 $a""Development And Testing Of Abstract Form""""Data Base System""; ""Limitations Of The Analysis""; ""FINDINGS""; ""Main Themes""; ""Gaps In Information""; ""Peer Review""; ""Access Issues""; ""Patient-Physician Relationship""; ""Role Of The Elderly In Quality Assessment And Assurance And Health Care Decision Making""; ""Interrelationship Of Quality, Costs, And Financing""; ""Patient-Centered Quality Assurance System""; ""Clinical Guidelines, Specialty Board Certification, And Credentialing""; ""Need To Measure, Demonstrate, And Prove Performance Competency"" 327 $a""Assessing The Needs Of The Elderly""""Continuous Quality Improvement""; ""Responses To Specific Questions""; ""Defining Quality Of Care""; ""Assessment Of Contemporary Health Care""; ""Cost Containment And Quality Health Care""; ""Medicare Benefits""; ""Costs Of Quality Assessment And Assurance Activities""; ""Assessment Of Adequacy Of Quality Assessment And Assurance""; ""Comments Of Pros""; ""Comments of Superpro""; ""Comments Of Other Groups Conducting External Quality Reviews""; ""Comments Of Third-Party Payers And Purchasers""; ""Comments Of Direct Care Providers"" 327 $a""Most Effective And Least Effective Activities""""Adequacy Of Current Level Of Quality Assessment""; ""Adequacy Of Current Quality Assessment And Assurance Tools Or Methods""; ""Coordinating Quality Assessment And Assurance Activities""; ""Recommendations""; ""Recommendations For Improving The Quality Of Health Care Generally""; ""Recommendations Concerning Broad Quality-Of-Care Topics""; ""Recommendations Concerning Quality Assessment Methods""; ""Recommendations Concerning Specific Quality Assurance Activities""; ""Recommendations For Research And Development""; ""CONCLUDING REMARKS"" 327 $a""Appendix A Guidelines For Written Testimony A Study To Design A Strategy For Quality Review And Assurance In Medicare""""PART A. BACKGROUND""; ""PART B. KEY QUESTIONS""; ""PART C. FORMAT""; ""Appendix B Organizations Submitting Testimony ""; ""3 Results of The Medicare Beneficiary and Physician Focus Groups ""; ""BENEFITS AND LIMITATIONS OF FOCUS GROUPS""; ""STUDY METHODS""; ""Subcontractor Selection""; ""Focus Group Site Selection""; ""Development Of The Moderator's Guide""; ""The Recruiting Process""; ""Focus Group Composition"" 327 $a""Pre-Recruitment Specifications Of The Beneficiary Focus Groups"" 330 $aVolume II of Medicare: A Strategy for Quality Assurance provides extensive source materials on quality assurance, including results of focus groups with the elderly and practicing physicians, findings from public hearings on quality of care for the elderly, and many exhibits from site visits and the literature on quality measurements and assurance tools. The current Medicare peer review organization program and related hospital accreditation efforts are comprehensively described as background for the recommendations in Volume I of this report. Like the companion volume, this substantial book will be a valuable reference document for all groups concerned with quality of health care and the elderly. 410 0$aMedi-care ;$vv.2. 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-$01806075 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910971034903321 996 $aSources and methods$94359011 997 $aUNINA