Medicare : a strategy for quality assurance

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Bibliographic Information

Medicare : 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 ; Kathleen N. Lohr, editor

National Academy Press, 1990

  • v. 1
  • v. 2

Available at  / 5 libraries

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Note

Vol. 1: [without special title]. v. 2: Sources and methods

Includes bibliographical references and indexes

"This study was supported by the Health Care Financing Administration, U.S. Dept. Health and Human Services, under coop. agree. no. 17-C-99170/3" -- t.p. verso

Description and Table of Contents

Volume

v. 1 ISBN 9780309042307

Description

Health care for the elderly American is among our nation's more pressing social issues. Our society wishes to ensure quality health care for all older people, but there is growing concern about our ability to maintain and improve quality in the face of efforts to contain health care costs. Medicare: A Strategy for Quality Assurance answers the U.S. Congress' call for the Institute of Medicine to design a strategic plan for assessing and assuring the quality of medical care for the elderly. This book presents a proposed strategic plan for improving quality assurance in the Medicare program, along with steps and timetables for implementing the plan by the year 2000 and the 10 recommendations for action by Congress. The book explores quality of care?how it is defined, measured, and improved?and reviews different types of quality problems. Major issues that affect approaches to assessing and assuring quality are examined. Medicare: A Strategy for Quality Assurance will be immediately useful to a wide audience, including policymakers, health administrators, individual providers, specialists in issues of the older American, researchers, educators, and students. Table of Contents Front Matter Contents Preface Introduction to the Study and the Report Medicare Summary 1. Health, Health Care, and Quality of Care 2. Concepts of Assessing, Assuring, and Improving Quality 3. The Elderly Population 4. The Medicare Program 5. Hospital Conditions of Participation in Medicare 6. Federal Quality Assurance Programs for Medicare 7. Quality Problems and the Burdens of Harm 8. Settings of Care and Payment System Issues for Quality Assurance 9. Methods of Quality Assessment and Assurance 10. Critical Attributes of Quality-of-Care Criteria and Standards 11. Needs for Future Research and Capacity Building 12. Recommendations and a Strategy for Quality Review and Assurance in Medicare Acknowledgements Index

Table of Contents

  • 1 Front Matter
  • 2 Contents
  • 3 Preface
  • 4 Introduction to the Study and the Report
  • 5 Medicare
  • 6 Summary
  • 7 1. Health, Health Care, and Quality of Care
  • 8 2. Concepts of Assessing, Assuring, and Improving Quality
  • 9 3. The Elderly Population
  • 10 4. The Medicare Program
  • 11 5. Hospital Conditions of Participation in Medicare
  • 12 6. Federal Quality Assurance Programs for Medicare
  • 13 7. Quality Problems and the Burdens of Harm
  • 14 8. Settings of Care and Payment System Issues for Quality Assurance
  • 15 9. Methods of Quality Assessment and Assurance
  • 16 10. Critical Attributes of Quality-of-Care Criteria and Standards
  • 17 11. Needs for Future Research and Capacity Building
  • 18 12. Recommendations and a Strategy for Quality Review and Assurance in Medicare
  • 19 Acknowledgements
  • 20 Index
Volume

v. 2 ISBN 9780309042383

Description

Volume 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. Table of Contents Front Matter 1. Overview of the Study to Design a Strategy for Quality Review and Assurance in Medicare 2. Oral and Written Testimony from the Public Hearings 3. Results of the Medicare Beneficiary and Physician Focus Groups 4. Site Visits 5. Defining Quality of Care 6. A Quality Assurance Sampler: Methods, Data, and Resources 7. Medicare Conditions of Participation and Accreditation for Hospitals 8. The Utilization and Quality Control Peer Review Organization Program Index

Table of Contents

  • 1 Front Matter
  • 2 1. Overview of the Study to Design a Strategy for Quality Review and Assurance in Medicare
  • 3 2. Oral and Written Testimony from the Public Hearings
  • 4 3. Results of the Medicare Beneficiary and Physician Focus Groups
  • 5 4. Site Visits
  • 6 5. Defining Quality of Care
  • 7 6. A Quality Assurance Sampler: Methods, Data, and Resources
  • 8 7. Medicare Conditions of Participation and Accreditation for Hospitals
  • 9 8. The Utilization and Quality Control Peer Review Organization Program
  • 10 Index

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