Medicare:: A Strategy for Quality Assurance, Volume II: Sources and Methods

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National Academies Press, Jan 1, 1990 - Medical - 476 pages
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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.

  

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Contents

Overview of the Study To Design A Strategy For Qual ity Review And Assurance in Medicare
1
Oral and Written Testimony From the Public Hearings Jo HarrisWehling
7
Concluding Remarks
27
Results of the Medicare Beneficiary and Physician Focus Groups
35
Findings of the Beneficiary Focus Groups
41
Findings of the Physician Focus Groups
59
Concluding Remarks
73
Appendix A Moderators Guide for the Beneficiary Focus Groups
76
Medicare Conditions of Participation and Accreditaion
292
CONTENTS vii
343
Second Scope of Work 19861988 Contract Cycle
354
Noti fications Corrective Actions and Sanctions
365
Costs
380
Current and Future Initiatives of the PRO Program
388
CONTENTS v
389
Evaluating PRO Activities
399

Medicare Beneficiary Focus Groups
86
Appendix A Confirmation Letter Regarding Site Visit
106
Defining Quality of Care Jo HarrisWehling
116
Methods Data and Resources
140
Controversial or Problematic Aspects of PRO Qual ityRelate Activities
408
Concluding Remarks
429
Index
439
Copyright

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