Medicare: A Strategy for Quality Assurance, Volume 1

Front Cover

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.

 

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Contents

HEALTH HEALTHCARE AND QUALITY OF
19
CONCEPTS OF ASSESSING ASSURING AND
45
THE ELDERLY POPULATION
69
THE MEDICARE PROGRAM
96
Appendix A The Medicare Catastrophic Coverage Act of 1988
114
FEDERAL QUALITY ASSURANCE PROGRAMS
138
QUALITY PROBLEMS AND THE BURDENS OF
207
SETTINGS OF CARE AND PAYMENT SYSTEM
238
METHODS OF QUALITY ASSESSMENT AND
265
CRITICAL ATTRIBUTES OF QUALITYOF
303
Appendix A CriteriaSetting Expert Panel Activity
334
NEEDS FOR FUTURE RESEARCH AND
343
RECOMMENDATIONS AND A STRATEGY
368
ACKNOWLEDGMENTS
422
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