Committee to Design a Strategy for Quality Review and Assurance in Medicare's Books

Medicare

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

By: Institute of Medicine,Committee to Design a Strategy for Quality Review and Assurance in Medicare

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Medicare

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

By: Institute of Medicine,Committee to Design a Strategy for Quality Review and Assurance in Medicare

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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472

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National Academies Press

Published Date

ISBN 10

0309042380

ISBN 13

9780309042383

Medicare

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

By: Institute of Medicine,Committee to Design a Strategy for Quality Review and Assurance in Medicare

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Medicare

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

By: Institute of Medicine,Committee to Design a Strategy for Quality Review and Assurance in Medicare

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472

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National Academies Press

Published Date

ISBN 10

0309042380

ISBN 13

9780309042383

Medicare

A Strategy for Quality Assurance, Volume I

By: Institute of Medicine,Committee to Design a Strategy for Quality Review and Assurance in Medicare

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Medicare

A Strategy for Quality Assurance, Volume I

By: Institute of Medicine,Committee to Design a Strategy for Quality Review and Assurance in Medicare

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 careâ€"how it is defined, measured, and improvedâ€"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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462

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National Academies Press

Published Date

ISBN 10

0309042305

ISBN 13

9780309042307

Health Professions Education

A Bridge to Quality

By: Institute of Medicine,Board on Health Care Services,Committee on the Health Professions Education Summit

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Health Professions Education

A Bridge to Quality

By: Institute of Medicine,Board on Health Care Services,Committee on the Health Professions Education Summit

The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.

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192

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National Academies Press

Published Date

ISBN 10

0309087236

ISBN 13

9780309087230

Envisioning the National Health Care Quality Report

By: Institute of Medicine,Board on Health Care Services,Committee on the National Quality Report on Health Care Delivery

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Envisioning the National Health Care Quality Report

By: Institute of Medicine,Board on Health Care Services,Committee on the National Quality Report on Health Care Delivery

How good is the quality of health care in the United States? Is quality improving? Or is it suffering? While the average person on the street can follow the state of the economy with economic indicators, we do not have a tool that allows us to track trends in health care quality. Beginning in 2003, the Agency for Healthcare Research and Quality (AHRQ) will produce an annual report on the national trends in the quality of health care delivery in the United States. AHRQ commissioned the Institute of Medicine (IOM) to help develop a vision for this report that will allow national and state policy makers, providers, consumers, and the public at large to track trends in health care quality. Envisioning the National Health Care Quality Report offers a framework for health care quality, specific examples of the types of measures that should be included in the report, suggestions on the criteria for selecting measures, as well as advice on reaching the intended audiences. Its recommendations could help the national health care quality report to become a mainstay of our nation's effort to improve health care.

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257

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National Academies Press

Published Date

ISBN 10

030907343X

ISBN 13

9780309073431

Controlling Costs and Changing Patient Care?

The Role of Utilization Management

By: Institute of Medicine,Committee on Utilization Management by Third Parties

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Controlling Costs and Changing Patient Care?

The Role of Utilization Management

By: Institute of Medicine,Committee on Utilization Management by Third Parties

Utilization management (UM) has become a strong trend in health care cost containment. Under UM, some decisions are not strictly made by the doctor and patient alone. Instead, they are now checked by a reviewer reporting to an employer or other paying party who asks whether or not the proposed type or location of care is medically necessary or appropriate. This book presents current findings about how UM is faring in practice and how it compares with other cost containment approaches, with recommendations for improving UM program administration and clinical protocols and for conducting further research.

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321

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National Academies Press

Published Date

ISBN 10

0309040450

ISBN 13

9780309040457

Clinical Practice Guidelines

Directions for a New Program

By: Institute of Medicine,Committee to Advise the Public Health Service on Clinical Practice Guidelines

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Clinical Practice Guidelines

Directions for a New Program

By: Institute of Medicine,Committee to Advise the Public Health Service on Clinical Practice Guidelines

The Alberta clinical practice guidelines program is supporting appropriate, effective and quality medical care in Alberta through promotion, development and implementation of evidence-based clinical practice guidelines.

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169

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National Academies Press

Published Date

ISBN 10

0309043468

ISBN 13

9780309043465

Eliminating Health Disparities

Measurement and Data Needs

By: National Research Council,Division of Behavioral and Social Sciences and Education,Committee on National Statistics,Panel on DHHS Collection of Race and Ethnicity Data

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Eliminating Health Disparities

Measurement and Data Needs

By: National Research Council,Division of Behavioral and Social Sciences and Education,Committee on National Statistics,Panel on DHHS Collection of Race and Ethnicity Data

Disparities in health and health care across racial, ethnic, and socioeconomic backgrounds in the United States are well documented. The reasons for these disparities are, however, not well understood. Current data available on race, ethnicity, SEP, and accumulation and language use are severely limited. The report examines data collection and reporting systems relating to the collection of data on race, ethnicity, and socioeconomic position and offers recommendations.

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310

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National Academies Press

Published Date

ISBN 10

0309166136

ISBN 13

9780309166133

Guidelines for Clinical Practice

From Development to Use

By: Institute of Medicine,Committee on Clinical Practice Guidelines

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Guidelines for Clinical Practice

From Development to Use

By: Institute of Medicine,Committee on Clinical Practice Guidelines

Guidelines for the clinical practice of medicine have been proposed as the solution to the whole range of current health care problems. This new book presents the first balanced and highly practical view of guidelinesâ€"their strengths, their limitations, and how they can be used most effectively to benefit health care. The volume offers: Recommendations and a proposed framework for strengthening development and use of guidelines. Numerous examples of guidelines. A ready-to-use instrument for assessing the soundness of guidelines. Six case studies exploring issues involved when practitioners use guidelines on a daily basis. With a real-world outlook, the volume reviews efforts by agencies and organizations to disseminate guidelines and examines how well guidelines are functioningâ€"exploring issues such as patient information, liability, costs, computerization, and the adaptation of national guidelines to local needs.

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Page Count

441

Publisher

National Academies Press

Published Date

ISBN 10

0309045894

ISBN 13

9780309045896

Employment and Health Benefits

A Connection at Risk

By: Institute of Medicine,Committee on Employment-Based Health Benefits

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Employment and Health Benefits

A Connection at Risk

By: Institute of Medicine,Committee on Employment-Based Health Benefits

The United States is unique among economically advanced nations in its reliance on employers to provide health benefits voluntarily for workers and their families. Although it is well known that this system fails to reach millions of these individuals as well as others who have no connection to the work place, the system has other weaknesses. It also has many advantages. Because most proposals for health care reform assume some continued role for employers, this book makes an important contribution by describing the strength and limitations of the current system of employment-based health benefits. It provides the data and analysis needed to understand the historical, social, and economic dynamics that have shaped present-day arrangements and outlines what might be done to overcome some of the access, value, and equity problems associated with current employer, insurer, and government policies and practices. Health insurance terminology is often perplexing, and this volume defines essential concepts clearly and carefully. Using an array of primary sources, it provides a store of information on who is covered for what services at what costs, on how programs vary by employer size and industry, and on what governments doâ€"and do not doâ€"to oversee employment-based health programs. A case study adapted from real organizations' experiences illustrates some of the practical challenges in designing, managing, and revising benefit programs. The sometimes unintended and unwanted consequences of employer practices for workers and health care providers are explored. Understanding the concepts of risk, biased risk selection, and risk segmentation is fundamental to sound health care reform. This volume thoroughly examines these key concepts and how they complicate efforts to achieve efficiency and equity in health coverage and health care. With health care reform at the forefront of public attention, this volume will be important to policymakers and regulators, employee benefit managers and other executives, trade associations, and decisionmakers in the health insurance industry, as well as analysts, researchers, and students of health policy.

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381

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National Academies Press

Published Date

ISBN 10

0309048273

ISBN 13

9780309048279

Kidney Failure and the Federal Government

By: Institute of Medicine,Division of Health Care Services,Committee for the Study of the Medicare End-Stage Renal Disease Program

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Kidney Failure and the Federal Government

By: Institute of Medicine,Division of Health Care Services,Committee for the Study of the Medicare End-Stage Renal Disease Program

Since 1972, many victims of endstage renal disease (ESRD) have received treatment under a unique Medicare entitlement. This book presents a comprehensive analysis of the federal ESRD program: who uses it, how well it functions, and what improvements are needed. The book includes recommendations on patient eligibility, reimbursement, quality assessment, medical ethics, and research needs. Kidney Failure and the Federal Government offers a wealth of information on these and other topics: The ESRD patient population. Dialysis and transplantation providers. Issues of patient access and availability of treatment. Ethical issues related to treatment initiation and termination. Payment policies and their relationship to quality of care. This book will have a major impact on the future of the ESRD program and will be of interest to health policymakers, nephrologists and other individual providers, treatment site administrators, and researchers.

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444

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National Academies Press

Published Date

ISBN 10

0309044324

ISBN 13

9780309044325

To Err Is Human

Building a Safer Health System

By: Institute of Medicine,Committee on Quality of Health Care in America

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To Err Is Human

Building a Safer Health System

By: Institute of Medicine,Committee on Quality of Health Care in America

Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocatesâ€"as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine

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312

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National Academies Press

Published Date

ISBN 10

0309261740

ISBN 13

9780309261746

Improving Health in the Community

A Role for Performance Monitoring

By: Committee on Using Performance Monitoring to Improve Community Health,Institute of Medicine

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Improving Health in the Community

A Role for Performance Monitoring

By: Committee on Using Performance Monitoring to Improve Community Health,Institute of Medicine

How do communities protect and improve the health of their populations? Health care is part of the answer but so are environmental protections, social and educational services, adequate nutrition, and a host of other activities. With concern over funding constraints, making sure such activities are efficient and effective is becoming a high priority. Improving Health in the Community explains how population-based performance monitoring programs can help communities point their efforts in the right direction. Within a broad definition of community health, the committee addresses factors surrounding the implementation of performance monitoring and explores the "why" and "how to" of establishing mechanisms to monitor the performance of those who can influence community health. The book offers a policy framework, applies a multidimensional model of the determinants of health, and provides sets of prototype performance indicators for specific health issues. Improving Health in the Community presents an attainable vision of a process that can achieve community-wide health benefits.

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Page Count

497

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National Academies Press

Published Date

ISBN 10

0309520819

ISBN 13

9780309520812

Book's by Committee to Design a Strategy for Quality Review and Assurance in Medicare

Medicare

Medicare

Medicare

Medicare

Medicare

Medicare

Health Professions Education

Health Professions Education

Envisioning the National Health Care Quality Report

Envisioning the National Health Care Quality Report

Controlling Costs and Changing Patient Care?

Controlling Costs and Changing Patient Care?

Clinical Practice Guidelines

Clinical Practice Guidelines

Eliminating Health Disparities

Eliminating Health Disparities

Guidelines for Clinical Practice

Guidelines for Clinical Practice

Employment and Health Benefits

Employment and Health Benefits

Kidney Failure and the Federal Government

Kidney Failure and the Federal Government

To Err Is Human

To Err Is Human

Improving Health in the Community

Improving Health in the Community

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