Quality Assurance: A Comprehensive National Strategy for Health Care is Needed : Briefing Report to the Chairman, United States Bipartisan Commission on Comprehensive Health CareThe Office, 1990 - 32 pages |
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Accounting Office addition ambulatory ance approaches to quality appropriate aspects of quality assessment and assurance believe Berwick cesarean cesarean section Community Health Plan comprehensive national strategy comprehensive quality assurance continuous quality improvement current quality assurance dards December 20 ensure example external quality assurance External reviewers focus for developing guidelines and stan guidelines and standards Harvard Community Health health care providers health care quality health care system high-quality identify implementing important improvement in quality individual patients information on quality Institute of Medicine internal levels of quality Medicaid medical records Medicare monitoring a national national practice guidelines National Quality Assurance national system needed in order outcome physi physicians practice patterns procedures Program Evaluation quality assessment quality assurance activities Quality Assurance Issues Quality Assurance Strategy quality assurance system quality review reimbursement review entities Reviews of Quality Strategies for Assessing Strategy Is Needed support quality assurance tion variation
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Page 17 - Agency is to enhance the quality, appropriateness, and effectiveness of health care services, and access to such services, through the establishment of a broad base of scientific research and through the promotion of improvements in clinical practice and in the organization, financing, and delivery of health care services.
Page 13 - When one is clear and constant in one's purpose, when fear does not control the atmosphere (and thus the data), when learning is guided by accurate information and sound rules of inference, when suppliers of services remain in dialogue with those who depend on them, and when the hearts and talents of all workers are enlisted in the pursuit of better ways, the potential for improvement in quality is nearly boundless.
Page 23 - Feb. 1990). GAO addressed the following four elements viewed essential to a comprehensive national strategy: (1) national practice guidelines and standards of care; (2) enhanced data to support quality assurance activities; (3) improved approaches to quality assessment and assurance at the local level; and (4) a national focus for developing, implementing, and monitoring a national system. Laboratory Accreditation: Requirements Vary Throughout the Federal Government (GAO/RCED-89-102, Mar.
Page 15 - Director, using the process set forth in section 913, shall arrange for the development and periodic review and updating of — (1) clinically relevant guidelines that may be used by physicians, educators, and health care practitioners to assist in determining how diseases, disorders, and other health conditions can most effectively and appropriately be prevented, diagnosed, treated, and managed clinically...
Page 13 - Real improvement in quality depends, according to the Theory of Continuous Improvement, on understanding and revising the production processes on the basis of data about the processes themselves. "Every process produces information on the basis of which the process can be improved,
Page 17 - Law 101-239, established the Agency for Health Care Policy and Research within the Public Health Service to promulgate guidelines and standards of quality and other "performance measures.
Page 1 - August 11, 1989, we have examined the issues that would need to be addressed in ensuring the quality of health care under any plan to expand health care coverage for the uninsured. We have assumed that the current system of multiple public and private purchasers of health care will remain in place for at least the immediate future.
Page 8 - ... with developmental disabilities: Quality assurance systems typically concentrate on quality assessment and the identification of the relatively small number of providers whose care is obviously unacceptable. They do comparatively little in attempting to directly improve the overall levels of quality provided by the majority of health professionals. . . . If we think of performance of health care providers in terms of the bell-shaped curve of a normal distribution, the challenge is to devise a...
Page 16 - However, some of the estimates fail to account for the potential cost of alternative treatments that might be provided in place of procedures found to be inappropriate and the likelihood that a program intended to reduce inappropriate care would never be fully successful.
Page 13 - Second, health considerations dictate a comprehensive approach. Meeting the health care needs of individuals frequently requires providing care in a variety of settings (that is, hospitals, physicians' offices, nursing homes, home health agencies, and so on) over an extended period of time. What occurs in one setting or at one time is often influenced by what occurred in a different setting at a different point in time.