V Nelson, Alan R., M.D., president, Utah Professional Review Organiza- Charles W. Carter, past president, Association of Federal Government Robert W. Head, M.D., chairman, Utah Professional Review Organiza- Page tion Allied Health Professional's Council__ 355 New Mexico Foundation for Medical Care, Hugh Woodward, M.D., presi- 473 473 Dr. Edward S. Hyman, secretary, Council of Medical Staffs; and Dr. Hal Hunter, American Public Health Association__ Henry Fetterman, M.D., vice president, Pennsylvania Medical Care Platt, Kenneth A., M.D., medical director, Colorado Foundation for Medical 250 479 209 Dr. Kenneth A. Kahn, president, Colorado Foundation for Medical Donald G. Derry, executive vice president, Colorado Foundation for Medical Care and executive director, Colorado Medical Society‒‒‒ Quinlan, Donald, M.D., president, Association of American Physicians and Surgeons, Inc., accompanied by: 402 Thomas G. Dorrity, M.D., legislative chairman; and 382 Roth, Dr. Russell B., president, American Medical Association, accompanied by: Dr. Robert B. Hunter, member, board of trustees; and Dr. Edgar T. Beddenfield, Jr., vice chairman, council on legislation____ Saward, Dr. Ernest W., chairman, National Professional Standards Review Council, accompanied by: 59 Raymond J. Saloom, D.O., member, National Professional Standards Schnabel, Truman G., Jr., M.D., F.A.C.P., president, American College of Edward C. Rosenow, Jr., M.D., F.A.C.P., executive vice president; Calvin F. Kay, M.D., F.A.C.P., deputy executive vice president__ Schricker, J. Louis, Jr., M.D., president, Utah State Medical Association, and Alan R. Nelson, M.D., president, Utah Professional Review Organization, accompanied by: Charles W. Carter, past president, Association of Federal Government Robert W. Head, M.D., chairman, Utah Professional Review Organiza- Stewart, James H., M.D., president, Louisiana State Medical Society, Hon. John R. Rarick, a Representative in Congress from the State of 355 Paul Perret, associate secretary-treasurer. Louisiana State Medical 192 Taylor, Dr. John C., president, American Osteopathic Association, accompanied by: Dr. Frank McDevitt, chairman, Committee on PSRO's-. Texas Medical Association, Milton V. Davis, M.D__. Utah Professional Review Organization, Alan R. Nelson, M.D., president, Charles W. Carter, past president, Association of Federal Government Robert W. Head, M.D., chairman, Utah Professional Review Organi- Page zation Allied Health Professional's Council____. Utah State Medical Association, Louis Schricker, M.D., president, and Alan R. Nelson, M.D., president, Utah Professional Review Organization, accompanied by: 355 Charles W. Carter, past president, Association of Federal Government Robert W. Head, M.D., chairman, Utah Professional Review Organization Allied Health Professional's Council_____ 355 Wood, Dr. John M., president, American Associations of Foundations for Dr. Donald C. Harrington, past president--. 140 473 COMMUNICATIONS American Academy of Pediatrics___ 504 American CMS, Roy F. Guste, legal counsel, Guste, Barnett and Colomb__ American Nurses Association, Inc., Eileen M. Jacobi, Ed. D., R.N., executive director_. 494 505 American Occupational Therapy Association, Leo C. Fanning, executive director 509 American Optometric Association__. 489 American Speech and Hearing Association, Richard J. Dowling, director of governmental affairs____ 502 Bennett, Wallace F., a U.S. Senator from the State of Utah----- 508 502 East Range Clinics Ltd,. D. J. Richter, M.D.‒‒‒‒ 508 Fanning, Leo C., executive director, American Occupational Therapy Association 509 Guste, Roy F., legal counsel, American CMS, Guste, Barnett & Colomb---Jacobi, Eileen M., Ed. D., R.N., executive director, American Nurses Association, Inc. Communications received by the Committee expressing an interest in these hearings APPENDIX B Background material relating to Professional Standards Review Organizations (PSRO's) prepared by the staff of the Committee on Finance---- 489 515 APPENDIX C National Professional Standards Review Council meeting reports--- APPENDIX D Department of Health, Education, and Welfare PSRO program manual___ APPENDIX E Statutory language of PSRO-Bold type for emphasis requested by Senator APPENDIX F Informational material distributed to the medical profession by the Department of Health, Education, and Welfare---- APPENDIX G Communications received by Senator Dole concerning PSRO--- APPENDIX H Memorandum of law filed by the Association of American Physicians and Surgeons and the memorandum in support of Government motion for summary judgment concerning constitutionality of Professional Standards Review legislation_. Page 589 665 819 835 853 869 Capabilities of regional office personnel_ Role of the Secretary of HEW in PSRO.. Substandard quality health care- 15 15 Ultimate Federal Government control of PSRO Ad hoc advisory group of physicians to assist PSRO. Role of the National Advisory Council. National Professional Standards Review Council_. Cost savings at the expense of quality More flexibility sought at HEW_ Success of peer review before statute... Kansas doctors question PSRO-- Confidentiality of physician-patient relationship-- No amendments seen necessary- Utilization review committees and PSRO relationship_ 15 16 18 18 19 20 20 21 21 24 24 25 26 Responsibility of Secretary in designating PSRO areas.... 42 43 43 54 55 Timing of AMA suggested amendments. Development of norms for care.. Issue of confidentiality.. Development of norms for care.. Quality of care deserves precedence over cost-----. Patients benefit from reductions in unnecessary hospital care. Majority of California doctors seen opposing PSRO.......... 100 885J88882FN***8 56 56 57 64 68 69 69 69 70 71 72 73 92 |