Medicare Quality of Care, and Outcomes and Effectiveness Research: Hearing Before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, One Hundred Second Congress, First Session, April 30, 1991, Volume 4U.S. Government Printing Office, 1991 - 128 pages |
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activities administrative Agency for Health AHCPR appropriate assessment benign prostatic hyperplasia cardiac pacemakers Chairman STARK clinical data clinical practice guidelines CLINTON computer-based patient record Congress consensus coordinated CPR systems data development data systems databases decision DETMER develop guidelines dissemination effectiveness and outcomes effectiveness research effort ESRD evaluation example experts funding guideline panels HCFA HCFA's Health Care Financing Health Care Policy health care professionals hospital impact implementation important improve the quality improved patient inappropriate initiative Institute of Medicine issue low back pain medical effectiveness medical practice Medicare program MEDICARE QUALITY MEDTEP MULLEY National outcomes and effectiveness Patient Outcome Research peer review Pete Stark physicians Policy and Research PORT practice parameters practitioners PRO's problems procedures projects quality assurance recommendations review criteria scientific specialty societies specific standards statement surgery technologies Thank treatment UCDS urinary incontinence users utilization review WILENSKY
Popular passages
Page 123 - The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.
Page 112 - VALIDITY Practice guidelines are valid if, when followed, they lead to the health and cost outcomes projected for them.
Page 22 - Agency, as stated by law, is to enhance the quality, appropriateness, and effectiveness of health care services...
Page 95 - an electronic patient record that resides in a system specifically designed to support users by providing accessibility to complete and accurate data, alerts, reminders, clinical decision support systems, links to medical knowledge and other aids
Page 123 - ... problems, and carrying out follow-up steps to ensure that no new problems have been introduced and that corrective actions have been effective (Brook & Lohr, 1985).
Page 75 - I thank you. [The prepared statement follows:] STATEMENT of the AMERICAN MEDICAL ASSOCIATION to the Subcommittee on Health Committee on Ways and Means United States House of Representatives Presented by Jerald R.
Page 63 - Association, the American College of Physicians, the American College of Surgeons, and the American...
Page 112 - CLINICAL APPLICABILITY Practice guidelines should be as inclusive of appropriately defined patient populations as evidence and expert judgment permit, and they should explicitly state the population(s) to which statements apply.
Page 112 - RELIABILITY/REPRODUCIBILITY Practice guidelines are reproducible and reliable (1 ) If — given the same evidence and methods for guidelines development — another set of experts produces essentially the same statements; and (2) If — given the same clinical circumstances — the guidelines are interpreted and applied consistently by practitioners (or other appropriate parties).