8. Changes in Post-Hospital Service Use by Medicare Beneficiaries ... 9/85 to 6/87 9. Patient Classification Systems: An Evaluation of the

$203,600

26. A National Program To Improve the Quality of ICU Services..
27. Impact of the Prospective Payment System on the Quality of Long-
Term Care in Nursing Homes and Home Health Agencies..

28. Development, Pilot Testing, and Refinement of Valid Outcome
Measures for the Home Care Setting

29. Special Projects for the Monitoring of Quality of Care

(PRO Pilot Project).

30. Development of Uniform Clinical Data Set and Screening Algorithms...

2/88 to 2/93
10/88 to 12/90

10/87 to 12/89
8/87 to 9/88
10/88 to 9/90°

9/88 to 9/90
9/87 to 4/88
9/87 to 4/88
1/88 to 12/90

$68,000
$24,000
$6,000,000
In negotiation

$1,900,000
$600,000
$25,000,000 per

year
In negotiation
Intramural
Intramural

$770,000

4. The Effect of Computerization on the Nursing Process.

5. Doctor-Child Communication: Improving Health Outcomes 6. Small Area Analysis of Surgery for Back Pain

7. Research in Trauma Indices.

8. Impact of DRGs on Public Home Health Nursing Services 9. Information Retrieval in National Survey

10. AIDS and Other Patients' Use of ICU Technologies

11. Assessment of Coronary Care Unit Use in Different Hospitals
12. Impact of Payment Restrictions on Physician Decisions
13. Comparison of Extracorporeal and Percutaneous Lithotripsy
14. Quality Differences Among Primary Care Practitioners
15. New Techniques for Pretesting Survey Questions
16. Effects of Advance Directives in Medical Care ...

17. International Collaborative Study of Oral Health Outcomes
18. Variations in Coronary Artery Bypass: Determinants and
Clinical Significance

19. Validation of AIS and ISS for Pediatric Trauma.
20. Statistical Methods for Longitudinal Health Data
21. Determinants of Inappropriate Hospital Admissions

22. Evaluating Outcomes of Hospital Care Using Claims Datab 23. Teaching Effects on Outcomes and Costs of Patient Care 24. Technology Assessment: Evaluation of Electronic

Fetal Monitoring . . .

25. A Research Agenda on Rural Health

26. Variability in "No Code" Orders Among Very Ill Patients
27. The Effect of WIC' on Adolescent Pregnancy Outcomes
28. Diffusion of New Drug Technologies.

29. Evaluation of Family Impact of Home Apnea Monitoring
30. Variations in Physician Practice Style and Outcomes of Care.
General Accounting Office:

1. How Effective is the Credentialing and Delineation of Privileges
at VA Medical Centers

2. Study of the VA's Infection Control Program

3. Review of the DOD's Health Care Licensure and Credentialing Systems ..

4. Medicare: Improving Quality of Care Assessment and Assurance 5. Medicare: Improved Patient Outcome Analyses Could Enhance Quality Assessment

Prospective Payment Assessment Commission:

1. Trends and Concentration of Specialized Procedures Under the Prospective Payment System

2. Assessing Quality Assurance Software Packages

3. Evaluating PRO Activities in the Preadmission Review Process 4. Adjustment Methodologies for Outcome Statistics.. NONFEDERAL STUDIES

American College of Physicians:

1. Clinical Efficacy Assessment Project .

Ongoing

$140,000

per year

aThis appendix lists studies that were in progress in April 1988 or had been completed in the preceding 11 months.

i

8This study is funded jointly by the Henry J. Kaiser Family Foundation, the Pew Charitable Trusts, the Robert Wood Johnson Foundation, the National Center for Health Services Research, and the National Institute of Mental Health.

This

group is an affiliate of the American Hospital Association.

'These data are the time period and funding for the first phase of the project. SOURCE: Office of Technology Assessment, 1988.